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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12710/12457
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dc.contributor.authorStanev, Alexandr
dc.contributor.authorDarciuc, Mihail
dc.contributor.authorȘoric, Sergiu
dc.contributor.authorVolentir, Liviu
dc.date.accessioned2020-10-31T18:12:42Z
dc.date.available2020-10-31T18:12:42Z
dc.date.issued2016
dc.identifier.citationSTANEV, Alexandr, DARCIUC, Mihail, ȘORIC, Sergiu, VOLENTIR, Liviu. Osteosynthesis methods in polytrauma with musculoskeletal system injuries. In: Arta Medica. 2016, nr. 4(61), p. 22. ISSN 1810-1852.en_US
dc.identifier.issn1810-1852
dc.identifier.urihttps://artamedica.md/old_issues/ArtaMedica_61.pdf
dc.identifier.urihttp://repository.usmf.md/handle/20.500.12710/12457
dc.descriptionOrthopedics and Traumatology Clinic ”Vitalie Bețișor”, State University of Medicine and Pharmacy ”Nicolae Testemițanu”, Republic of Moldova, Al VIII-lea Congres Naţional de Ortopedie și Traumatologie cu participare internaţională 12-14 octombrie 2016en_US
dc.description.abstractPurpose: to analyze osteosynthesis methods in polytrauma and their performing time. Material and methods: were analyzed methods and early results of surgical treatment in polytrauma patients treated in IEM, in period 2011-2015. Polytrauma were classified according to 4 regions in: cvadriregional – 2(2,6%), triregional – 19(24,7%), biregional – 56(72,7%). The study group was – 77 patients surgically treated, including 29(37,7%) women and 48(62,7%) men. Average age was 37.5 years, predominantly affecting working-age population (21-60 years) - 68 (88.3%), with highest incidence in group 18-30 years - 31(40.2%). Musculoskeletal lesions were: 140 fractures, multiple - 53(68.8%) and single - 24(31.2%); open fractures-13(9.3%) cases. Fractures in upper limb and scapular-humeral belt were 56(40%), pelvis-21(15%), lower limb - 57(40.7%) and spine - 6(4.3%) cases. Results: immediate surgery - 13(16,9%) cases of open fractures, chosen osteosynthesis material being external fixator. Delayed surgical treatment - 64(83,1%) cases, performed at 1-19 days after trauma, with an average of 6.5 days. Osteosynthesis methods consisted of: intramedullary nail – 29(37,6%), DCS – 2(2,6%), plate and screws – 26(33,7%), modular plate – 7(9,1%), angular stable plate – 1(1,3%), transkeletal traction – 5(6,5%), PFN – 2(2,6%), supporting plate – 4(5,2%), K-wire – 13(16,8%), screws – 4(5,2%). The immediate results were appreciated by X-ray aspect, being satisfactory in all cases. Conclusions: Surgical treatment of MS injuries is divided into serial operations, respecting the order of priority of injuries depending on their vital risk (Damage Control Orthopaedics) and simultaneous surgeries performed along with deshock supported therapy (Early Total Care), which tend to settle early and definitively maximum of lesions in polytrauma. Duration and volume of surgical interventions for skeletal injuries in polytrauma should be chosen with consideration of injuries severity, patient’s state and traumatic disease period.en_US
dc.language.isoenen_US
dc.publisherAsociaţia chirurgilor “Nicolae Anestiadi” din Republica Moldovaen_US
dc.subjectosteosynthesisen_US
dc.subjectpolytraumaen_US
dc.subjectDCOen_US
dc.subjectETCen_US
dc.titleOsteosynthesis methods in polytrauma with musculoskeletal system injuriesen_US
dc.typeOtheren_US
Appears in Collections:Arta Medica Vol. 61, No 4, 2016 ediție specială

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