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NEW TECHNOLOGIES IN TREATMENT
OF FRACTURES OF THE UPPER EXTREMITIES
IN PATIENTS WITH SEVERE MULTIPLE
AND POLYTRAUMA.

A comparative analysis of treatment results of fractures of long bones of the upper extremities was made in 172 victims
with severe polytrauma. The traditional strategy of treatment was
used in the first group. The new technologies such as prognostic
tactics, method of Damage control orthopedics and low-invasive
osteosynthesis developed by the authors were applied in the second
group. The application of new technologies allowed doctors
to improve the immediate and long-term results of surgery. The
rate of lethality decreased in 1,6 times, incidence of complications
reduced in 1,4 times. Hospital stay shortened in 2 times:
for victims with favorable prognosis — on 7 days; for patients
with unfavorable prognosis — on 13 days. The long-term results
were studied in 154 (89,5%) patients. The common duration of
treatment reduced on 30 days and the quantity of good results
increased on 18,6%. The number of patients with vocational
rehabilitation increased from 82,3 to 90,7%.