An Integrated Approach in Reconstructive Surgery for Complications of Multisystem Trauma
https://doi.org/10.23934/2223-9022-2020-9-4-677-683
Abstract
A clinical observation of an integrated approach to surgical reconstruction of multisystem trauma complications is presented. A man came to the Department of Reconstructive Surgery with the complication of a multisystem injury as a result of a fall in the subway on the way 6 months before his visit. An individual treatment plan was developed based on the characteristics of anatomical and functional disorders and pathological tissue changes. As a result of staged surgical treatment, functional rehabilitation of the patient was achieved with the restoration of the function of the upper and lower extremities and the achievement of a stable remission of osteomyelitis. The observation period was 11 years.
About the Authors
A. S. ZelyaninRussian Federation
Aleksander S. Zelyanin Doctor of Medical Sciences, Professor of the Department of Oncology, Radiotherapy and Plastic Surgery; Professor of the Department of General and Specialized Surgery; professor
6 b. 1 B. Pirogovskaya St., Moscow 119435, Russian Federation
1 Leninskie gory, Moscow 119191, Russian Federation
2 Abrikosovskiy per., Moscow 119991, Russian Federation
V. V. Filippov
Russian Federation
Vladislav V. Filippov Doctor of Medical Sciences, Head
1 Leninskie gory, Moscow 119191, Russian Federation
K. A. Petrosyan
Russian Federation
Karen A. Petrosyan doctoral student of the Department of Oncology, Radiotherapy and Plastic Surgery
6 b. 1 B. Pirogovskaya St., Moscow 119435, Russian Federation
D. I. Kelban
Russian Federation
Dumitru I. Kelban, doctor of the department of emergency traumatology of the musculoskeletal system
3 Bolshaya Sukharevskaya Square, Moscow 129090, Russian Federation
D. A. Zelyanin
Russian Federation
Dmitry A. Zelyanin Doctor of the Department of Surgery of the Upper Extremity
2 Gospitalnaya Sq., Moscow 111020, Russian Federation
References
1. Eryukhin IA. Ekstremal’noe sostoyanie organizma v khirurgii povrezhdeniy. Teoreticheskaya kontseptsiya i prakticheskie voprosy problemy. Medical Academic Journal. 2002;2(3):25–41. (In Russ.)
2. Salakhov ER, Kakorina EP. Traumas and Poisenings in Russia and Abroad. Problems of Social Hygiene, Public Health and History of Medicine, Russian Journal. 2004;2:13–20. (In Russ.)
3. Scaela T, Rodriguez A, Chiu WC, Brenneman FD, Fallon WF Jr, Kato K, McKenney, MG, et al. Focused assessment with sonography for trauma (FAST): Result from an International Consensus Conference. J Trauma. 1999;46(3):466–472. PMID: 10088853. https://doi.org/10.1097/00005373-199903000-00022
4. Agadzhanyan VV, Pronskikh AA, Ust’yantseva IM, Agalaryan AKh, Kravtsov SA, Krylov YuM, et al. Politravma. Novosibirsk: Nauka Publ.; 2003. (In Russ.)
5. Sokolov VA. Mnozhestvennye i sochetannye travmy. Moscow: GEOTARMedia Publ.; 2006. (In Russ.)
6. Ankin LN. Politravma (organizatsionnye, takticheskie i metodologicheskie problemy). Moscow: MEDpress-inform Publ.; 2004.
7. Bagnenko SF, Ermolov AS, Stozharov VV, Chikin AE. Osnovnye printsipy diagnostiki i lecheniya tyazheloy sochetannoy travmy. Emergency Medical Care. 2008.3:3–10. (In Russ.)
8. Ivanov PA. Problems of Treatment of Combined Trauma. Russian Sklifosovsky Journal Emergency Medical Care. 2014;(4):7–8. (In Russ.)
9. Chan RN, Ainscow D, Sikorski JM. Diagnostic failures in the multiple injured. J Trauma. 1980;20(8):684–687. PMID: 7401210 https://doi.org/10.1097/00005373-198008000-00009
10. Enderson BL, Reath DB, Meadors J, Dallas W, DeBoo JM, Maull KI. The Tertiary Trauma Survey. J Trauma Injury Infect Crit Care.1990;30(6):669–670. PMID: 2352294. https://doi.org/10.1097/00005 373-19900 6000-00002
11. Thomson CB, Greaves I. Missed injury and the tertiary trauma survey. Injury. 2008;39(1):107–114. PMID: 18164007. https://doi.org/10.1016/j.injury.2007.07.030
12. Frawley PA. Missed injuries in the multiply traumatized. Aust N Z J Surg. 1993;63(12):935–939. PMID: 8285905 https://doi.org/10.1111/j.1445-2197.1993.tb01722.x
13. Ferrera PC, Verdile VP, Bartfield JM, Snyder HS, Salluzzo RF. Injuries distracting from intraabdominal injuries after blunt trauma. Am J Emerg Med. 1998;16(2):145–149. PMID: 9517689. https://doi.org/10.1016/s0735-6757(98)90032-8
14. Giannakopoulos GF, Saltzherr TP, Beenen LFM, Reitsma JB, Bloemers FW, Goslings JC, et al. Missed injuries during the initial assessment in a cohort of 1124 level-1 trauma patients. Injury. 2012;43(9):1517–1521. PMID: 21820114. https://doi.org/10.1016/j.injury.2011.07.012
15. Hensgens RL, Moumni MEl, Jpma Frank FAI, Harbers JS, Duis KT, Wendt KW, et al. High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients. Eur J Trauma Emerg Surg. 2019. PMID: 31399747. https://doi.org/10.1007/s00068-019-01195-1 Available at: https://www.researchgate.net/publication/335080191_
16. High_delayed_and_missed_injury_rate_after_inter-hospital_transfer_of_severely_injured_trauma_patients [Accessed 30 Oct, 2020]
17. Nikitin GD, Rak AV, Linnik SA, Saldun GP, Kravtsov AG, Agafonov NA, et al. Khirurgicheskoe lechenie osteomielita. Saint Petersburg: Russkaya grafika Publ.; 2000. (In Russ.)
Review
For citations:
Zelyanin A.S., Filippov V.V., Petrosyan K.A., Kelban D.I., Zelyanin D.A. An Integrated Approach in Reconstructive Surgery for Complications of Multisystem Trauma. Russian Sklifosovsky Journal "Emergency Medical Care". 2020;9(4):677-683. https://doi.org/10.23934/2223-9022-2020-9-4-677-683