[Treatment of suppurative-necrotic wounds of the extremities]. / Lechenie gnoino-nekroticheskikh ran konechnostei.

The article discusses the authors' experience in treating pyonecrotic and poorly granulating wounds of the upper and lower extremities in 158 patients; proteolytic enzymes, application of carbohydrate sorbents, and helium-neon laser radiation were used in 66 cases. With such method of treatment, the wounds healed without cutaneoplasty in 75% of cases. In 25% of cases free cutaneoplasty was performed after preparation of the wound surface. The terms of wound healing reduced 1.5-2 times as compared to that in the traditional methods of treatment.

[Sorption detoxication in the treatment of open fractures of the extremities complicated by purulent infection]. / Sorptsionnaia detoksikatsiia v lechenii otkrytykh perelomov konechnostei, oslozhnennykh gnoinoi infektsiei.

The article describes the authors' experience with the treatment of open diaphyseal and intra-articular fractures of bones of the upper and lower extremities complicated by purulent infection, in 126 patients sorption methods being used (hemosorption, enterosorption, application of sorbents on the wounds). Results of the treatment were studied in 120 patients within the period from 1 year to 6 years. Good results were obtained in 44 patients (36.7%), satisfactory--in 60 patients (50%), unsatisfactory--in 16 patients (13.3%).

Complex sorption therapy of locomotor system traumatic suppurative complications.

Complex sorption therapy efficacy in treating 271 patients with suppurative complications of extremity traumas is analyzed. All patients underwent 1-3 enterosorption courses, the wounds were treated with application of sorbents against the background of traditional therapy. In the event of aggravating intoxication, developing first symptoms of sepsic condition, or the desease chronic course 1-5 hemosorption sessions were performed. Clinical and laboratory-instrumental examination demonstrated positive effect of the complex of sorption methods on the patient' general state, temperature curve dynamics, blood indices, microcirculation, function of liver, kidneys, and immune system status. Pathogenic flora stability decreased, wound cleaning and healing was 1.5 times faster. The total therapeutic period was 28% shorter compared to the control group of patients, treated without sorption methods.