Tag Archives: osteosynthesis

OPTIMIZED APPROACH TO THE TREATMENT OF LIMB FRACTURES IN PATIENTS WITH ORTHOPEDIC TRAUMA

Ahmedov Sh.M., Sirodzhov K.H., Muradov A.M., Holov D.I., Rahimov A.T.

OPTIMIZED APPROACH TO THE TREATMENT OF LIMB FRACTURES IN PATIENTS WITH ORTHOPEDIC TRAUMA

Department of Traumatology and Orthopedics of the State Education Establishment “Institute of Postgraduate Education in Health Sphere of Republic of Tajikistan”

Aim.Optimization of diagnostics and surgical treatment of fractures in patients with multiple injuries.

Materials and methods. The work is based on analyzing results of diagnosis and treatment of 183 patients in the period 2001-2013, which were divided into 2 groups. In the main group osteosynthesis of fractures optimized with the lipid spectrum of blood plasma, in the control group treatment of fractures is traditionally held. The examination program of patients included: clinical examination, beam diagnostics, clinical laboratory tests, the study of the concentration of total lipids, catalase, atherogenic index calculation, the concentration of cholesterol, low density lipoprotein, very low density lipoproteins, determine the extent of fat globulemya.Results. An important criterion of the outcome of treatment of patients with multiple injuries is the number of complications during the acute period of traumatic disease. Organ dysfunction were observed in 3,0 and 4,9% patients respectively in groups, which in 0,9% and 2,4% of cases have led to deaths. Venous insufficiency of limb was observed in 2,0% and 3,7% of patients, kompartmen syndrome – 0,9% and 2,4% of cases, fat embolism syndrome was observed in 1,2% of patients in the control group.

Conclusion.The positive effect of the results of treatment of patients of the main group due to an optimized approach to the treatment of fractures with the use of of lipid spectrum and sparing ways of osteosynthesis. Modified isovolemichemodilution allows to withdraw patient from a state of shock, improves blood oxygen transport minimizes amount of blood loss, the degree of endogenous intoxication, the risk of fat embolism syndrome and other vital violations.

REGIONAL PARTICULARITIES OF TRAUMATISM ТРАВМА¬ТИЗМА IN THE REPUBLIC OF TAJIKISTAN

SIRODZHOV K.H., TOLIBOV SH.M., ESHONOV I.E.
Analyzing results of the diagnostics and treatments 300 patients with polytrauma, is revealed specific particularities traumatism in Republics Tajikistan. Prevalence the low high¬speed highways and low floor at home lead less the heavy to damages of a skeleton and low relative density of lethal outcomes to the sharp period of a polytrauma, absence of the doctrine of rendering of primary medical aid at a pre-hospital stage, continuity with presence traumas of the centers 1st and 2nd level in most cases is the reason of high relative density of a traumatic shock, volume blood losses and others the vital infringements.

OPTIMIZATION OF COMBINED TREATMENT OF FRACTURES OF THE LONG BONES IN PATIENTS WITH SIGNS OF FATTY HIPERGLOBULEMIYA

SIRODZHOV K.H., KARIMOV K.K., MIROV N. SH. AHMEDOV SH.M.
This paper analyses the results of treatment of 78 patients admitted to hospital with different mechanisms of injury, which was provided emergency and scheduled inpatient care. Together with a complex of modern medical -diagnostic measures authors studied a prognostic significance of diagnostics fat globulemiya. Express method according to Kornilov, which contributed to the early diagnosis of the syndrome of fat embolism and improve the results of surgical treatment of patients with injuries of the musculoskeletal system.

OPTIMIZATION OF A TACTICAL APPROACH WHEN COMBINED FRACTURES OF LONG BONES

KARIMOV K.K, ASHUROV B.O.,BAROTOV H.N., SHARIPOV U.L.
In the work of the studied result of the treatment of 73 patients with impairment of long tubular bones of the lower extremities, received at the clinic for emergency and planned manner. All patients were complex clinico-diagnostic approach and appropriate treatment.
The result of the study States that early stable-functional osteosynthesis of a grant minimize disability, early activation of the patients, and also the restoration of the static-dynamic functions and kinematic balance of the musculoskeletal system.

Optimization of combined treatment of fractures of the long bones in patients with signs of fatty hiperglobulemiya

Sirodzhov K.H., Karimov K.K., Mirov N. Sh. Ahmedov Sh.M.
This paper analyses the results of treatment of 78 patients admitted to hospital with different mechanisms of injury, which was provided emergency and scheduled inpatient care. Together with a complex of modern medical – diagnostic measures authors studied a prognostic significance of diagnostics fat globulemiya. Express method according to Kornilov, which contributed to the early diagnosis of the syndrome of fat embolism and improve the results of surgical treatment of patients with injuries of the musculoskeletal system.

Optimization of a tactical approach when combined fractures of long bones

Karimov K.K, Ashurov B.O., Barotov H.N., Sharipov U.L.
In the work of the studied result of the treatment of 73 patients with impairment of long tubular bones of the lower extremities, received at the clinic for emergency and planned manner. All patients were complex clinico-diagnostic approach and appropriate treatment.
The result of the study States that early stable-functional osteosynthesis of a grant minimize disability, early activation of the patients, and also the restoration of the static-dynamic functions and kinematic balance of the musculoskeletal system.