Metal osteosynthesis of open fractures of the long tubular bones]

An analysis of treatment of 123 patients with open fractures of long tubular bones has shown that automobile crash is the most frequent cause of the trauma (67.5%). The prehospital aid was given only to 9.7% of the patients. The primary surgical treatment of the wounds was carried out by traditional rules, the local application of antibiotics for prophylactics of purulent complications did not justify itself. Better results of treatment of open fractures were obtained after metallo-osteosynthesis of open fractures of the femur bone. The highest percentage of complications were observed after epiosseous osteosynthesis of the leg bones.     

Open diaphyseal fractures of long tubular bones in traffic accidents]

An analysis of the treatment of 203 patients with open diaphysial fractures of the long tubular bones, resulting from motor-road accidents has been carried out. Late results have been studied in 134 cases (66%) with follow-up ranging from 1 to 10 years. 69% of them have completely restored their working capacity with the possibility to return to their previous work. The results of the treatment were estimated in three-mark grading system terms: 55.7% of all the examined patients showed good results, 30.9% showed fair results and 13.4% showed poor results (pseudoarthrosis, malunion, osteomyelitis).     

Treatment of post-traumatic osteomyelitis of the ong tubular bones with antistaphylococcal plasma]

The results and methods of treatment in 26 patients showing posttraumatic osteomyelitis of long tubular bones with antistaphylococcal plasma are described. This is a preliminary report, but it is believed that intramedullary, intravenous and local administration of antistaphylococcal plasma neutrolizes staphylococci in the wound and blood, produces a greater reactivity of the body and proves to be a rather effective measure in combating against staphylococcal infection in osteomyelitis.