Changes in Indicators of Microcirculation in the Early Postoperative Period in the Treatment of Diaphyseal Fractures of the Shin Bones Using a Plate with Limited Contact

Background. Unsatisfactory results of treatment, such as delayed consolidation and non-fusion of fractures, the formation of false joints and limb bone defects, have no tendency to decrease. We can assume that one of the leading factors of complications in traumatology is a violation of microcircula...

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Autores principales:	A. I. Plakhov, L. I. Kolesnikova, L. I. Korytov, V. G. Vinogradov, M. A. Darenskaya
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2019
Materias:	microcirculation laser doppler flowmetry diaphyseal fracture of the tibia plate with limited contact Science Q
Acceso en línea:	https://doaj.org/article/e62af4d02ddd4e9a8805990bc8e8927e
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spelling	oai:doaj.org-article:e62af4d02ddd4e9a8805990bc8e8927e2021-11-23T06:14:42ZChanges in Indicators of Microcirculation in the Early Postoperative Period in the Treatment of Diaphyseal Fractures of the Shin Bones Using a Plate with Limited Contact2541-94202587-959610.29413/ABS.2019-4.3.8https://doaj.org/article/e62af4d02ddd4e9a8805990bc8e8927e2019-07-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/2086https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596Background. Unsatisfactory results of treatment, such as delayed consolidation and non-fusion of fractures, the formation of false joints and limb bone defects, have no tendency to decrease. We can assume that one of the leading factors of complications in traumatology is a violation of microcirculation in the affected segment of the limb.Aims. To identify patterns of changes in the parameters of the microcirculatory bed of the damaged segment of the lower limb when fixing bone fragments with a plate with limited contact in the early period after surgery.Materials and methods. In 25 patients, we studied four parameters of microcirculation of the lower limb segment with application of laser Doppler flowmetry. The control group consisted of 25 healthy volunteers, comparable in age and sex with the study group.Results. We found that in the early postoperative period (from the first to the 10th day after the surgery) in patients with diaphyseal fractures of the tibia operated with metal plate with limited contact there was an increase in microcirculation by 75.69 %, an increase in the proportion of the nutritive component of microcirculation compared to the shunt fraction by 24.64 %, as well as an increase in more than one ratio of the amplitude of the heart and respiratory range. All of that indicates a local circulatory disorder in the nutritive arterial hyperemia. We note that the increase in the amplitude of the respiratory component by 17.22 % and the equality of the amplitude of the cardiac range compared with the control group indicate violations of local blood circulation by the type of venous stagnation.Conclusion. On the basis of the results obtained, we note that patients with diaphyseal fractures of the shin bones treated with metal osteosynthesis with a plate with limited contact in the early postoperative period develop a violation of local blood circulation in the stagnant-hyperemic type.A. I. PlakhovL. I. KolesnikovaL. I. KorytovV. G. VinogradovM. A. DarenskayaScientific Сentre for Family Health and Human Reproduction Problemsarticlemicrocirculationlaser doppler flowmetrydiaphyseal fracture of the tibiaplate with limited contactScienceQRUActa Biomedica Scientifica, Vol 4, Iss 3, Pp 58-62 (2019)
institution	DOAJ
collection	DOAJ
language	RU
topic	microcirculation laser doppler flowmetry diaphyseal fracture of the tibia plate with limited contact Science Q
spellingShingle	microcirculation laser doppler flowmetry diaphyseal fracture of the tibia plate with limited contact Science Q A. I. Plakhov L. I. Kolesnikova L. I. Korytov V. G. Vinogradov M. A. Darenskaya Changes in Indicators of Microcirculation in the Early Postoperative Period in the Treatment of Diaphyseal Fractures of the Shin Bones Using a Plate with Limited Contact
description	Background. Unsatisfactory results of treatment, such as delayed consolidation and non-fusion of fractures, the formation of false joints and limb bone defects, have no tendency to decrease. We can assume that one of the leading factors of complications in traumatology is a violation of microcirculation in the affected segment of the limb.Aims. To identify patterns of changes in the parameters of the microcirculatory bed of the damaged segment of the lower limb when fixing bone fragments with a plate with limited contact in the early period after surgery.Materials and methods. In 25 patients, we studied four parameters of microcirculation of the lower limb segment with application of laser Doppler flowmetry. The control group consisted of 25 healthy volunteers, comparable in age and sex with the study group.Results. We found that in the early postoperative period (from the first to the 10th day after the surgery) in patients with diaphyseal fractures of the tibia operated with metal plate with limited contact there was an increase in microcirculation by 75.69 %, an increase in the proportion of the nutritive component of microcirculation compared to the shunt fraction by 24.64 %, as well as an increase in more than one ratio of the amplitude of the heart and respiratory range. All of that indicates a local circulatory disorder in the nutritive arterial hyperemia. We note that the increase in the amplitude of the respiratory component by 17.22 % and the equality of the amplitude of the cardiac range compared with the control group indicate violations of local blood circulation by the type of venous stagnation.Conclusion. On the basis of the results obtained, we note that patients with diaphyseal fractures of the shin bones treated with metal osteosynthesis with a plate with limited contact in the early postoperative period develop a violation of local blood circulation in the stagnant-hyperemic type.
format	article
author	A. I. Plakhov L. I. Kolesnikova L. I. Korytov V. G. Vinogradov M. A. Darenskaya
author_facet	A. I. Plakhov L. I. Kolesnikova L. I. Korytov V. G. Vinogradov M. A. Darenskaya
author_sort	A. I. Plakhov
title	Changes in Indicators of Microcirculation in the Early Postoperative Period in the Treatment of Diaphyseal Fractures of the Shin Bones Using a Plate with Limited Contact
title_short	Changes in Indicators of Microcirculation in the Early Postoperative Period in the Treatment of Diaphyseal Fractures of the Shin Bones Using a Plate with Limited Contact
title_full	Changes in Indicators of Microcirculation in the Early Postoperative Period in the Treatment of Diaphyseal Fractures of the Shin Bones Using a Plate with Limited Contact
title_fullStr	Changes in Indicators of Microcirculation in the Early Postoperative Period in the Treatment of Diaphyseal Fractures of the Shin Bones Using a Plate with Limited Contact
title_full_unstemmed	Changes in Indicators of Microcirculation in the Early Postoperative Period in the Treatment of Diaphyseal Fractures of the Shin Bones Using a Plate with Limited Contact
title_sort	changes in indicators of microcirculation in the early postoperative period in the treatment of diaphyseal fractures of the shin bones using a plate with limited contact
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2019
url	https://doaj.org/article/e62af4d02ddd4e9a8805990bc8e8927e
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Changes in Indicators of Microcirculation in the Early Postoperative Period in the Treatment of Diaphyseal Fractures of the Shin Bones Using a Plate with Limited Contact

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