[Surgical treatment of patients with consequences of combined trauma of upper extremity complicated by purulent infection].

Result of treatment of 256 patients with consequences of combined trauma of upper extremity was analyzed. In 83 (32.4%) patients the purulent-necrotic complications occurred, caused by mistakes committed on the treatment process phase, especially during rendering the primary aid. It had promoted occurrence of the joint's contracture and ancilosis, osteomyelitis, ischemic contracture and the skin defects as well. Approach to the treatment conduction was in accordance with general principles of the patients orthopedic rehabilitation with consequences of combined trauma of upper extremity. Sanation of purulent focus was performed in 19 patients and microvascular transplantation of tissues--in 13 before restorational procedure was done.