title: [Application of intramedullary blocked osteosynthesis for treatment of patients with open fractures of the shin and femur in combined injuries].
abstract: Actual problems of using intramedullary blocked osteosynthesis for open fractures of the shinbones and femoral bones in patients with combined injuries are considered. The most optimal terms of operative treatment were established depending on the severity of the injuries by ISS scale and on classification of injuries of the soft tissues by Gastillo-Andersen. The schemes of antibacterial prophylactics of infectious complications are proposed both during operation and at the postoperative period. Under consideration are the questions of intraoperative boring of the bone marrow canal of the shinbones and femoral bones in severe combined injuries.
authors.forename: A K
authors.initials: AK
authors.lastname: Dulaev
authors.forename: A N
authors.initials: AN
authors.lastname: Tsed
authors.forename: M I
authors.initials: MI
authors.lastname: Bobrin
authors.forename: Iu V
authors.initials: IuV
authors.lastname: Refitskiĭ
authors.forename: A I
authors.initials: AI
authors.lastname: Khodin
authors.forename: I G
authors.initials: IG
authors.lastname: Dzhusoev
authors.forename: A E
authors.initials: AE
authors.lastname: Chikin
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D005269:Femur / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D005500:Follow-Up Studies; D005594:Fracture Fixation, Intramedullary / Q000379:methods*; D017102:Fracture Healing; D005597:Fractures, Open / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma; D011859:Radiography; D013977:Tibia / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult