Scientific Substantiation of the Osteosynthesis Method Conversion in Long Bones Gunshot Fractures in the Armed Forces Medical System of Ukraine

Хоменко, И. П.; Коrol, S. О.; Лурін, І. А.; Челішвілі, Анатолій Леонідович; Sichinava, R. M.

doi:10.26724/2079-8334-2019-4-70-177-182

Cited by 2 publications

(3 citation statements)

References 14 publications

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“…The patient has to go from the initial fixation with extrafocal devices to the moment of full fusion and restoration of function of the damaged limb [1][2][3]. At the same time, it is of great importance to determine the necessity and conditions of the conversion with identification of the relevant indications for its implementation, as well as to its reasoned execution [4].…”

Section: Introductionmentioning

confidence: 99%

“…That is why the issue of replacing the method of fixation is a subject of debate, because early conversion increases the risk of infection of the surgical wound and the subsequent development of gunshot osteomyelitis, and the use of external fixation devices as a method of final treatment of gunshot fractures of long bones mostly leads to the development of contractures and functional limitations [6,8]. However, the reasoned replacement of the fixation method is a certain key to successful restorative treatment of patients of this severe category, because it creates optimal conditions for correcting the position of bone fragments, their stable fixation, and allows the medical rehabilitation process to begin as soon as possible after the injury [4]. Therefore, the issue of implementing a balanced and reasoned conversion is currently relevant and requires further study [8].…”

Section: Introductionmentioning

confidence: 99%

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Criteria for Predicting Risks in the Case of Replacing an External Fixator With an Internal Fixator During the Treatment of Gunshot Fractures of the Extremities

Burianov

Yarmoliuk²,

Деркач³

et al. 2023

OTP

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In the treatment of victims with gunshot fractures of the long bones of the limbs, important importance is attached to determining the need and conditions for performing conversion (replacing the fixation method) with the formulation of reasoned indications. At the first stage of specialized care, such patients are fitted with external fixators, which provides adequate stabilization and simple wound care. Their conversion at the second stage to intraosseous increases the effectiveness of treatment. The aim: To analyze the results of using a scoring scale to substantiate the replacement of the fracture fixation method in the system of treatment of victims with combat limb injuries. Methods. The medical documentation for the period 2014-2021 was studied. The number of patients with gunshot fractures of long bones was 350, the average age was (36.4 ± 1.42) years. Patients were divided into two groups: the main group (193 wounded) — in the preoperative period, the authorʼs scale «Assessment of the possibility of conversion» was used; comparison (157 people) — point assessment was not performed. Methods. Descriptive, comparative analysis, systematic approach, statistical. The SF36 questionnaire was used to assess patients' quality of life. Results. The analysis of treatment results in the long term (1.2‒1.5 years) showed that the use of the author's scale in the preoperative period and the subsequent treatment made it possible to improve the subjective quality of life indicator by an average of 22.2 %. Conclusions. Justification of the expediency of replacing the fixation method during the treatment of patients with gunshot fractures of long bones using the developed scoring scale makes it possible to avoid unjustified conversion, reduce risks and minimize the occurrence of infectious complications.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Criteria for Predicting Risks in the Case of Replacing an External Fixator With an Internal Fixator During the Treatment of Gunshot Fractures of the Extremities

Burianov

Yarmoliuk²,

Деркач³

et al. 2023

OTP

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“…Therefore, the issue of using effective osteosynthesis is currently relevant and needs to be resolved. [5][6][7][8][9]…”

Section: Introductionmentioning

confidence: 99%

Features of the use of osteosynthesis in the treatment of flammable fractures of long bones

Burianov,

Yarmoliuk,

Derkach

et al. 2023

MOJOR

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Treatment of gunshot fractures of long bones is a complex and multi-stage process. The patient has to go through the path from primary fixation by extrafocal osteosynthesis to the moment of full fusion and restoration of function of the damaged limb. At the same time, determining the need for osteosynthesis in order to treat the patient is of great importance. The purpose of the work: to conduct an analysis of the effectiveness of using osteosynthesis in the treatment of victims with gunshot wounds of the limbs. An analysis of the treatment of ATO/JFO for the period 2014-2021 was carried out. the number of patients with gunshot fractures of long bones was 470. Conclusions: the analysis of the effectiveness of the replacement of the fixation method determined a significant (p>0.05) reduction in the risk of the development of gunshot osteomyelitis, delayed consolidation with the possible subsequent development of false joints, and contributed to the timely union of fractures and the reduction of the development of persistent contractures by 26.5% (p<0.01).

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Scientific Substantiation of the Osteosynthesis Method Conversion in Long Bones Gunshot Fractures in the Armed Forces Medical System of Ukraine

Cited by 2 publications

References 14 publications

Criteria for Predicting Risks in the Case of Replacing an External Fixator With an Internal Fixator During the Treatment of Gunshot Fractures of the Extremities

Criteria for Predicting Risks in the Case of Replacing an External Fixator With an Internal Fixator During the Treatment of Gunshot Fractures of the Extremities

Features of the use of osteosynthesis in the treatment of flammable fractures of long bones

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