Email this article Functional Studies of Peripheral Circulation and Tissue Microcirculation in Traumatology and Orthopedics: Opportunities and Perspectives
- Authors: Krupatkin A.I.1
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Affiliations:
- Central Institute of Traumatology and Orthopedics. N.N. Priorova
- Issue: Vol 7, No 1 (2000)
- Pages: 66-69
- Section: Original study articles
- URL: https://journal-vniispk.ru/0869-8678/article/view/101540
- DOI: https://doi.org/10.17816/vto101540
- ID: 101540
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Abstract
Based on the long-term experience the necessity of angiologic investigations in traumatology and orthopedics is defined. Classification of the modern instrumental methods for the examination of peripheric blood circulation and tissular microcirculation of locomotor system is suggested. The main perspective directions of the investigations are defined. They include the study of angiologic peculiarities in injuries and orthopedic diseases, diagnosis of pre- and postoperative vascular disturbances, their prevention and treatment.
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##article.viewOnOriginalSite##About the authors
A. I. Krupatkin
Central Institute of Traumatology and Orthopedics. N.N. Priorova
Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Moscow
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Fig. 1. Polarograms of the oxygen regime of the skin of the autonomic innervation zone of the median nerve in a patient with a complete anatomical interruption of the nerve (↑ — beginning, ↓ — cessation of oxygen inhalation). I—before surgery (no rise in the curve when oxygen is inhaled), II—1 month later, III—3 months after the epineural suture.
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Fig. 2. Microcirculation parameters (PM) according to laser Doppler flowmetry of the II toes of patient A. (MD, Ms — averaged PM of the II toe of the right and left feet, respectively). MD reduced. Doppler ultrasound of the vessels of the feet revealed hypoplasia of the first dorsal metatarsal artery on the right, and therefore, the second finger of the left foot was chosen for microsurgical transplantation to the place of the missing first finger. The outcome of the operation is complete engraftment of the finger.
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4.
Fig. 3. Doppler ultrasound of the vascular pedicle of a free vascularized radiation graft transplanted to the left foot.
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