EXPERIENCE IN PERFORMING OPERATIONS IN PATIENTS WITH A FRACTURE OF THE PROXIMAL FEMUR WITH A RISK OF DEEP VEIN THROMBOSIS

Authors

  • TILYAKOV Xasan Azizovich
  • TILYAKOV Aziz Burievich
  • TEMUROV Alisher Akmaljon o’g’li
  • SHUKUROV Fayzullakhon Nematulla o’g’li

Keywords:

lower deep vein thrombosis (DVT), pulmonary embolism (TL), incision of the inferior vena cava (PVCC), cava filter (CF), endoprosthetics, osteosynthesis

Abstract

Thrombosis of the lower deep veins (DVT) is one of the most urgent problems of modern traumatology and vascular surgery, and, according to literature data and clinical observations, thrombosis of the lower deep veins (DVT) occurs in 80-85% of cases.This is due to the "steep walking" and the peculiarities of blood flow [4, 16, 13]. A number of authors claim that complications in the system of lower deep vein thrombosis (PCTV) are observed up to 80% in femoral fractures [10,8]. Such a high incidence of lower vein thrombosis is associated with damage to the vessel wall, forced alertness, leading to a slowdown in venous blood flow [5, 1]. Thromboembolic complications often occur with damage to the musculoskeletal system, including surgical interventions[1]. In particular, osteosynthesis of femoral fractures is 30-70%, and in 45-70% of cases, thrombosis of the lower deep veins and pelvic veins is observed after total inguinal joint replacement operations[15,2].

References

Dalen J.E. Pulmonary embolism: what have we learned since Virchow? Natural history, pathophysiology, and diagnosis. Chest 2002; 122(4):1440-56

Ershov D.S., Kopenkin S.S., Skoroglyadov А.В. Prevention and treatment of deep vein thrombosis of the lower extremities during hip replacement. Traumatology and orthopedics 2015; 2: 14-15 (in Russ)

Geerts W.H. Prevention of venous thromboembolism: the Seventh ACCP Conference on Antithrombotic and Thrombolytic Therapy. Chest. 2004; 126 (3): 338-400.

Kahn SR. The clinical diagnosis of deep vein thrombosis: integrating incidence, risk factors and symptoms and signs. Arch Intern Med. 1998; 158 (21): 2315–2323.

Kesieme E., Kesieme C., Jebbin N., Irekpita E., Dongo A. Deep vein thrombosis: a clinical review. Journal of Blood Medicine 2011; 2: 59–69.

Kotelnikova G. P., Mironova S. P. Traumatology: national guidelines/ ed..: ГЭОТАР-Медиа 2011; 1100 с.(in Russ)

Nikulina N. N., Terexovskaya yu. V. Epidemiology of pulmonary embolism in the modern world: an analysis of morbidity, mortality and problems of their study. Russian Journal of Cardiology. 2019; 24(6):103–108(in Russ)

Cherniy V.I., Kolesnikov A.N., Gorodnik G.A. Assessment of the risk of thromboembolic complications and the effectiveness of various methods of prevention in patients in critical condition. Practical angiology 2008; 7-8: 28-34.(in Russ)

Shvalb P.G., Ukhov Yu.I. Pathology of venous return from the lower extremities. Monograph 2009;152с.(in Russ)

Shulgina L.E., Karpenko A.A., Kulikov V.P., Subbotin Yu.G. Ultrasound criteria for the embologicity of venous thrombosis. Angiology and Vascular Surgery 2005; 11(1): 43-51(in Russ)

Vardanyan A. V. operatsiyadan keyingi venoz tromboembolik asoratlar - haqiqiy xavf va zamonaviy profilaktika usullari. Angiologiya va qon tomir jarrohligi 2008; 14 (1): 67-72.

Информация об авторах:

Тиляков Хасан Азизович- PhD, заведующий кафедры ФПДО травматалогии-ортопедии, нефрохирургии и офталмологии. Самаркандский государственный медицинский университет, Самарканд, Узбекистан. Е-mail:shaxxas.tilyakov@gmail.com, https://orcid.org/0000-0001-557-7302

Тиляков Азиз Буриевич - к.м.н., доцент . Ташкентский педиатрический медицинский институт, Ташкент, Узбекистан. Е-mail: tiliakov@bk.ru, https://orcid.org/0000-0002-9743-0482

Темуров Алишер Акмалжон угли- асисстент кафедры ФПДО травматалогии-ортопедии, нефрохирургии и офталмологии. Самаркандский государственный медицинский университет, Самарканд, Узбекистан. ORCID ID: 0009-0002-6628-4125

E-mail: alishertemurov6@gmail.com

Шукуров Файзуллахон Нематулла угли - резидент ординатуры кафедры ФПДО травматалогии-ортопедии, нефрохирургии и офталмологии. Самаркандский государственный медицинский университет, Самарканд, Узбекистан. Е-mail: fnshukurov@gmail.com

Статья поступила в редакцию 17.05.2024; одобрена после рецензирования 23.06.2024; принята к публикации 29.06.2024.

The article was submitted 17.05.2024; approved after reviewing 23.06.2024; accepted for publication 29.06.2024.

Источники финансирования: Работа не имела специального финансирования.

Конфликт интересов: Авторы декларируют отсутствие явных и потенциальных конфликтов интересов, связанных с публикацией настоящей статьи.

Вклад авторов:

Тиляков Х.А. — сбор и анализ источников литературы, написание текста.

Тиляков А.Б . — идеологическая концепция работы, редактирование статьи;

Темуров А. А- написание статьи, внесение изменений в текст, обработка материалов.

Кодиров У.Ф- написание статьи, внесение изменений в текст, обработка материалов.

Information about the authors:

Хasan A. Tilyakov - PhD, Head of the Department of Traumatology-Orthopedics, Nephrosurgery and Ophthalmology. Samarkand State Medical University, Samarkand, Uzbekistan. E-mail: shaxxas.tilyakov@gmail.com, https://orcid.org/0000-0001-557-7302

Aziz B. Tilyakov - PhD, docent. 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

Fayzullakhon N. Shukurov- is a resident of the Department of Traumatology-Orthopedics, Nephrosurgery and Ophthalmology. Samarkand State Medical University, Samarkand, Uzbekistan. E-mail: fnshukurov@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 H.A. — collection and analysis of literature sources, writing a text.

Tilyakov A.B. — the ideological concept of the work, writing the text; editing the article;

Temurov A.A- writing an article, making changes to the text, processing materials.

Shukurov F.N- writing an article, making changes to the text, processing materials.

Published

2024-09-04