Authors
Chupryaev V.A., Kudyashev A.L., Khominets V.V., Badalov V.I., Strelba A.A.
S.M. Kirov Military Medical Academy, St. Petersburg
Abstract
Objective: to study the frequency of lower limb amputations in combination with severe damage to the contralateral lower limb in wounds and injuries; optimal surgical tactics in domestic and foreign military field surgery.
Material and methods: the analysis of 36 domestic and foreign open sources of literature on the material of past military conflicts was carried out. It was found that limb tears in combination with severe multiple injuries and bone fractures ranged from 3.4 to 5.6%.
Results: The preliminary results of the study showed the need to solve the problem of choosing the optimal surgical tactics when combining lower limb detachment and severe damage to the contralateral lower limb.
Conclusion: The frequency of amputations in the world is steadily increasing due to an increase in the number of victims with high-energy injuries, including as a result of armed conflicts characterized by the use of explosive ordnance. The treatment of wounded with severe multiple and combined injuries with the presence of an amputation defect is a big problem both in choosing the method of osteosynthesis of the damaged limb, and in the indications and timing of prosthetics.
Keywords: amputation, fracture, wounds, stump, armed conflicts, traumatology and orthopedics, prosthetics, military field surgery.
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