E.S. SHIGAYEV^1,3, I.F.AKHTYAMOV^1,2, I.Sh. GILMUTDINOV², I.S. KHAERTDINOV², E.D. KURMANGALEYEV¹, Т.А. КИЛЬМЕТОВ¹, И.К. ЕРЕМИН¹

¹Kazan State Medical University, 49 Butlerov St., Kazan, Russian Federation, 420012

²Republican Clinical Hospital of the Ministry of Health of the Republic of Tatarstan, 138 Orenburgskiy Trakt, Kazan, Russian Federation, 420064

³Republican Clinical Hospital named after N.A. Semashko, 12 Pavlov St., Ulan-Ude, Russian Federtion, 670031 

Shigayev E.S. — applicant of the Department of Traumatology, Orthopaedics and Surgery of Extreme States of KSMU, Head of the Department of Traumatology and Orthopedics of Republican Clinical Hospital named after N.A. Semashko, tel. +7 (3012) 41-97-93, e-mail: shklovsky2000@mail.ru

Akhtyamov I.F. — Professor, Head of the Department of Traumatology, Orthopaedics and Surgery of Extreme States of KSMU, Chief Researcher of the Scientific Department of RCH of MH of RT, tel. +7-905-315-01-50, e-mail: yalta60@mail.ru

Gilmutdinov I. Sh. — doctor of Orthopedic Department № 2, tel. +7-904-761-07-86, e-mail: kostolom52@yandex.ru²

Khaertdinov I.S. — doctor of Traumatology Department № 1, tel. +7-987-296-31-19, e-mail: ildsa@list.ru²

Kil’metov T.A. — post-graduate student of the Department of Traumatology, Orthopaedics and Surgery of Extreme States, tel. +7-917-286-78-27, e-mail: t.kilmetov@gmail.com¹

Kurmangaliyev E.-D. — applicant of the Department of Traumatology, Orthopaedics and Surgery of Extreme States, tel. +7-701-426-22-10. e-mail: dakekz@mail.ru¹

Yeremin I.K. —applicant of the Department of Traumatology, Orthopaedics and Surgery of Extreme States, tel. (843) 236-06-78, e-mail: i.eremin@deost.ru¹

Infectious complications considerably reduce positive results in proximal femur trauma treatment. Pneumonia and pressure ulcers as well as local postoperative wound septic complications are an inevitable phenomenon in this difficult category of patients.

The article presents analysis of the results of infectious complications prophylaxis program implementation in Orthopaedics and Traumatology Clinic of RCH named after N.A. Semashko, Ulan-Ude city.

The authors conclude that the combination of systemic antibiotic prophylaxis and observance of orthopaedic regime allowed to decrease the rate of surgical site infectious complication in the reviewed group of patients from 16,6% to 1,9%; pneumonias and pressure ulcers from 33,3% in 2006 to 3,9% in 2012. These data correlate with publications of colleagues in domestic and foreign literature but arenot an achievable minimum, which predetermines further improvement of surgical treatment of patients with proximal femur trauma.

Key words: proximal femur fracture, complications, antibiotic prophylaxis.

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