[Management of multiple open fractures of long bones in multiple trauma]

Management of multiple injuries is presented in the following article. 14 patients with open fractures during multiple trauma were assessed taking into consideration: time of post trauma stabilization and such complications as osteitis and growth impairment. Patients' clinical status with specific aspects were assessed (stride, muscle atrophy, edema, limaxis). Infected tibia false joints were diagnosed in 3 patients. 2 cases concerned open fractures of the II degree and III degree degree of the tibia according to Gustilo. They were patients operated during the first 24 houre in the year 2000. No such complications as infected false joints were diagnosed in patients operated between the 8th-10th day post trauma. All patients achieved bone growth and normal waound post traumatic bone healing.