Keywords
infectious complications
therapeutic tactics
How to Cite
Abstract
Background. The successful treatment of combat wounds should be based on strict scientific principles, based not only on the time limits for successful wound healing, but also on the quality and scope of the measures taken, the logistics of follow-up, diagnosis and treatment, the quality of dressings and postoperative care, and a clear understanding of the treatment plan – preventive measures and sequence of evacuation of the wounded.
Objective: to determine the scope and choice of optimal treatment tactics for combat injuries in patients during the war in Ukraine since 2014, who had infectious complications from the musculoskeletal system.
Materials and Methods. The medical histories of patients who were treated with infectious complications at the clinic of bone-purulent surgery of the SI "Institute of Traumatology and Orthopedics of NAMS of Ukraine" from 2014 to mid2022 were analyzed.
Results and Conclusions. The treatment of infectious complications of a combat injury is more intensive, protracted, and more costly in terms of resources and material. The plan covers staged treatment using various surgical procedures and techniques.
References
Zhiannu K, Baldan M. Military field surgery. The work of surgeons in resource-limited settings during armed conflicts and other situations of violence. Tom 1. Mezhdunarodnyy Komitet Krasnogo Kresta. 2010. 377 s. [in Russian].
Zarutskyi YaL,. Bilyi VIa, redaktory. Military field surgery: practice. and teach manual for the troops doctors and doctors of the healthcare system of Ukraine. Kyiv: Feniks; 2018. 544 s. [in Ukrainian].
Zarutskyi YaL, Shudrak AA, redaktory. Instructions on military field surgery: for the medical staff of the Armed Forces of Ukraine and other law enforcement agencies. Kyiv: Chalchynska N.V.; 2015. 399 s. [in Ukrainian].
Roshchin G, Mazurenko O, Gumenyuk K, Kuzmin V, Slichko I, Ivanov V, et al. Joint protocols for emergency medical assistance as an element of civil-military cooperation in the territories of special operations in Ukraine. TRAUMA. 2021;21(2):66-79. https://doi.org/10.22141/1608-1706.2.21.2020.202236
Martsynkovskyi IP. Scientific substantiation of the volume and nature of surgical assistance to servicemen as a result of modern hostilities at the stages of medical assistance [avtoreferat dys. na zdobuttia nauk. stup. kand. med. nauk]. Vinnytsia: Vinnyts. nats. med. un-t im. M. I. Pyrohova; 2020. 22 s. [in Ukrainian].
Yarmoliuk YuO. System of restorative treatment of victims with multiple fractures of long bones [avtoreferat dys. na zdobuttia nauk. stup. d-ra med. nauk]. Kharkiv: DU “In-t patolohii khrebta ta suhlobiv im. prof. M. I. Sytenka NAMN Ukrainy”; 2018. 37 s. [in Ukrainian].
Strafun S, Kurinnyi I, Borzykh N, Tsymbaliuk Ya, Shypunov V. Tactics of surgical treatment of the wounded with gunshot injuries of the upper limb in modern conditions. Visnyk ortopedii, travmatolohii ta protezuvannia. 2021;2(109):10-17. https://doi. org/10.37647/0132-2486-2021-109-2-10-17. [in Ukrainian].
Loskutov A, Domanskyi A, Zherdev I, Lushnya S. Features of medical care in patientswith elbow joint gunshot wounds. ORTHOPAEDICS, TRAUMATOLOGY and PROSTHETICS. 2021;(1):5-8. https://doi.org/10.15674/0030-5987202115-8.
Khomenko IP, Lurin IA, Korol SO, Shapovalov VY, Matviichuk BV. Conceptual principles of the wounded combatants’ evacuation, suffering military surgical trauma on the medical support levels. Klinicheskaia Khirurgiia. 2020;87(5-6):60-64. https://doi.org/10.26779/2522-1396.2020.5-6.60.
Khomenko I, Korol S, Korol S, Matviichuk B, Matviichuk B. Clinical and organizational peculiarities of providing trauma care to the patients with soft tissue defects in gunshot and mine blast injuries of the limbs. TRAUMA. 2021;19(5):125-129. https://doi.org/10.22141/1608-1706.5.19.2018.146655
Khomenko ІP, Коrol SО, Маtviychuk BV, Ustinova LА. Pathophysiological substantiation of medical evacuation of the wounded persons, suffering injuries of the extremities on the levels of medical support. Klinicheskaia Khirurgiia. 2019;86(6):25-29. https://doi.org/10.26779/2522-1396.2019.06.25.
Khomenko IP, Коrol SО, Matviichuk BV, Ustinova LА. Surgical tactics of treatment of the wounded persons with the gun-shot injuries of the hip on all levels of medical support. Klinicheskaia Khirurgiia. 2019;86(5):22-26. https://doi.org/10.26779/2522-1396.2019.05.22.
Zarutskii YL, Plis ІB, Коrol SО, Коmpaniiets АО. Оptimization of staged surgical treatment of the wounded persons, basing on metric classification of the soft tissues defects. Klinicheskaia Khirurgiia. 2018;(2):77-80. https://doi.org/10.26779/2522-1396.2018.02.77.
Loskutov O, Zarutskiy Y. The modern concept of diagnosis and treatment of gunshot and mine-explosive injuries of limbs. ORTHOPAEDICS, TRAUMATOLOGY and PROSTHETICS. 2016;(2):5-9. https://doi.org/10.15674/0030-5987201625-9.
Loskutov AЕ, Belyy SI, Daragan RI. Features of treatment of gunshot wounds of the hand in modern conditions. Ortopediya, travmatologiya i protezirovanie. 2018;(2):57-62. [in Russian].
Burianov OA, Hrytsai MP, Omelchenko TM, Yarmoliuk YuO. The choice of antibacterial therapy in patients with open and gunshot injuries of the limbs and their complications. Litopys travmatolohii ta ortopedii. 2017;1-2(35-36):113-118. [in Ukrainian].
Strafun S, Laksha A, Shypunov V, Borzyh N, Lozhkin I. Mistakes and complications of diagnosis and treatment of local hypertensive ischemic syndrome with gunshot injuries to the lower extremities. TRAUMA. 2021;20(4):105-112. https://doi. org/10.22141/1608-1706.4.20.2019.178754.
Borzykh NO. Surgical treatment of the wounded with polystructural gunshot injuries of the upper limb and their consequences [avtoreferat dys. na zdobuttia nauk. stup. d-ra med. nauk]. Kyiv: DU “Instytut travmatolohii ta ortopedii NAMN Ukrainy”; 2018. 20 s. [in Ukrainian].
Zazirnyi I, Kravchenko D, Andreev A. Negative pressure wound management (VAC) in orthopedic surgery (Review). Visnyk ortopedii, travmatolohii ta protezuvannia. 2020;2(105):52-60. https://doi.org/10.37647/0132-2486-2020-105-2-52-60. [in Ukrainian].
Strafun SS, Burianov OA, Borzykh OV, Dolhopolov OV, Lysak AS, Shypunov VH, ta in. Compartment syndrome in gunshot wounds of the extremities: methodical recommendations. Visnyk ortopedii, travmatolohii ta protezuvannia. 2022;1:72-85. [in Ukrainian].
Laksha AA. Biomechanical substantiation of the use of external fixation systems in the surgical treatment of wounded with gunshot fractures of long bones (clinical-experimental study) [avtoreferat dys. na zdobuttia nauk. stup. kand. med. nauk]. Lyman: Donetskyi natsionalnyi medychnyi universytet Ministerstva okhorony zdorovia Ukrainy; 2018. 26 s. [in Ukrainian].
Borzykh N, Strafun O, Vlasenko M. Surgical treatment of gunshot penetrated wounds of elbow joint. ORTHOPAEDICS, TRAUMATOLOGY and PROSTHETICS. 2023;(1):29-33. https:// doi.org/10.15674/0030-59872018129-33.
Korol S. Bone grafting in the system of specialized treatment of victims with battle limb injuries. TRAUMA. 2021;19(1):20-26. https://doi.org/10.22141/1608-1706.1.19.2018.126659.
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