Zhuchenko P. Femur fractures as a component of multiple organ failure and polystemic injuries (scientific explanation of the treatment tactics principles).

The object of the research are victims with a polysystem trauma of the femur . The purpose of the research is an algorithm of rendering surgical aid to victims with polytrauma of the femur. The methods of research are clinical, radiological, expert, and statistical. A comparative clinico-nozologyc analysis was conducted based on collected, investigated, and analysed material of 332 cases; and also features of the clinical process of traumatic illness, depending on character and weight of damages, were investigated. Based on forecasting outcomes of a trauma, on the analysis of the reasons, and on the quantity and quality of complications, periods of high risk and optimum terms of surgical treatment of crises of a femur in different clinico-nosologycal groups were determined. Suggested algorithms allowed to lower mortality 10 -12%, and complications 20%. The algorithms have been used in clinical work of traumatologic branches of hospitals in Kiev, Simferopol, and Vinnitsa. Traumatology and orthopedics.