41 -5 (43) 2022 — M.A. Artykova, E.Yu. Valiev, — MODERN APPROACH TO THE CHOICE OF TACTICS FOR THE TREATMENT OF FEMORAL FRACTURES IN PATIENTS WITH ASSOCIATED INJURY

MODERN APPROACH TO THE CHOICE OF TACTICS FOR THE TREATMENT OF FEMORAL FRACTURES IN PATIENTS WITH ASSOCIATED INJURY

M.A. Artykova, Bukhara State Medical Institute

E.Yu. Valiev, Bukhara State Medical Institute

Zh.Yu. Zhabbarov Bukhara State Medical Institute

Resume

The aim of the study was to improve the results of surgical treatment of patients with femoral fractures in concomitant trauma by introducing improved treatment tactics based on the use of modern technologies.

Materials and methods of the study, the results of treatment of 233 patients with femoral injuries with concomitant trauma, who were treated at the Republican Scientific Center for Emergency Medical Care and its Bukhara branch in the period 2017-2020, were studied. Among the patients, males predominated – 152 (65.4%), women were 81 (34.6%). The patients were aged 18 to 60 years. We have developed a tactic for the treatment of hip injuries, which was based on the severity of the condition and the severity of the injury. It was fundamental that all hip fractures should be stabilized using surgical methods in the early period of traumatic disease. Surgical interventions should be performed after the elimination of the dominant pathology, or after stabilization of hemodynamics. The method of fixation depends on the severity of the condition of the victims: with a stable or conditionally stable condition of the victims (IIS – 11-16 points), submersible intra-, extramedullary osteosynthesis was used; in decompensated (IIS – 17-36 points) – the least traumatic methods of transosseous osteosynthesis.

Key words: concomitant injury, hip fracture, severity of injury, severity of condition, osteosynthesis. 

First page

202

Last page

210

For citation: M.A. Artykova, E.Yu. Valiev, Zh.Yu. Zhabbarov MODERN APPROACH TO THE CHOICE OF TACTICS FOR THE TREATMENT OF FEMORAL FRACTURES IN PATIENTS WITH ASSOCIATED INJURY //New Day in Medicine 5(43)2022 202-210 https://clck.ru/mgMkn

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