G.V. LOBANOV

 Donetsk National Medical University named after M. Gorky, Donetsk

 Contact details:

Lobanov G.V. — MD, Professor, Head of the Department of Traumatology, Orthopedics and Emergency Surgery

Address: 16 prospekt Ilyicha, Donetsk People’s Republic, 283003, tel.: +380713241517, e-mail: lgv_don@mail.ru

High mortality rate and organizational problems in rendering assistance make researchers in many countries pay special attention to implement protocols and conception allowing to improve the early appropriate treating of polytrauma (Early Appropriate Care, EAC)), the strategy of safe operations (Safe Definitive Surgery, SDS), and prompt individual safe treatment (Prompt Individualised Safe Management, PR.I.S.M.). We propose the conception of «metabolic rehabilitation», which enables to significantly reduce the mortality and disability rates and improve the functional outcomes. Despite the recent advances, the problem of accurate diagnostics and minimally invasive treatment remains topical in polytrauma clinic.

REFERENCES

1. Agadzhanyan V.V., Pronskikh A.A., Ust’yantseva I.M., Agalaryan A.Kh., Kravtsov S.A., Krylov Yu.M. et al. Politravma [Polytrauma]. Novosibirsk: Nauka, 2003. 494 p.
2. Gumanenko E.K., Nikiforenko A.V. Kliniko-patogeneticheskoe obosnovanie novoy strategii i taktiki lecheniya tyazhelykh sochetannykh travm. Materialy KhI s»ezda khirurgov Rossiyskoy Federatsii [Clinical and pathogenetic substantiation of a new strategy and tactics for the treatment of severe concomitant injuries. Materials of the XI Congress of Surgeons of the Russian Federation]. Volgograd, 2011. Pp. 592–593.
3. Lobanov G.V. Diagnostika travmaticheskogo narusheniya stabil’nosti tazovogo kol’tsa: dopolnenie k klassifikatsii [Diagnosis of traumatic disturbance of the stability of the pelvic ring: addition to the classification]. Zbіrnik naukovikh prats’ spіvrobіtnikіv KMAPO іm. P.L. Shupika. Kiїv, 2000. Pp. 252–255.
4. Sokolov V.A. Damagecontrol — sovremennaya kontseptsiya lecheniya postradavshikh s kriticheskoy politravmoy. Vestnik travmatologii i ortopedii im. N.N. Priorova, 2005, no. 1, pp. 81–84 (in Russ.).
5. Taniya S.Sh. Lechenie postradavshikh s tyazheloy sochetannoy travmoy: dis. … dokt. med. nauk [Treatment of victims with severe concomitant injury. Dis. Dr med. sciences]. Saint Petersburg, 2015. 333 p.
6. Pfeifer R., Kalbas Ya., Pape H.Ch. Kontseptsiya DAMAGECONTROL pri politravme: kakovy standarty v 2021 godu? Politravma, 2021, no. 2, pp. 10–18 (in Russ.).
7. Roberts C.S., Pape H.Ch., Jones A.L., Malkani A.L., Rodriguez J.L., Giannoudis P.V. Damage control orthopaedics evolving concepts in the treatment of patients who have sustained orthopaedictrauma. J of Bone and Joint Surgery, 2005, vol. 87 A, iss. 2, rr. 434–449.
8. Volpin G., Pfeifer R., Saveski J., Hasani I., Cohen M., Pape H.C. Damage control orthopaedics in polytraumatized patients — current concepts. J Clin Orthop Trauma, 2021, vol. 12 (1), pp. 72–82.