[Treatment of servicemen with pelvic injuries at the stage of medical evacuation during local military conflicts (Report II)].
Basing on the analysis of medical record data obtained from servicemen with pelvic unstable injuries the authors evaluate the results and effectiveness of the used treatment methods and give the recommendations how to improve medical care rendered such category of casualties at the stages of medical evacuation. The analysis of treatment results obtained in the casualties with pelvic unstable injuries shoes high frequency (up to 24.4%) of unsatisfactory results among which not eliminate deformations of pelvic ring (14.3%), disordered walk (20.4%) and painful syndrome (18.8%) prevailed. In the structure of treatment measures during the local armed conflicts in Afghan and Chechnyathe conservative methods of hipbone immobilization (and even in the cases of pelvic unstable injuries) prevailed. Osteosynthesis with external apparatus was used only in 2.1% of the cases. Such treatment tactics resulted in the large number of unsatisfactory anatomical and functional outcomes of medical rehabilitation (46.8%), changes in servicemen fitness category (30.3%) their discharge and disability. To make the treatment of such category of casualties more effective it is necessary to conduct the appropriate surgical stabilization of pelvic fractures at the stage of specialized medical care with the use of modern methods of external and internal osteosynthesis.
Gumanenko
E K
EK
Shapovalov
V M
VM
Dulaev
A K
AK
Dydykin
A V
AV
D050723:Fractures, Bone / Q000534:rehabilitation; D006801:Humans; D008499:Medical Records; D008887:Military Medicine / Q000706:statistics & numerical data; D008889:Military Personnel; D010384:Pelvic Bones / Q000293:injuries*; D011787:Quality of Health Care / Q000706:statistics & numerical data; D012189:Retrospective Studies; D012426:Russia; D014187:Transportation of Patients; D017211:Treatment Failure; D014586:USSR; D014857:Warfare; D014947:Wounds and Injuries / Q000534:rehabilitation* / Q000601:surgery