Лікування ушкоджень хребта у хворих iз політравмою

Shymon, Vasyl; Shymon, M.V.; Sheregyi, A.A.; Lytvak, V.V.; Stoyka, Vasyl; Пушкаш, Іван Іванович

doi:10.22141/1608-1706.4.18.2017.109352

TRAUMA

2022

DOI: 10.22141/1608-1706.4.18.2017.109352

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Лікування ушкоджень хребта у хворих iз політравмою

Vasyl Shymon¹,

M.V. Shymon²,

A.A. Sheregyi³

et al.

Abstract: Ë³êóâàííÿ óøêîäaeåíü õðåáòà ó õâîðèõ iç ïîë³òðàâìîþ Резюме. Подано дані аналізу лікування пошкоджень хребта в 379 хворих із політравмою, характеристику пошкоджень по сегментах хребта, їх тяжкості. Наведені показання до малоінвазивного хірургічного та консервативного лікування пацієнтів із пошкодженнями хребта, інших органів та опорно-рухового апарату. Відмічено, що для проведення хірургічного лікування мають бути суворі показання. Воно має включати декомпресію елементів спинного мозку та сегментарну транспедик… Show more

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2023

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Peculiarities of vertebro-spinal cord injuries in the polytrauma patients

Shymon

Филип

Sheregiy

et al. 2019

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Objective. Elaboration of diagnostic criteria and qualitative methods of treatment in the polytrauma patients. Маterials and methods. The results of miniinvasive surgical and conservative treatment of 379 polytrauma and vertebral injuries patients on the base of the Clinic of Surgery and Orthopedics of the Medical Faculty in 2010 - 2018 yrs were analyzed. Characteristics of vertebral injuries in accordance to its segments and severity, as well as to other systems and abdominal organs were adduced. Results. Following strict indications for operative intervention and its conduction in the first 6 - 8 h in cases of complicated vertebral fractures constitutes a guarantee for improvement of the patient’s state and restoration of some functions of a spinal cord functions. Conclusion. The measures, directed towards early activization of the injured persons, must include primarily performance of surgical intervention on the injured organs, аnd then, when the possibility appears (if an adequate anesthesiological support is affordable) - the one-staged intervention on the injured vertebral column, especially in the patients, suffering complicated trauma, together - in its anterior and posterior segments.

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Peculiarities of vertebro-spinal cord injuries in the polytrauma patients

Shymon

Филип

Sheregiy

et al. 2019

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Minimally Invasive Surgical Techniques in Treatment of Intraarticular Calcuneus Fractures

Hoduadze¹,

Pelypenko²,

Malyk³

et al. 2023

Act. Probl. of the Modern Med.

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Introduction. Heel bone fractures make up about 2% of all skeletal fractures and almost 60% of injuries to the metatarsal part of the foot. According to the statistics, more than 75% of fractures are intra-articular ones. Conservative treatment of intra-articular fractures of the heel bone has limited indications and is recommended as an alternative in the presence of contraindications to the surgical treatment. Because of high risks of postoperative complications, the number of studies devoted to minimally invasive surgical treatment techniques has been increasing in recent years. The purpose of this work is to conduct a comparative analysis of the effectiveness of treatment of intra-articular fractures of the calcaneus bone using minimally invasive techniques. Materials and methods. The treatment outcomes of 33 patients (38 fractures) were analyzed. Patients were divided into 2 groups: the 1 group included individuals who underwent closed repositioning and fixation with cancellous screws, the 2 group included individuals who received minimally invasive open reduction through access to the subtalar sinus and fixation with an angular stability plate. Results. Differences in pain syndrome assessment by a visual analogue scale, oedema of the operated segment and quality of wound healing testified in favour of transcutaneous fixation with screws. The quality of life according to The Lower Extremity Functional Scale was assessed as good in both groups in 3 and 6 months following the surgical operation. Functionality of the foot according to the Foot Function Index scale in 3 and 6 months was interpreted as "good" and "excellent" in both groups, respectively. Conclusion. Depending on the type of intra-articular fracture, both minimally invasive techniques of surgical treatment of complicated calcaneus fractures enable to restore anatomical reduction, prevent a significant number of complications, reduce pain, promote wound healing and achieving the formation of a cosmetic postoperative scar, as well as improve quality of life in the postoperative period. Minimally invasive osteosynthesis with cancellous screws has advantages over osteosynthesis with plates according to separate performance evaluation criteria, but its use is limited by the biomechanical characteristics of the injury.

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Лікування ушкоджень хребта у хворих iз політравмою

Cited by 2 publications

References 0 publications

Peculiarities of vertebro-spinal cord injuries in the polytrauma patients

Peculiarities of vertebro-spinal cord injuries in the polytrauma patients

Minimally Invasive Surgical Techniques in Treatment of Intraarticular Calcuneus Fractures

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