Belyakov V.
Candidate of Medical Sciences, Chief Physician of the City Clinical Hospital No. 16Kazan, Chief freelance expert traumatologist-orthopedist of the Ministry of Health of the Republic of Tatarstan, Associate Professor of the Department of Traumatology and Orthopedics of the Kazan State Medical Academy
Pankov I.
MD, Professor, Head of the Department of Traumatology and Orthopedics of the Kazan State Medical Academy Ministry of Health of the Russian Federation, Chief Researcher of the Research Department of the RCH of the Ministry of Health of the Republic of Tatarstan
Sirazitdinov S.
Head of the Traumatology Department of the consultative polyclinic Republican Clinical Hospital, assistant of the Department of Traumatology and Orthopedics of the Kazan State Medical Academy

Abstract
The article presents and substantiates the basic principles of blood ozone oxygenation in the complex therapy of hemorheological disorders in highly traumatic surgical interventions. The mechanism of development of perioperative complications from the blood coagulation system, as well as the relationship of blood rheology with microcirculation features, is shown. The main mechanisms of ozone oxygenation in the treatment of patients with severe osteoarticular pathology are presented.

Keywords: highly traumatic surgical interventions, features of microcirculation, hemorheological disorders, ozone oxygenation of blood.