Modern approach to the choice of tactics for the treatment of femoral fractures in patients with associated injury

Abstract

The work is based on the results of treatment of 233 patients with femoral injuries in concomitant trauma. Males predominated 65.4%. As a result of a road traffic accident, 61.4% of the victims were injured. The most common combination was a concomitant craniocerebral injury, and a fracture of the femur - 42.5%, multiple fractures of the limbs - 16.3% and with polytrauma - 15.0%. In 76.8% of cases, at the time of hospitalization, the condition of patients (ISS: 11.7–22.8). In 202 patients, in 88.7% of cases, in the treatment of femoral fractures, a surgical method was used - osteosynthesis. We have developed a tactic for the treatment of hip injuries, which was based on the severity of the condition and the severity of the injury. It was fundamental that all hip fractures should be stabilized using surgical methods in the early period of traumatic disease. Surgical interventions should be performed after the elimination of the dominant pathology, or after stabilization of hemodynamics.