[Considerations in operative treatment of closed fractures]

The principles that ought to be followed in closed fracture operative treatment have been presented. All relevant factors of surgical management were considered, beginning from qualification of the patient with motor system trauma for operative treatment, right choice of stabilization technique, as well as appropriate soft tissue and early posttraumatic care. It was emphasized that, even a "technically perfect" stabilization of fractured bone pieces using the right technique gave no guarantee of success if soft tissue care was inappropriate, inadequate was limb blood supply and if treatment of infection complicated cases in the early stage was solely limited to systematic antibiotic administration.