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[Diagnostic significance of de Ritis coefficient and leukocytic intoxication index in victims with open fractures of mandible].

Despite great differences in the patients with complicated and uncomplicated mandibular fractures, the activity of serum transaminases reflects the severity of damage to osteomuscular tissue and time course of development of inflammatory reaction. The leukocytic intoxication index (LII) characterizes stress reaction of the blood system during the first hours and development of inflammation in later periods of the posttraumatic period. The ratio of de Ritis coefficient/LII indicates the level of endogenous intoxication, cell membrane permeability, development and time course of the inflammatory process. Hence, these parameters are diagnostically and prognostically significant for predicting the outcome of the posttraumatic period and serve as criteria for development of optimal treatment algorithms.

Adolescent↗

[Treatment and reconstruction of open fractures of the forearm with tissue loss].

The importance of the forearm calls for attempts to preserve it and to restore its function even in severe injuries with extensive tissue loss. At early and comprehensive first surgical treatment providing sufficient perfusion good results can be achieved also in cases that do not appear promising at first sight. After treating the soft tissues fixation of the fracture is to be ensured externally and reconstitution surgery is to proceed according to the management plan. Of the reported series of 11 severe compound fractures the functional result of management was not favorable only in a single case.

Forearm Injuries↗