Assuntos
Deslocamento do Disco Intervertebral/cirurgia , Vértebras Lombares/lesões , Traumatismo Múltiplo/cirurgia , Compressão da Medula Espinal/cirurgia , Adulto , Feminino , Luxação do Quadril/complicações , Luxação do Quadril/cirurgia , Humanos , Deslocamento do Disco Intervertebral/complicações , Vértebras Lombares/cirurgia , Fraturas das Costelas/complicações , Fraturas das Costelas/cirurgia , Compressão da Medula Espinal/etiologia , Fraturas da Tíbia/complicações , Fraturas da Tíbia/cirurgiaAssuntos
Fraturas Ósseas/cirurgia , Traumatismos da Perna/cirurgia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
On the basis of the experience with the treatment of 60 patients the authors recommend a one-step osteosynthesis of both femurs which allows timely mobilization of the patients, prevention of hypostatic and hypodynamic complications. The peculiarities of performing the operation are described.
Assuntos
Fraturas do Fêmur/terapia , Adulto , Moldes Cirúrgicos , Feminino , Fraturas do Fêmur/complicações , Fixação Interna de Fraturas/métodos , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Tempo , TraçãoRESUMO
From the experience with one-stage osteosynthesis of two segments in 71 patients with multiple fractures of the extremities and their sequelae the author considers that up-to-date achievements of anesthesiology favour such interventions. He believes that the patients tolerate well one-stage operation which has some advantages as compared to multi-stage operations: only one exposure to narcosis, psychic trauma and unpleasant sensations of the postoperative period; this type of intervention affords motility of the patients and makes it possible to start the functional treatment early and to prevent development of contractures and hypostatic complications. The period of the treatment shortens, which is of economic and social importance.
