Ponomarenko O. Treatment of tissue defects of the body and limbs after injury.

The dissertation presents a theoretical generalization and a new solution to the problem of improving the results of treatment for patients with defects of the coating tissues (DCT) to the trunk and extremities of traumatic genesis by structuring the victims and introducing into the clinical practice all the types of injuries in order to substantiate such diagnostic and surgical methods of selection, indicators of the diagnostic criteria of the traumatic 42 area, localization area and volume of the obtained generations of cover tissues and other anatomical structures. The analysis of the results examination and treatment of 242 victims of DCT of the trunk and extremities of mechanical genesis. The distribution of patients into groups was carried out depending in the area, depth and volume of tissue damage. Group 1 (n = 44) are patients with a limited (up to 1% surface area of the body) area of damage to the skin and underlying tissues to deep fascia, group 2 (n = 67) are affected with a large (more than 1% surface area) wound surface (WS) and soft tissue lesions below the deep fascia, group 3 (n = 90) was composed of patients who received DCT together or as a result of bone and joint damage apparatus, group 4 (n = 41) - patients with combined or multiple trauma, accompanied by damage to the bones, tendons, muscles, major vessels, nerves, partial or complete separation of the limb. The defined structure of the victims allowed to distinguishing respectively I, II, III and IV types of damage to the coating tissues.