Povyshenie vnutrifutlyarnogo davleniya i vozmozhnost'fastsiotomiy pod endovideoskopicheskim kontrolem u postradavshikh s perelomami kostey goleni

G G Khubulava; Хубулава Г Г; A K Dulaev; Дулаев А К; A V Dydykin; Дыдыкин А В; Vitaliy Viktorovich Zayats; Заяц Виталий Викторович; R V Gladkov; Гладков Р В; S V Fomichev; Фомичев С В; A A Shuginov; Шугинов А А

doi:10.17816/2311-2905-1901

Povyshenie vnutrifutlyarnogo davleniya i vozmozhnost'fastsiotomiy pod endovideoskopicheskim kontrolem u postradavshikh s perelomami kostey goleni

作者: Khubulava GG¹, Dulaev AK², Dydykin AV¹, Zayats V.V.¹, Gladkov RV¹, Fomichev SV³, Shuginov AA³
隶属关系:
1. Военно-медицинская академия им. СМ. Кирова
2. 3 Центральный клинический госпиталь им. АЛ. Вишневского МО РФ
3. СПб ГУЗ «Городская больница № 40 Курортного административного района»
期: 编号 4 (2008)
页面: 21-27
栏目: ARTICLES
URL: https://journal-vniispk.ru/2311-2905/article/view/124709
DOI: https://doi.org/10.17816/2311-2905-1901
ID: 124709

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From 2004 till 2008 the index of intracompartmental pressure was analysed at 58 patients with comminuted fractures of the lower legs and significant damage of soft tissue. 72,4% of them had moderate rise of intracompartmental pressure (from 15 to 29 mm Hg) and in 27,6% the pressure was high (more than 30 mm Hg). We develop the subcutaneous endoscopy-assistant method of the fascial dissection. This technic had a lower risk of damage the vessels, nerves and muscles. 12,1% patients had an open decompression, 34,5% - subcutaneous, and in 53,4% by endoscopy-assistant fasciotomy. The tibial fractures was treated by external fixations or locked tibial nails. Monitoring of intracompartmental pressure showed the high effectivenes of subcutaneous endoscopy-assistant fasciotomy, such as after the open decompression.

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intracompartmental pressure, shin fractures, endoscopy, fasciotomy

参考

Соколов, В.А. «Damage control» - современная концепция лечения пострадавших с критической политравмой / В.А. Соколов // Вестник травматологии и ортопедии им. Н.Н. Приорова - 2005. - № 1. - С. 81-84.
Pyne, D. Saphenous nerve injury after fasciotomy for compartment syndrome / D. Pyne, A.S.M. Jawad, N. Padhiar // Br. J. Sports Med. - 2003. - Vol. 37. - P. 541-542.
Rominger, M.B. MR imaging of compartment syndrome of the lower leg: a case control study / M.B. Rominger, С J. Lukosch, G.F. Bachmann // Eur. Radiol. - 2004. -Vol. 14. - P. 1432-1439.
White, Т.О. Elevated intramuscular compartment pressures do not influence outcome after tibial fracture / Т.О. White [et al.] //J. Trauma. -2003. - Vol. 55. - P. 1133-1138.
Williams, P.R. Compartment pressure monitoring: current UK orthopaedic practice / P.R. Williams, I.D. Russell, W.J. Mintowt-Cyzy // Injury. - 2004. - Vol. 29. - P. 229-232.
Uliasz, A. Comparing the methods of measuring compartment pressures in acute compartment syndrome / A. Uliasz [et al.] // Am. J. Emerg. Med. - 2003. - Vol.21. - P. 143-145.

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Povyshenie vnutrifutlyarnogo davleniya i vozmozhnost'fastsiotomiy pod endovideoskopicheskim kontrolem u postradavshikh s perelomami kostey goleni

全文:

详细

关键词

作者简介

G Khubulava

A Dulaev

A Dydykin

Vitaliy Zayats

R Gladkov

S Fomichev

A Shuginov

参考

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