DOES THE APPLICATION OF CONVERSION FRACTURE-TREATMENT METHOD AND THE TECHNOLOGY OF TELEMEDICAL MOVEMENT MONITORING AFFECT THE LONG-TERM RESULTS OF THE TREATMENT OF VICTIMS WITH MULTIPLE GUNSHOT LONG BONES FRACTURES?

Objective: The aim: To improve the results of treatment of patients with multiple gunshot fractures of long bones by developing the technology of fixation method conversion with combined autoplasty and postoperative telemedical control (loading +ROM (range of motion).

Patients And Methods: Materials and methods: Two comparison groups were formed: the main (84 patients) and the control (62 patients). For the patients of this group all elements of the restorative treatment system were used (DCO, extrafocal osteosynthesis (including hinged), ultrasonic cavitation, NPWT, biochemical indicators of blood, conversion technology with usage of regenerative technologies, rehabilitation program) and telemedical control with applications (ROM+weight bearing).

SURGICAL STABILIZATION OF MULTIPLE RIB FRACTURES AND MULTIPLE LONG BONE FRACTURES OF LOWER EXTREMITIES IN POLYTRAUMA PATIENTS.

Objectives - determine the impact of rib osteosynthesis on the incidence of complications development and mortality in patients with multiple rib fractures and multiple long bone fractures of lower extremities. A prospective controlled trial was conducted from June 2015 to December 2019, and included adult patients with polytrauma, Injury Severity Score (ISS) ≥18p, multiple long bone fractures of lower extremities, one of which is the femur, and multiple rib fractures. All included patients were divided into two groups: in Group I - 17 patients who underwent surgical stabilization of rib fractures, Group II - 24 included patients treated without rib osteosynthesis.