APPLICATION OF MINIMALLY INVASIVE TECHNOLOGIES IN THE TREATMENT OF THE MUSCLE-MOTOR APPARATUS IN PATIENTS WITH POLYTRAUMA

Authors

  • TILYAKOV Aziz Buriyevich
  • TILYAKOV Xasan Azizovich
  • NAZAROV Sarboz Parda ugli

Keywords:

Pelvis, shock, fat embolism, osteosynthesis

Abstract

Purpose of the study: The aim of our study was to improve the results of treatment of patients with polytrauma in the acute and early periods of traumatic disease by developing improved tactics based on the use of minimally invasive treatment methods.Materials and methods: Based on the results of the analysis of diagnostics and treatment in the Samarkand branch for the period 2009-2016. there were 460 patients with polytrauma. There were 267 men (58%), women 236 (193%), of the total number of patients, the largest percentage was 56.3% of the victims aged 21 to 40 years. 276 (60.2%) victims were injured as a result of an accident.The results of the study: The results of the study showed that, in patients with polytrauma, complications arose in the post-traumatic period. Most often with injuries of the abdominal cavity, chest cavity, fractures of the pelvic bones. In total, patients with complications were found in 183 (39.7%). multiple organ failure 44 (9.6%), fat embolism 33.58 (7.3%), cerebral edema 17 (3.7%), postoperative wound suppuration 19 (4.1%) peritonitis 20 (4.2%) ), aspiration syndrome 8 (1.7%), sepsis 12 (2.6%), osteomyelitis 15 (3.3%), limb thrombosis 14 (3.0%), ARDSV 11 (2.5%).Conclusions: Approved tactics for the treatment of patients with limb injuries in polytrauma, based on the assessment of the severity of the condition and the severity of the injury, early stabilization of musculoskeletal injuries in the acute period of traumatic disease using minimally invasive methods of treatment.

References

Трубников В.Ф., Попов.И.Ф., Ковалев С.И. Особенности лечения таза и конечностей у пострадавших с сочетанной и множественной травмой. Ортопедия травматология и протезирование 1987г. №7 стр. 15-18.

Стаматин С.И., Бецишор В.К. актика лечения больных с множественными переломами костей конечностей, сопровождающихся травматическим шоком. Ортопедия травматология и протезирование 1982г. №11 стр. 33-36.

Жигунов А.К., Асланов А.Д., Кудрявцев Б.П. и др (2006). Организационно-диагностические и лечебные мероприятия на догоспитальном этапе сопровождения пострадавших с сочетанными травмами при повреждениях конечностей. Мед катастроф 1 -2: 34-36.

Поярков В.Д., Данилов В.А. (2007). Коррекция кровообращения при лечении сочетанных травматических повреждений конечностей. Бюл Вост.-Сиб. науч центра СО РАМН 43: 151-151.

Rommens P.M, Tile M, Laude F, Matimbeau C. (2013). A short history of pelvic trauma surgery. Dialogue. 2: 28-31.

Radvinsky D.S, Yoon R.S, Schmitt P.J, Prestigiacomo C.J, Swan K.G, Liporace FA. (2012). Evolution and development of the Advanced Trauma Life Support (ATLS) protocol: a historical perspective. Orthope-dics. 35(4): 305-311.

Abrassart S. (2013). Unstable pelvic ring injury with hemodynamic insta-bility: What seems the best procedure choice and sequence in the initial management? Orthop. Traumatol. Surg. Res. 99(2): 175-182.

Kalinkin OG. (2011). Intensive therapy in acute and early periods of traumatic illness in victims with severe pelvic injuries. Ukrainian Journal of Extreme Medicine named after G.O. Mozhaeva. 12(3): 125-131. Russian

Mavlyanov, F.Sh., Mukhammadiev, M.Kh., Kamolov, S.Zh., Shukurov, F.M., Mavlyanov, Sh.Kh. (2020). Monitoring of organ failure development in patients with acute pancreatitis European Journal of Molecular and Clinical Medicine, 7 (3), pp. 2523-2528.

Published

2022-05-31