Ipsilateral injuries of the lower extremity in patients with polytrauma. Message 1

Abstract

Annotation. Among the causes of unsatisfactory results in the treatment of patients with polytrauma and ipsilateral fractures of the lower extremities, many authors consider the severity of injuries, the ineffectiveness of conservative treatment methods, the frequent development of complications of both an infectious and non-infectious nature when performing osteosynthesis. The aim of our study was to determine the causes and mechanism of injury in patients with ipsilateral lower limb injuries and polytrauma. 67 patients in whom ipsilateral hip and tibia fractures with polytrauma were verified took part in our study. This cohort of patients was treated at the Odesa City Clinical Hospital № 11 from 2010 to 2020. The first group included 44 patients, the second group included 23 patients who met the criteria for inclusion in our study and whose treatment ended in death. Statistical processing was carried out using a non-parametric method, the coefficient of the K. Pearson polychoric correlation index was calculated. It was found that, most often, ipsilateral hip and lower leg fractures occur in patients with polytrauma aged 30-45 years, which was found in 36.4% of cases in the first group and 43.5% of cases in the second group. The main causes of polytrauma in the patients of our study were road accidents, which were found in 74.6% of cases. Catatrauma as a cause of ipsilateral damage to the lower limb and polytrauma was found in 21.2% of patients of the main massif. In the traumatogenesis of damage among the patients of the research array, a direct blow prevailed, which was found in almost all patients participating in the study. Thus, it is worth noting that in our study, it was found that ipsilateral fractures of the lower extremities in patients with polytrauma occur as a result of high-energy trauma. Conclusions: The problem of ipsilateral injuries of the lower extremities in polytrauma requires further research to reduce mortality among this category of patients.