Клиническая демонстрация проведения блокады плечевого сплетения в комбинации со спинальной анестезией при оперативном лечении ложного сустава обеих костей предплечья

Abstract

We describe a clinical case of performed blockade of the brachial plexus from the supraclavicular approach and sequential spinal anesthesia in a 66-year-old patient with a false joint of lower third of both bones of the left forearm in metallosteosynthesis. After preoperative preparation and examination, the patient sequentially underwent surgery: Removal of the titanium plate and screws. Trapezoidal osteotomy of the ulna. Matti-Russe bone graft. Reosteosynthesis with two titanium plates and screws. The postoperative period passed without complications. On the 9th day the patient was discharged. This clinical demonstration showed the possibility of performing a sequential complex and long-term surgical intervention for pseudarthrosis of lower third of both bones of the left forearm under anesthesia in the form of blockade of the brachial plexus using a supraclavicular approach and spinal anesthesia, which allowed for high-quality intraoperative and postoperative analgesia of the operated upper limb. This combination of regional anesthesia methods contributed to the early mobilization of the patient, the prevention of thromboembolic complications in the early postoperative period, and made it possible to avoid the development of postoperative complications.