Traumatology Department Research Articles

Risk factors for surgical site infection in patients after implant-related orthopedic procedures.

Surgical site infections (SSIs) in patients undergoing orthopedic surgeries limit the success of the treatment, and implant-related infections are considered one of the most difficult complications for treatment (1). Controlling the SSI risk factors opens an opportunity for proper assessment of the risk of SSI and how difficult it can be to avoid infection. Determination of factors associated with the risk of surgical site infection in patients undergoing orthopedic surgery. The work is based on a retrospective analysis of medical records of 4,314 patients undergoing orthopedic surgery in the traumatology and orthopedic surgery department of the City Hospital in Zabrze in 2014-2017. Surgical site infection has been diagnosed in 187 (4.3%) patients. A number of significant predictors of SSI have been revealed: body mass index with a 9% increase in the risk of SSI for each increase in BMI by 5kg/m2, positive history of orthopedic and non-orthopedic procedures in the past, with an increase in risk by 32% and 14%, respectively, waiting time in the ward for surgery, with an increase in the risk of SSI by 19% for each extension of hospitalization by 5 days, planned procedure and implantation endoprosthesis compared to osteosynthesis increased the risk by 15% and 9%, respectively. The only significant factor reducing the risk of SSI was the increased consumption of hand disinfectant. Here, for every 10 ml of increased consumption of this preparation, the risk of SSI was reduced by 28%. 1. The SSI risk is related to both factors that can be modified and factors that cannot be changed. 2. Promotion of hand disinfection among hospital staff should become a priority in the prevention of nosocomial infections in every healthcare facility.

Results of the implementation of scientific research within the framework of the industry program "Topical Issues of Traumatology and Orthopedics" (1996-2000)

The paper used materials from reports of specialized research institutes and departments of traumatology, orthopedics and military and surgical medical universities. The industry program was carried out by 10 NIITO, as well as MONIKI them. M.F. Vladimirsky, St. Petersburg Research Institute of Prosthetics and 5 departments of traumatology and orthopedics of medical universities - RSMU, St. Petersburg, Samara, Ivanovo and Izhevsk. More than 740 researchers took part in scientific research. Completed 40 contracts.

Congratulations to the hero of the day!

In October 2002, RENAT ABDULLOVICH ZULKARNEEV, Professor of the Department of Traumatology, Orthopedics and Surgery of Extreme Conditions of the Kazan State Medical University, celebrated his 70th birthday.

Khasan Alashanovich Musalatov

On September 24, 2002, at the age of 59, one of the most prominent orthopedic traumatologists in Russia, the head of the Department of Traumatology, Orthopedics and Disaster Surgery of the Moscow Medical Academy named after I.I. THEM. Sechenov Corresponding Member of the Russian Academy of Medical Sciences, Academician of the Russian Academy of Medical Sciences, Professor Kh.A. Musalatov.

Long-term results of rehabilitation of patients after surgical treatment of intra-articular fractures of the knee joint (preliminary report)

Retrospective analysis of long-term results of surgical treatment for intra-articular knee fractures was presented. There were 52 patients who were treated at Inter-regional Traumatologic Department of Elabuga CRH from 1996 to 2000. The age of patients ranged from 15 to 89 years. Overwhelming majority of patients (73,1%)) was able to work, i.e. from 18 to 60 years. In 18 patients long-term results of rehabilitation were good, in 32 the results were satisfactory and in 2 cases unsatisfactory. In 53,8% of patients the limb function was restored completely. Due to marked posttraumatic knee contractures 2 patients were declared invalid of group III. The authors attributed it to the underestimation of the rehabilitation importance and the absence of complex approach to the treatment of that group of patients.

Застосування зовнішнього черезкісткового остеосинтезу в практиці спеціалізованого травматологічного відділення міської лікарні (на прикладі міської лікарні № 3 м. Краматорська)

Актуальність. При лікуванні переломів у деяких випадках з’являється можливість вибору способу остеосинтезу, що відображено в «Клінічних рекомендаціях з лікування переломів», затверджених Пленумом асоціації ортопедів-травматологів України 15.05.2013 р. З урахуванням цього важливо знати, яке місце займає кожен із варіантів остеосинтезу, зокрема зовнішній черезкістковий остеосинтез (ЧКО), у практиці травматологічних відділень. Мета дослідження: встановити частоту застосування ЧКО та його співвідношення з внутрішнім остеосинтезом у практиці травматологічного відділення міської лікарні. Матеріали й методи. Проведено ретроспективне дослідження за матеріалами травматологічного відділення КМУ «Міська лікарня № 3» м. Краматорська (лютий 2015 р. — січень 2017 р.). Здійснено тотальну вибірку операцій ЧКО (72 спостереження), досліджено співвідношення зовнішнього та внутрішнього остеосинтезу. Результати. Як основний варіант остеосинтезу при лікуванні переломів ЧКО застосовано в 53 випадках (73,6 %). При наслідках травм його використано в 11 (15,3 %) спостереженнях, як спосіб тимчасової фіксації — у 8 (11,1 %). ЧКО становив 31,9 % серед втручань на аналогічних сегментах (72 із 226, співвідношення — 1 : 2,14). Він виявився домінуючим при діафізарних переломах кісток гомілки (26 із 47, 1,24 : 1), переважав при переломах дистального епіметафізу променевої кістки (2 : 1) та п’яткової кістки (2,5 : 1). Співвідношення ЧКО та внутрішнього остеосинтезу при пошкодженнях надп’ятково-гомілкового суглоба становило 1 : 2,93 (14 проти 41). При лікуванні наслідків травм найбільш часто ЧКО застосовували при наслідках переломів діафіза стегнової кістки (6 спостережень — 8,3 %). Висновки. Зовнішній черезкістковий остеосинтез становив 31,9 % серед усіх операцій остеосинтезу. Як основний вид остеосинтезу ЧКО застосовано у 88,9 % випадків, в 11,1 % — як спосіб тимчасової фіксації. Найбільш часто ЧКО використовували при діафізарних переломах кісток гомілки, ділянки надп’ятково-гомілкового суглоба, дистального епіметафізу променевої кістки.

Outcome Assessment of Comparison between Surgical Decompression versus Local Corticosteroid Injection in Carpal Tunnel Syndrome

Aim: To evaluate the effectiveness of surgical decompression versus local corticosteroids for carpal tunnel syndrome in improving clinical outcome and to determine the length of symptom relief Study Design: This was a comparative, longitudinal and interventional study. Place and duration of study: OPD and A&E department of Orthopedics Surgery and Traumatology (DOST) Unit I, King Edward Medical University/ Mayo Hospital Lahore. duration of study was 1 year after approval of synopsis. Methodology: Cases of carpel tunnel syndrome with age 18 years and above were included. The diagnosis of carpel tunnel syndrome was based on general physical examination, nerve conduction studies and additional radiological test.). A total 64 patients were selected randomly. They were divided into two groups. GROUP “A” was treated by surgical decompression. Group “B” was treated by local corticosteroids. They were follow up at 3 months, 6 months and 1 year. All the procedures were done by single surgical team. Outcome measuring tools symptom severity scale(CTS) and functional status scale (CTS) were used. Results: In group A and B the mean age of patients was 45.44±8.39 and 47.22±9.72 years respectively. Mean symptoms severity scale in group-A was higher when compared to group-B at 3 months, 6 month and 1 year with p-value < 0.05. Moreover mean functional severity scale was also improved in group-A when compared to group-B at 3 month, 6 month and 1 year with p-value < 0.05. Conclusion: Through this study we conclude that surgical decompression of carpal tunnel versus local corticosteroid injection in terms of clinical outcome improvement and to assess the length of symptomatic relief. Keywords Hand surgery, carpel tunnel syndrome, conservative treatment, steroid injection, surgical decompression

An evaluation of orthopaedic trauma patients presenting at the emergency department during lockdown in the COVID-19 pandemic

Aim: The SARS-CoV-2 virus causing COVID-19 disease, which started in Wuhan, China, in December 2019, rapidly affected the whole world and many precautions were taken in Turkey, as in other countries. The first case was recorded in Turkey on 11 March 2020, and the first COVID-19-related death on 15 March 2020. From that date, precautions were taken to prevent the spread of the disease, including the implementation of lockdowns and curfews. Although it was aimed to slow down public life during this period, orthopaedics and traumatology departments continued to function actively. The aim of this study was to evaluate orthopaedics and traumatology patients who presented at the Emergency Department (ED) during this period of lockdown. 
 Material and Method: The study included orthopaedic and traumatology patients who presented at the ED of Samsun Ondokuz Mayis University between 16 March and 1 June 2020, when there was a general lockdown. The data of these patients were retrospectively examined and were compared with the same period in 2019. 
 Results: During the specified period of the pandemic, 82 orthopaedics and traumatology patients presented at the ED, and in 2019, 109 patients presented. No statistically significant difference was found between the two groups in respect of age, gender, and the need for surgical procedure (p >0.05). Although there was no statistically significant difference in age distribution, there was a decrease in the number of patients in the children age group during the pandemic period. No significant difference was found between the two groups in respect of the mechanism of injury, with the most frequent being a fall from a height of

Association of Acute Perioperative Myocardial Injury With All-Cause Mortality Within 90 Days After Hip Fracture Repair in the Elderly: A Prospective Study.

IntroductionIt remains unclear whether acute perioperative myocardial injury (APMI) increases mortality in the elderly. This study aimed to investigate APMI’s association with mortality within 90 days after hip fracture repair in elderly patients.Materials and MethodsThis prospective study enrolled elderly patients admitted to the department of Traumatology and Orthopaedics in XXX Hospital, who underwent surgery in 2018–2019 with a 90-day follow-up. According to survival status within 90 days, survival and death groups were constituted. Clinical, demographic, and laboratory indicators and 90-day mortality post-surgery were recorded. APMI’s association with 90-day mortality post-surgery was analyzed by logistic regression.ResultsTotally 248 participants were enrolled, including 224 and 24 in the survival and death groups, respectively, for a mortality rate of 9.7%. Compared with surviving individuals, the death group was older [81 (75–86) vs 87 (82–89) years], and had higher incidence rates of APMI (24.6% vs 58.3%), intertrochanteric fractures (41.1% vs 62.5%), preoperative atrial fibrillation (8.9% vs 29.2%), and dementia (73.7% vs 95.8%) (all P<.05). They also showed higher pre-injury frail scale scores [1 (0–2) vs 3 (1–4)] and Nottingham hip fracture scores (NHFSs) [4 (4–5) vs 6.5 (5–7)], lower Glomerular filtration [62 (46.1–78.6) vs 44.37 (35–61.92) ml/min], and reduced odds of glomerular filtration rate <60 mL/min (75.0% vs 46.9%) (all P < .05). APMI (OR = 3.294, 95% CI: 1.217–8.913) and NHFS (OR = 2.089, 95% CI: 1.353–3.225) independently predicted 90-day mortality post-surgery (all P<.05).ConclusionsAPMI is associated with increased mortality risk within 90 days after hip fracture repair in elderly patients.

Floating hip with floating acetabulum and bilateral pelvic fractures: a case report

Orthopedic and Traumatology Department, Sohag University Hospitals (SUH), Sohag University, Sohag, Egypt Financial Disclosure: The authors report no conflicts of interest. Correspondence to Wael Salama, MB ChB, MSc, PhD, MD, Orthopedic Department, Faculty of Medicine, Sohag University, 82524, Sohag, EgyptTel: +00393270332807; fax: +2 934602963;e-mail: [email protected].

Experience of using a thrombofibrin clot of plateletrich plasma in ulcerative lesions of the cornea

Purpose: to study the effectiveness of the use of thrombofibrin clot of platelet-rich plasma (PRP) in patients with corneal ulcers. Material and methods. A clinical study, conducted by the Department of Traumatology and Reconstructive Surgery of Helmholtz National Medical Research Center of Eye Diseases, involved 20 patients, aged from 22 to 82, with corneal ulcers of inflammatory and burn genesis more than 100 microns deep. All patients got coated with a thrombofibrin PRP clot from autologous blood. Prior to the study, all patients received standard treatment for 2 weeks to 3 months, including multiple amniotic membrane coating, with no effect. The thrombofibrin clot was produced by the Scientific Department of Biotechnology and Transfusiology of the N.V. Sklifosovsky Research Institute for Emergency Medicine. The ready clot was placed on the surface of the cornea and covered with an amniotic membrane. The membrane was fixed to the episclera along the border of the limb with a circular suture, whereupon autologous serum was injected along the limb in 4 quadrants, to be followed by temporary lateral blepharography. Results. On the 2nd day following the procedure, the patients noted a decrease in lacrimation and pain in the operated eye. As shown by optical coherence tomography, the average depth of the corneal ulcer at the beginning of the study in all patients was 129 ± 28.5 microns. On the 5th day, the depth lowered to an average of 71 ± 32.6 microns, and on the 10th day, to 23.3 ± 15.1 microns. In 7 patients (35%), complete healing of the defect was observed on the 15th day, while in 9 patients (45%) it was stated between the 16th and the 20th day. Thus, the average time of healing of the ulcer with complete epithelization occurred was 15 days. In four patients with the consequences of severe burns (20%), the ulcer did not heal due to extensive damage to the limbal zone. Conclusion. The use of a thrombofibrin PRP clot in combination with amniotic membrane transplantation allows achieving a stable and fairly rapid healing of corneal ulcers of various origins. However, this method is ineffective in patients with limbal cell insufficiency, severe burns and extensive damage to the limbal zone. In such cases, it is advisable to use more radical surgical methods, such as buccal or limbal cell transplantation, or allolimbal transplantation.

Lower leg fractures treated with an external fixator at the Department of Orthopedics and Traumatology of the Clinical Hospital Center of Kosovska Mitrovica

IIntroduction: Fractures of the lower leg are frequent fractures of long bones that are of great importance in traumatology. The role of external fixation (SF) as a type of surgical treatment is significant and widely applied. There are 3 methods of using SF to treat tibial fractures: SF as primary and definitive treatment, SF combined with internal fixation, and conversion of SF to internal fixation. Objective: To show the possibilities of SF as a definitive way of treating lower leg fractures. Methods: In our paper, we analyzed 254 lower leg fractures treated with SF according to Mitković M20, which were treated at the Department of Orthopedics and Traumatology of CHC Kosovska Mitrovica. This series included 172 men or 68% of the total number of patients, and 83 or 32% women. Results: The average age of patients treated with this method is between the third and fourth decades of life. Falling on the leg with twisting of the table or the entire lower part of the leg is the most common type and cause of injuries in 69%. A closed lower leg fracture was diagnosed in 220 patients (A AO 59.%, B AO 26% and C AO 15%). Adequate position of the bone fragments was achieved by the closed reposition method in 190 (%), the average healing time was 18.4 weeks. In 93% of patients, we achieved bone union. Conclusion: The simple placement technique, the simplicity of the instrumentation, the wide range of indications where SF can be used, have led to the fact that it is a type of surgical treatment of great importance for lower leg fractures in small areas.

Outcome of Surgical Management in Lumber Disc Prolapse: A Study in Dhaka Medical College Hospital, Dhaka, Bangladesh

A disc herniation is the term given to any uneven out-pouching or bulging of the posterior region (back region) of the intervertebral disc as seen on MRI. The bigger the lumbar/sacral disc herniation, the more likely it is to cause back and/or leg pain--the latter of which is called sciatica1. The aim of this study was to evaluate the surgical outcome in the treatment of Lumber Disc Prolapse (LDP). The prospective interventional study (Quasi experimental) was done in the Department of Orthopedics and Traumatology, Dhaka Medical College and Hospital during the period of June 2009 to July 2011(2 years). Due to time limitation and financial constraint only 35 cases were selected during study period but out of them 29 cases were feasible to be included in the study, remaining 6 cases were lost during follow up. Patients of both sexes aged between 18-70 years with prolapsed lumber intervertebral disc admitted in the Department of Orthopedics and Traumatology were included as purposive sampling. Data was entered, coded, cleaned, and analyzed by using Statistical Package for Social Science (IBM SPSS), version 20. In our study we found, Clinically 17(58.6%) of patients had weakness in extensor hallucis longus (EHL) and 3(10.3%) of patients had weakness in flexor hallucis longus (FHL). 14(48.3%) of patients had sensory deficit over the distribution of L5 nerve root and 6(20.7%) had S1 nerve root. In X-ray there were 6 transitional vertebra and loss of lumbar lordosis was in 20 patients. MRI shows 20(62.5%) of patients had posterolateral disc bulge and 12(37.5) had posterior disc bulge. In majority of patients (65.5%) of patients had disc prolapse at level L4-L5. 53.7% of patients had left sided disc prolapse. Peroperatively seen that 62.5% of the patients had posterolateral disc prolapse and 37.5% patients had central disc prolapse. There were only 10.3% of patients had complications. Among these 6.9% had per operative dural tear and 3.4% developed discitis. At the final follow up most of the patients were pain free. All patients had absence of muscle spasm. No patients had restriction of mobility. Most of the patients regaining their straight leg raising in between 60-90 degree. The overall result of surgery was encouraging. Relief of symptoms occurred in 28 (96.6%) of patients. Out of 35 patients 40% of patients returned to work within 3 weeks of operation and 46.6% patients returned to work within 6 weeks of operation but rest of the cases still did not return to their previous work due to pain.

Особенности лечения перипротезных переломов бедра

We consider periprosthetic hip fractures. The active spread of hip replacement and its large implementation into the practice of traumatology naturally lead to the fact that the number of postoperative complications is growing, which will always have high risks after this operation. The main complication is a periprosthetic fracture – bone fractures in the area of the endoprosthesis, which can be intraoperatively or at any time after surgery. This research presents the results of studies conducted at the clinical base of the traumatological and orthopedic department and the trauma center of the 1st level of the Archbishop Luke Tambov City Clinical Hospital. The purpose of the research: to study the features of periprosthetic hip fractures. Materials and methods: clinical cases of the Traumatological and Orthopedic Department and the Trauma Center of the 1st level of the Archbishop Luke Tambov City Clinical Hospital, analysis of educational and applied literature, as well as scientific articles published in journals included in the List of HAC, indexed by Scopus, RSCI, ESCI, CAS, PubMed.

Сезонность и структура открытых травм кисти

The materials devoted to open hand injuries are presented. Currently, this injury type ranks among the highest in the work of a traumatologist, especially an outpatient, since this injury tends to increase in frequency and severity. This issue has been one of the most urgent in traumatology and orthopedics for a long time. It includes many facets, among which there is a high risk of complications and consequences. The most important of them are disability and restriction of professional activity. The results of studies conducted at the clinical base of the traumatological and orthopedic department and the trauma center of the 1st level of the Archbishop Luke Tambov City Clinical Hospital are presented. Aim is to study the dynamics of open hand injuries depending on the nature of the injury and the season of the year. Materials and methods: the study was conducted on the basis of statistical data of the traumatological and orthopedic department and the trauma center of the 1st level of the Archbishop Luke Tambov City Clinical Hospital, analysis of educational and applied literature, as well as scientific articles published in the journals included in the HAC List, indexed by Scopus, RSCI, ESCI, CAS, PubMed.

Периоперационное ведение больных с переломами проксимального отдела бедренной кости

Abstract. We analyze the perioperative management results among patients with proximal femur fractures after surgical treatment in the Traumatology Department of the Kotovsk City Clinical Hospital in 2021. An increase in the proportion of the elderly and senile population (60–90 years old) inevitably leads to an increase in the number of proximal femur fractures, which obliges the traumatology departments in hospitals to allocate more forces and funds to assist this category of patients, to introduce and apply not only modern surgical and anesthesiological techniques, but also new approaches to the perioperative management of patients and especially patients over 60 years old, who, as a rule, have several concomitant diseases complicating the course of the underlying disease. The use of a multidisciplinary approach, a full-fledged laboratory and instrumental examination, detection of concomitant pathology and its correction, performing surgical interventions no later than 48 hours from the moment of admission to the hospital, adequate high-quality anesthesia, early initiation of mobilization measures no later than 24 hours, correct calculation of the permissible load on the operated limb allow achieving good results in the surgical treatment of patients with proximal femur fractures. This contributes to improving the quality of life among patients after surgery and their return to an active full-fledged life, despite their age.

Management of nonunion of diaphyseal femoral fractures using exchange nailing versus plate augmentation

ObjectivesThe aim of this study was to compare the clinical and radiographic outcomes of exchange nailing versus plate augmentation for the management of patients with nonunion of diaphyseal femoral fractures.BackgroundDue to its superior biomechanical and biological properties, intramedullary nailing of the femur has enjoyed widespread acceptance in the management of femoral diaphyseal fractures. However, nonunion occasionally occurs secondary to malreduction, inaccurate implant placement, and unfavorable fracture pattern.Patients and methodsThis was an interventional prospective cohort study to evaluate the treatment options, which was conducted at the Department of Orthopedics and Traumatology, Menoufia University Hospital between May 2017 and July 2019.ResultsThere was no significant difference between the studied groups as regards postoperative blood loss, P value of 0.183. There was no significant difference as regards preoperative versus postoperative range of motion, P value of 0.561.ConclusionDiaphyseal femoral fracture nonunion can be successfully treated by either exchange nailing and bone grafting or by augmentation plating and bone grafting; however, the later has less operative time and lower reoperation rate.

Early Period Results of Patients Undergoing Arthroscopic Repair with a Diagnosis of Full Thickness Rotator Cuff Tear

The aim of this study is to evaluate the early results of patients who were diagnosed with full-thickness rotator cuff tear and underwent arthroscopic repair as a result of physical examination and radiological evaluation.Methods: The study included patients undergoing arthroscopic rotator cuff repair. Biceps tenotomy was performed in accompanying biceps pathologies. Acromioplasty was performed in patients with type 2–3 acromion. Rotator cuff ruptures were repaired with a double row technique using a titanium anchor and a peek anchor. University of California at Los Angeles (UCLA) and Constant scoring were used to evaluate the patients who were called for final follow-up controls. The mean follow-up time was 14.6 months (6-24).Results. Acromioplasty performed on 12 patients (30.7%); While biceps tenotomy was performed on 9 patients (23%); Acromioplasty and biceps tenotomy were performed on 4 (10.2%) patients. Preoperative UCLA score was 11.2, Constant score was 26.9, while postoperative UCLA score was 29.6 and Constant score was 83.2. The results were excellent in 13 (33.3%) patients, good in 16 (41%) patiens, moderate in 9 (23%) patients and poor in 2 (5.1%) patients. There was no significant difference between the groups with and without acromioplasty (p = 0.513). A similar situation was observed in the biceps tenotomy (p = 0.619) and acromioplasty + biceps tenotomy (p = 0.374) groups.Conclusion. Arthroscopic rotator cuff surgery is an effective treatment option with a suitable patient and correct indication. Acromioplasty and / or biceps tenotomy does not affect early results.Keywords: Rotator cuff, arthroscopic repair, acromioplasty.Corresponding author: Alim Can Baymurat, Department of Orthopedics and Traumatology, Gazi University Faculty of Medicine, Ankara, Turkey Address: Emniyet Mahallesi, Mevlana Bulvarı No:29Phone: 05455452589E-mail: alimcanbaymuratahoo.comJ Trauma Ortho Kaz 2022; 3 (64): 4-9Recieved: 12-08-2022Accepted: 28-08-2022 This work is licensed under a Creative Commons Attribution 4.0 International License

FEATURES OF SUPERFICIAL VEIN THROMBOSIS IN PATIENTS WITH A LARGE DIAMETER OF GREAT SAPHENOUS VEIN

Introduction. Superficial vein thrombosis is characterized by the formation of thrombi in the superficial veins with subocclusion or occlusion of the venous lumen and its inflammatory reaction, which occurs more often in the lower extremities. Chronic venous disease in 75–88% of cases is the most important clinically identified factor in the development of superficial vein thrombosis. The great saphenous vein is affected in 60–80% of cases. A population-based study found that the chronic venous disease is a risk factor for venous thromboembolism and correlates with an increased risk of mortality in patients. Venous thromboembolism is a major burden of the disease worldwide, with approximately 10 000 000 cases per year. Objective: to assess the prevalence of superficial vein thrombosis in patients with chronic venous disease and to identify the relationship between the diameter of the great saphenous vein and superficial vein thrombosis. Materials and methods. Total of 925 chronic venous disease cases were analyzed from January 2019 to December 2021 at the Clinical Department of Surgery, Traumatology, Orthopedics, and Phthisiology of Sumy State University (Sumy Laser Clinic, LLC) for the prevalence of superficial vein thrombosis in patients with chronic venous disease who were undergoing treatment. The patients with superficial vein thrombosis were examined for the diameters of great saphenous vein and venous reflux using ultrasound 10 mm below the sapheno-femoral junction, in the upper and lower thirds of the thigh. Results: Of 925 chronic venous disease cases, superficial vein thrombosis was observed in 53 cases, which accounted for 5.73 % of the total. Women accounted for 67.9 % (36), men – for 32.1 % (17). The study included patients aged 25 to 69 years (mean age 52.62 ± 10.48 years). In 69.8 % (37) of superficial vein thrombosis cases, the diameter of great saphenous vein was ≥ 10 mm at a level 10 mm below the sapheno-femoral junction; in 49 % (26) of cases – in the upper third of the thigh; in 30.2 % (16) of cases – in the lower third of the thigh. That is, the extension of the sapheno-femoral junction trunk to the lower third of the thigh was preserved in 43.24% of cases. Conclusion. The results of the study revealed a high prevalence (5.73%) of superficial vein thrombosis. 69.8% of all cases of superficial vein thrombosis was registered in patients with a large diameter (≥ 10 mm) of great saphenous vein.

Ўткир оғриқ синдроми билан кечадиган тизза бўғимининг деформацияловчи остреoртритини даволашда артроскопик ёндашув ва проксимал фибуляр

Materials and methods. Into investigation included 51 patients with acute pain syndrome varusaldeformic artritis of knee aged from 35 till 60 yy, treated in the department of sport trauma ofRepublican specialized scientific and practical medical center of traumatology and orthopedy and inthe department of emergence traumatology of Bukhara branch of Republican Research Center of theEmergency Medicine at the period from 2018 to 2021 yy. All patients made application of knee jointdebridement and proximal fibular osteotomy (PFO) by standard technique. Achieved results wereanalyzed by indicators of «visual analog scale» (VAS).Results. Operative results were analyzed at early (3-, 6-, 12-months) and long term (after 12 months)postoperative periods. Results were estimated on anterior and lateral projections X – ray and by VAS scale.In most cases was noted objective decreasing of pain sensation (high then 13 scales). Only in 4 (7,8%)cases was conflicted to refractory pain syndrome. At results was obtained in 27 (53%) cases good and in20 (39,2%) patients satisfactory results.Conclusion. Analysis of achieved results in patients of main and control groups was described theconsiderable improvement of the share of good results of complex application of debridement of knee anddebridement.