Tag Archives: shock

ADVANTAGE OF ROD OSTEOSYNTHESIS IN PATIENTS WITH COMPLEX OPEN FRACTURES OF FEMORAL BONE

Sirodzhov K.H., Isupov Sh.A., Holov D.I., Boymurodov A.N.

ADVANTAGE OF ROD OSTEOSYNTHESIS IN PATIENTS WITH COMPLEX OPEN FRACTURES OF FEMORAL BONE

Department of Traumatology and Orthopedics of the State Educational Establishment «Institute of Postgraduate Education in Health Sphere of Republic of Tajikistan»

Aim.Optimization of surgical treatment of open fractures of the femur with concomitant injury.

Materials and methods. The results of diagnosis and treatment of 87 patients with combined open fractures of the femur were analyzed. Patients were divided into2 groups: the main group resorted to early stable fixation of long bone fractures external fixation device (EFD) on the first day. In the control group osteosynthesis produced in delayed and planned manner.

Research methods: radiography, computed tomography, ultrasound examination of organs, clinical and laboratory research. To determine the severity of injuries and status of patients, the degree of shock, blood loss volume and other vital violations the objective point scale assessments were used.

Results. Stabilization of fractures of the femur EFD conducted in all cases amid continuing anti shock measures or after appropriate infusion-transfusion therapy and improve the overall condition of the victims. By using of optimized surgical treatment of open fractures of the femur at combined injury good results established respectively in 27 (29,9%) and 18 (20,7%), satisfactory – in 11 (12,6%) and 19 (21,8%) and unsatisfactory – in 3 (3,4%) and 9 (10,3%) patients.

Conclusion. Considering the low traumatism and how antishockeventt, early osteosynthesis of open fractures of the femoral EFD performed independently from the severity of the victim, making the patient transportable. This method helps to normalize the function of important organs, reducing early-threatening complications and verticalization of the patient.

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.