This study analyzes the main aspects of the formation as irreversible and reversible loss due to road traffic injuries. Analysis of the irreversible losses was based on data from official national statistics on deaths due to accidents in the years 1971-2008, as well as relevant data to WHO. The purpose of this study is to develop a methodology for assessing the avoidable health loss due to traffic injuries as a basis for determining priorities and reserves to reduce health and social consequences of accidents on the major categories of victims.
The analysis of results of surgical treatment of 157 patients with proximal femur fractures was presented. In all cases the osteosynthesis using fixator PFN was performed in clinic of traumatology amd orthopedics of Moscow Municipal Hospital N 71 from 2005 till 2009. The authors concluded: proximal femur nail is mini-invasive and mini-traumatic fixator that is essential at treatment of elderly and old patients.
The analysis of the medical social portrait of the deceased in consequence of traffic accidents was implemented. The risk groups and the pattern of mortality indicators distribution according the days of week and seasons were revealed. The major medical social factors of traffic accidents making resulted in fatal outcomes were established considering the characteristics of injuries due to traffic accidents demanding the organization of opportune medical care.
A method for creation of an experimental model of the operative wound suppuration is presented. The expediency to use the antiseptic preparations for prevention of suppuration of the deliberately infected operative wound has been proved. The best results were noted in using the antiseptics effective towards the given microflora. This confirms the necessity of individual choice of an antiseptic preparation.
A method to prevent operative wound suppuration is offered. An experimental animal model of operative wound suppuration was elaborated to specify rational antibiotic-anticeptic prophylaxis and adequate wound drainage. This yielded a complex of measures to prevent purulent complications on the part of the operative wound. In addition, an original turbidimetric technique to assess the resistance of the biological fluid microflora to anticeptis was elaborated. The complex prophylaxis against suppuration of infected wounds was clinically tested on 124 patients operated on for different acute surgical conditions of abdominal organs. The wound process was controlled by means of an original endoscopic-bacteriologic technique. The postoperative period was complicated by the wound suppuration in two of the 124 patients (1.6 per cent). The postoperative hospital stay in most cases lasted 5-7 days.
