V.G. LYSOV¹, M.V. PARSHIKOV², V.G. BOSYCH²

 ¹Trubchevskaya Central District Hospital, Bryansk region

²A.I. Yevdokimov Moscow State University for Medicine and Dentistry, Moscow

Contact details:

Lysov V.G. — Head of the Surgery Unit

Address: 15 Petrov St., Trubchevsk, Russian Federation, 242220, tel.: +7-905-103-76-79, e-mail: lysov_1959@mail.ru

Treatment of a serious injury is a complex multi-stage process. Sometimes there are non-standard situations that can lead to complication that can worsen the final results.

The purpose was to determine the theoretical and practical capabilities of a traumatologist when solving non-standard situations in a district hospital.

Key words: non-standard situation, loss of implant function, titanium plate, bone fusion of the fracture.

REFERENCES

1. Kalinin A.A., Sanzhin B.B., Goloborod’ko V.Yu., Levina G.Yu. Clinical case of successful treatment of a patient with open severe penetrating cranio-fascial trauma. Innovatsionnaya meditsina Kubani, 2018, no. 3, pp. 22–31 (in Russ.).
2. Nazarova E.O., Karpov S.M., Apaguni A.E., Vyshlova I.A. Modern view of the pathogenetic mechanisms of traumatic disease in polytrauma (literature review). Vestnik novykh meditsinskikh tekhnologiy (elektronnyy zhurnal), 2018, no. 1, pp. 126–130 (in Russ.).
3. Taniya S.Sh. Lechenie postradavshikh s tyazheloy sochetannoy travmoy: diss… kand. med. nauk [Treatment of victims with severe concomitant trauma. Dis PhD med. sciences]. Saint Petesrburg, 2015.
4. Chaudhry S., Egol K.A. Ankle Injuries and Fractures in the Obese Patient. Orthop Clin N. Am, vol. 42, 2011, pp. 45–53.
5. Nelissen E.M., van Langelaan E.J., Nelissen R.G. Stability of medial opening wedge high tibial osteotomy: A failure analysis. Int Orthop, 2010, vol. 34, pp. 217–223.
6. Stoffel K., Lorenz K.U., Kuster M.S., Biomechanical considerations in plate osteosynthesis: the effect of plate-to-bone compression with and without angular screw stability. J. Orthop. Trauma, 2007, vol. 21, pp. 362–368.