Scientific journal
Научное обозрение. Медицинские науки
ISSN 2500-0780
ПИ №ФС77-57452

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QUESTIONS OF ORGANIZATION OF HOSPITAL MANAGEMENT OF PATIENTS WITH FRACTURES AND FRACTURE-DISLOCATIONS OF ANKLE

Bezgodkov Y.A. 1 Vorontsova T.N. 2 Fedotov A.L. 1 Li Sinhao 3
1 Saint-Petersburg State Pediatric Medical University
2 Russian Scientific-Research Institute of Traumatology and Orthopedics n.a. R.R.Vreden
3 First Saint-Petersburg State Medical University n.a. akademik I.P.Pavlov
Analysis of hospital management of 211 adult patients with fractures and fracture-dislocations of ankle was done. Sex, age, main and secondary diagnosis, preoperative hospital stay, type of treatment, residual defects of treatment were studied. It was estimated that before now in time and high quality medical care was not arranged for all patients in spite of presence of many methods of treatment and principles of medical care. Solution of this problem mostly depends on the constant and complete quality control of applied treatment based on clear requirements for anatomical and functional results. Algorithm of diagnostics and treatment with markers of step-by-step quality control was proposed not only for choice of the best method of treatment, but more for clear understanding what must be obtained at the result of treatment.