Both conservative and surgical techniques were used in treatment of children with compression injuries. The most appropriate methods used included skeletal extraction, intrafocci, and closed intramedular osteosynthesis. According to our experience, multi-organ functional failure as a manifestation of crush syndrome complicated treatment in 21.6% of the children. In the most difficult cases, the method of extracorporeal blood purification was used in 10.1% of children with the crush syndrome. The mortality in this group was 10.7%. Conclusion: Compression trauma in children is characterized by high incidence of disabilities and high mortality.
Primary prosthetics was performed in 320 patients ( aged 1678 years) with lower limb stumps at different level. The amputation was carried out due vascular pathology of various genesis (70% of cases), injury (25%)), frostbite sequelae, oncologic lesions and chronic osteomyelitis (5%). For the determination of the prosthesis use regimen complex examination including functional diagnosis methods was performed to all patients. Taking into account the individual peculiarities of stump and presence of concomitant pathology the primary-permanent prosthesis was made. Prosthetics results were evaluated 26 months after stump tissue atrophy development. Good results were achieved in 152 patients (67.9%)), satisfactory in 48 (21.4%)) and unsatisfactory in 24 (10.7%)) out of 224 rehospitalized patients.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.