OPTIMAL METHODS OF CARE FOR VICTIMS WITH COMBINED BONE AND VASCULAR INJURIES OF THE LOWER EXTREMITIES
Keywords:
bone-vascular injuries, complete and incomplete amputations, osteosynthesis, arterial anastomoses, autovenous prosthesiAbstract
Objective. To improve the results of treatment of patients with open and closed combined bone and vascular injuries of the lower limbs.
Material and Methods. We conducted an analysis of data from151 patients with open and closed combined bone and vascular injuries of the lower extremities. There were 113 (74%) adult males, 30 (19.9%) females, and 15 (9.9%) children of both sexes under 18 years of age. 127 (84.1%) patients were delivered in the first 1-6 h after the injury, some of the victims - 7 (4.6%) - within 6-24 h, 17 (11.3%) - later than 1 day after the injury. 52 (34.4%) patients were delivered independently, 55 (36.4%) - by ambulance, 44 (29.1%) - by transfer from other clinics.
Results. Of the total number of reconstructive surgeries performed (n=137), segments were preserved in 129 (94.2%) and reamputation was performed in 8 (5.8%).
Conclusions. Thus, in case of segmental circulatory disorders the most optimal approach is the preliminary fixation (with spokes or pins) of the bone fragments necessary for revascularization with the subsequent immobilization of the limb with external fixation devices after wound closure.
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Статья поступила в редакцию 03.03.2024; одобрена после рецензирования 24.04.2024; принята к публикации 26.04.2024.
The article was submitted 03.03.2024; approved after reviewing 24.04.2024; accepted for publication 26.04.2024.
Информация об авторах:
Хасан А. Тиляков - кандидат медицинских наук, заведующий кафедрой травматологии-ортопедии, нефрохирургии и офтальмологии. Самаркандский государственный медицинский университет. Факультет последипломного образования. ORCID: 0000-0001-5574-7302, E-mail: shaxxas.tilyakov@gmail.com,
Азиз Б. Тиляков - кандидат медицинских наук, доцент. Ташкентский педиатрический медицинский институт, Ташкент, Узбекистан. Электронная почта: tiliakov@bk.ru, https://orcid.org/0000-0002-9743-0482
Темуров Алишер Анатольевич - ассистент кафедры "Травматология-ортопедия, нефрохирургия и офтальмология" Самаркандского государственного медицинского университета. Факультет последипломного образования. ORCID: 0009-0002-6628-4125, Электронная почта: alishertemurov6@gmail.com
Фазлиддин Номозов - ординатор кафедры травматологии-ортопедии, нефрохирургии и офтальмологии. Самаркандский государственный медицинский университет, факультет последипломного образования. Самарканд, Узбекистан. E-mail: nfazliddin021@gmail.com
Источники финансирования: Работа не получила какого-либо конкретного финансирования.
Конфликт интересов: Авторы заявляют об отсутствии явных или потенциальных конфликтов интересов, связанных с публикацией данной статьи.
Вклад авторов:
Тиляков Х.А. — идеологическая концепция работы, написание текста; редактирование статьи;
Тиляков А.Б. — идеологическая концепция произведения, написание текста; редактирование статьи;
Темуров А.А. — сбор и анализ литературных источников, написание текста.
Номозов Ф.Н. - написание статьи, внесение изменений в текст, обработка материалов.
Author in formation:
Xasan A. Tilyakov- PhD, Head of department Traumatology-Orthopedics, Nephrosurgery and Ophthalmology. Samarkand State Medical University. Faculty of Postgraduate Education
ORCID ID: 0000-0001-5574-7302, E-mail: shaxxas.tilyakov@gmail.com,
Aziz B. Tilyakov - PhD, dotcent. Tashkent Pediatric Medical Institute, Tashkent, Uzbekistan. E-mail: tiliakov@bk.ru, https://orcid.org/0000-0002-9743-0482
Alisher A. Temurov- Assistant of the department " Traumatology-Orthopedics, Nephrosurgery and Ophthalmology" Samarkand State Medical University. Faculty of Postgraduate Education
ORCID ID: 0009-0002-6628-4125, E-mail: alishertemurov6@gmail.com
Fazliddin N. Nomozov - is a resident of the Department of Traumatology-Orthopedics, Nephrosurgery and Ophthalmology. Samarkand State Medical University, Faculty of Postgraduate Education .Samarkand, Uzbekistan. E-mail: nfazliddin021@gmail.com
Sources of funding: The work did not receive any specific funding.
Conflict of interest: The authors declare no explicit or potential conflicts of interest associated with the publication of this article.
Contribution of the authors:
Tilyakov XA— ideological concept of the work, writing the text; editing the article;
Tilyakov A.B. — the ideological concept of the work, writing the text; editing the article;
Temurov AA — collection and analysis of literature sources, writing the text.
Nomozov FN- writing an article, making changes to the text, processing materials.
