METHOD OF FORENSIC ASSESSMENT OF RISK FACTORS OF TREATMENT FAILURE OUTCOMES AS AN ELEMENT OF QUALITY MANAGEMENT OF MEDICAL CARE-Reference-Cited by-同舟云学术

METHOD OF FORENSIC ASSESSMENT OF RISK FACTORS OF TREATMENT FAILURE OUTCOMES AS AN ELEMENT OF QUALITY MANAGEMENT OF MEDICAL CARE

Published:2020 Issue:5 Volume:73 Page:1041-1047
ISSN:0043-5147
Container-title:Wiadomości Lekarskie
language:en
Short-container-title:Wiad Lek

Author:

Sokol Vyacheslav K.¹,Kolesnichenko Vira A.²,Sokol Kostyantin M.¹,Smiianov Vladyslav A.³

Affiliation:

1. KHARKIV NATIONAL MEDICAL UNIVERSITY, KHARKIV, UKRAINE

2. KHARKIV NATIONAL UNIVERSITY NAMED AFTER V.N. KARAZIN, KHARKIV, UKRAINE

3. SUMY STATE UNIVERSITY, SUMY, UKRAINE

Abstract

The aim: The aim of this research was to study causes of the development of adverse outcomes in isolated femоral diaphyseal fractures. Materials and methods: A retrospective analysis of the protocols of clinical and radiological examination of 21 patients was performed. Based on the initial expert assessment, these patients have not been established the severity of injuries due to the development of complications in the postoperative period. Conclusions: Patient-dependent, implant-dependent, and surgery-dependent causes that caused a violation of the stability of osteosynthesis (95.2%) were identified. This led to a secondary displacement of bone fragments (71.4%), delayed fracture consolidation (61.9%), the formation of pseudarthrosis (38.1%), the development of post-traumatic osteomyelitis (14,3), migration of screws from the osseous plate (47.6%), and the development of post-traumatic contracture of the knee joint (81.0%).

Publisher

ALUNA

Subject

General Medicine

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