Staged Rehabilitation of Military Personnel as Part of a Multimodal Approach to the Gunshot Soft Tissue Defects Reconstruction-Reference-Cited by-同舟云学术

Staged Rehabilitation of Military Personnel as Part of a Multimodal Approach to the Gunshot Soft Tissue Defects Reconstruction

Published:2023 Issue:5 Volume:65 Page:285-291
ISSN:2082-1867
Container-title:Acta Balneologica
language:
Short-container-title:Acta Balneol

Author:

Lurin Igor A.¹,Khomenko Igor P.²,Gozhenko Olena A.³,Nehoduiko Volodymyr V.⁴,Herasimenko Oleh S.⁵,Tertyshnyi Serhii V.⁵,Grigoriev Evgeny O.⁶

Affiliation:

1. NATIONAL ACADEMY OF MEDICAL SCIENCES OF UKRAINE, KYIV, UKRAINE; STATE INSTITUTION OF SCIENCE ≪RESEARCH AND PRACTICAL CENTER OF PREVENTIVE AND CLINICAL MEDICINE≫ STATE ADMINISTRATIVE DEPARTMENT, KYIV, UKRAINE

2. STATE INSTITUTION OF SCIENCE ≪RESEARCH AND PRACTICAL CENTER OF PREVENTIVE AND CLINICAL MEDICINE≫ STATE ADMINISTRATIVE DEPARTMENT, KYIV, UKRAINE

3. SE “UKRAINIAN RESEARCH INSTITUTE OF TRANSPORT MEDICINE” OF THE MINISTRY OF HEALTH OF UKRAINE, ODESA, UKRAINE

4. MILITARY MEDICAL CLINICAL CENTER OF THE NORTHERN REGION, KHARKIV, UKRAINE; KHARKIV NATIONAL MEDICAL UNIVERSITY, KHARKIV, UKRAINE

5. MILITARY MEDICAL CLINICAL CENTER OF THE SOUTHERN REGION, KHARKIV, UKRAINE

6. INTERNATIONAL EUROPEAN UNIVERSITY, KYIV, UKRAINE

Abstract

Aim: To increase the efficacy of the original staged scheme of wounded with soft tissues gunshot defects (STGD) rehabilitation using the original improvement of diagnostic and restorative rehabilitation measures. Materials and Methods: The wounded with STGD were admitted to the Military Medical Clinical Center of the Southern Region (Odesa). The wounded were randomized in three groups depending on the severity of the injury for further rehabilitation in sanatorium-resort conditions. Spectral infrared thermography diagnostic capabilities were used to control the efficacy of rehabilitation measures and to evaluate the rehabilitation prognosis. Results: The data obtained were divided into immediate clinical and delayed organizational ones with rapid implementation into the medical practice to support the military forces of Ukraine. Authors showed the full-fledged functional recovery of the patient’s injured limbs as a result of original step-by-step scheme applying of providing medical care in cases of STGD. Conclusions: Timely rehabilitation measures at all stages of providing medical care in the Armed Forces are faster and more effective. The organizational and methodological foundations of the staged rehabilitation system of wounded servicemen with STGD at different levels of medical care depending on the severity of the injury and the tactics of surgical treatment have been developed. Different three- and four-staged models of rehabilitation measures for the injured with different severity have been proposed.

Publisher

ALUNA

Subject

General Medicine

Reference12 articles.

1. 1. Khomenko IP, Korol SO, Matviichuk BV et al. Khirurhichna taktyka likuvannya poranenykh z vohnepal’nymy poranennyamy stehna na vsikh rivnyakh medychnoho zabezpechennya. [Surgical tactics of treatment of the wounded with gunshot wounds of the thigh at all levels of medical support]. Klinichna khirurhiia. 2019;86(5):22-26. doi: 10.26779/2522-1396.2019.05.22. (Ukrainian)

2. 2. Khomenko IP. Instruktsiya z medychnoho zabezpechennya Zbroynykh Syl Ukrayiny na osoblyvyy period [Instruction on medical support of the Armed Forces of Ukraine for a special period]. Kyiv: Kyiv : Liudmila Publishing House. 2019, p.192. (Ukrainian)

3. 3. Khomenko IP, Gumenyuk KV, Korol SO et al. Change Of the Concept of Surgical Support For Wounded With Soft Tissue Defects at the Levels Of Medical Care. International Journal Dental and Medical Sciences Research. 2022;4(1): 351-354.

4. 4. Babova IK, Rozhkov VS. Sanatorno-kurortna reabilitatsiya viys’kovosluzhbovtsiv v Ukrayini: publichno-upravlins’kyy aspekt [Sanatorium-resort rehabilitation of military personnel in Ukraine: public-management aspect] Publichne upravlinnya i administruvannya v Ukrayini. 2020;19:21-26. doi: 10.32843/pma2663-5240-2020.19.4. (Ukrainian)

5. 5. Babov KD, Khomenko IP, Tertyshnyi SV et al. Orhanizatsiya etapnoyi reabilitatsiyi viys’kovosluzhbovtsiv z vohnepal’nymy defektamy m’yakykh tkanyn na rivnyakh nadannya medychnoyi dopomohy [Organization of staged rehabilitation of servicemen with gunshot defects of soft tissues at the levels of providing medical assistance]. Socialna Medycyna. 2021;4:188-195. doi: 10.26641/2307-0404.2021.4.248228. https://repo.odmu.edu.ua:443/xmlui/handle/123456789/11336 [date access 21.06.2023]. (Ukrainian)