ABSTRACT
In the article is analyzed treatment of firearm wounds of limbs in 161 victim. After antishock measures and primary surgical treatment with observation of its all elements, including application of delayed and tension sutures (31), the primary healing of wounds has been observed with 71, secondary--with 61, suppuration--with 23 and osteomyelitis--with 17 persons. 5 patients have been subjected to amputation of lower limb. 125 (77.5%) patients recovered and 33 (20.5%) became invalids. 3 patients have died. Successful treatment of these victims depends not only upon specialized but upon timely aid at pre-hospital stage as well. Sound primary surgical treatment of wounds is decisive measure in the prophylaxis of wound infection, the method of choice to immobilize a limb after operation is a liningless plaster bandage or skeletal traction in combination with plaster immobilization.
Subject(s)
Arm Injuries/etiology , Leg Injuries/etiology , Wounds, Gunshot , Adolescent , Adult , Arm Injuries/therapy , Casts, Surgical , Child , Female , Humans , Immobilization , Leg Injuries/therapy , Male , Osteomyelitis/etiology , Osteomyelitis/therapy , Traction , Wound Healing , Wound Infection/therapy , Wounds, Gunshot/therapySubject(s)
Fractures, Bone/therapy , Adult , Female , Fracture Fixation , Humans , Male , Middle AgedABSTRACT
In the treatment of 38 patients with aseptic necrosis of the femur head, wrist bones and trophic ulcers the authors have successfully used the vascularization of tissues for the improvement of their feeding by means of transplantation of isolated vascular bundles.
