| About the author: |
Burluka V.V., Ankin N.L., Denisenko V.N., Maksymenko M.A., Shepitko K.V. |
| Heading |
CLINICAL MEDICINE |
| Type of article |
Scentific article |
| Annotation |
The purpose of the work was to improve the results in patients with unstable pelvic injuries in polytrauma. The study of integral rheography indices of the body was performed and some laboratory blood parameters in 137 patients with unstable pelvic injuries in polytrauma (UPIP) were studied. The victims had unstable pelvic injuries, namely types B and C according to the international classification of AO (M. Tile, 1995). Rotationally unstable fractures (type B) were observed in 101 (73.72%) cases, vertically unstable (type C) - in 36 (26.28%). It has been scientifically substantiated that the severity of anatomical injuries and the prediction of the condition for patients with UPIP upon admission should be more informatively assessed using the ATS scale (statistical significance - 89.29%). Surgical interventions on the pelvic bones in case of mild and severe trauma are possible from the 5th-7th days of traumatic disease, with extremely severe trauma - from 10-14 days of TC with a favorable prognosis, which was determined taking into account the indices of integral body rheography. |
| Tags |
polytrauma, unstable pelvic injuries, integral rheography |
| Bibliography |
- Bagdasaryants VG. Osobennosti lecheniya postradavshikh s povrezhdeniyami taza pri sochetannoy travme [dissertatsiya]. SPb; 2010. 26s.[in Russian]
- Volkov YuN, Bolshov VM, Buravtsov VI. Kompleksnaya otsenka funktsionalnogo sostoyaniya sistem krovoobrashcheniya i dykhaniya metodom integralnoy reografii tela. Metod. rekomendatsii. Moskva; 1989. 21 s. .[in Russian]
- Denysenko VN, Burluka VV, Bondarenko VV. Anatomo-funktsionalnyy sposib prohnozuvannya naslidkiv dlya zhyttya u postrazhdalykh z travmatychnoyu khvoroboyu. Patent Ukrayiny № 62247. 2003; 12. [in Ukrainian]
- Zhovtonozhko O.I. Otsinka tyazhkosti i prohnoz v khirurhichnomu likuvanni postrazhdalykh iz zakrytoyu poyednanoyu abdominalnoyu travmoyu [dysertatsiya] 14.01.03 «Khirurhiya». Kyiv: Nats. med. Akademiya pislyadyplomnoyi osvity MOZ Ukrayiny; 2012. 19 s. [in Ukrainian]
- Klimovitskiy VG, Kalinkin OG, Lobanov GV. Travmaticheskaya bolezn pri povrezhdeniyakh taza glazami klinitsista. Tavricheskiy mediko-biologicheskiy vestnik. 2012;15(3,ch.2):121-127. .[in Russian]
- Litvina YeA. Sovremennoye khirurgicheskoye lecheniye mnozhestvennykh i sochetannykh perelomov kostey konechnostey i taza [dissertatsiya]. Moskva; 2010. 39 s. .[in Russian]
- Ushakov SA, Lukin SYu, Istokskiy KN. Lecheniye travmy taza, oslozhnennoy povrezhdeniyami urogenitalnogo trakta. Geniy ortopedii. 2011;11:140-144. .[in Russian]
- Matta JM, Verasimides JG. Table-skeletal fixation as an adjunct to pelvis ring reduction. J Orthop Trauma. 2007;21(9):647-56.
- Lindahl J, Hirvensalo E. Surgical treatment of pelvic ring fractures. Suomen Ortopead ja Traumatol. 2018; 31:42-47.
- Culemann U, Burkhardt M, Knopp W, et al. Pelvic fractures. German medical journal. 2012; 1:15–31.
- Gansslen A, Hildebrand F, Pohlemann T. Management of haemodynamic unstable patients «in extremis» with pelvic ring fractures. Acta chirurgia eorthopaedicae et traumatologiae cechosl. 2012; 79:193–202.
- Pape HC, Krettek C. Management of fractures in the severely injured influence of the principle of «damage control orthopaedic surgery». Unfallchirurg. 2013; 106(2):18-24.
- Rommens PM, Hessmmann MH. Staged reconstruction of pelvic ring disruption: differences in morbidity, mortality, radiologic results and functional outcomes between B1, B2/B3 and C-type lesions. J Orthop Trauma. 2012; 16(2):92-98.
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| Publication of the article |
«World of Medicine and Biology» №3(73), 2020 year, 021-026 pages, index UDK 616.718.41-001.514-08-035-089.2 |
| DOI |
10.26724/2079-8334-2020-3-73-21-26 |
