[Surgical treatment of fractures of long bones in a patient with multiple injuries]

The authors recommend application of the intramedullary and extracortical osteosynthesis methods while the trauma severity constituting less than 25 marks according to the ISS scale, the extracortical one--in 25-40 marks, and the external one--in more than 40 marks. Three patients died after the early conduction of osteosynthesis and 15--after the postponed one of the whole 315 operated injured persons with polytrauma. The miniinvasive extracortical osteosynthesis using the minimal contact plates, the intramedullary osteosynthesis using the rods with the hightened rotational stability and the external osteosynthesis using pivotal apparatuses were applied for the long bones fractures treatment.