Features of the use of osteosynthesis in the treatment of flammable fractures of long bones

Abstract

Treatment of gunshot fractures of long bones is a complex and multi-stage process. The patient has to go through the path from primary fixation by extrafocal osteosynthesis to the moment of full fusion and restoration of function of the damaged limb. At the same time, determining the need for osteosynthesis in order to treat the patient is of great importance. The purpose of the work: to conduct an analysis of the effectiveness of using osteosynthesis in the treatment of victims with gunshot wounds of the limbs. An analysis of the treatment of ATO/JFO for the period 2014-2021 was carried out. the number of patients with gunshot fractures of long bones was 470. Conclusions: the analysis of the effectiveness of the replacement of the fixation method determined a significant (p>0.05) reduction in the risk of the development of gunshot osteomyelitis, delayed consolidation with the possible subsequent development of false joints, and contributed to the timely union of fractures and the reduction of the development of persistent contractures by 26.5% (p<0.01).