REGIONAL HEMODYNAMICS IN DIFFERENT TYPES OF SURGICAL TREATMENT OF DIAPHYSEAL FRACTURES OF THE SHIN BONE

Abstract

82 patients were examined with the tibia fractures. Osteosynthesis with the help of plates was executed by 40 patients, osteosynthesis with the help of hinges with blocking was executed by 42 patients. The methods of duplex scanning of vessels and reovazografic inspection were used for studying of the blood circulation in tibia. Researches were conducted on the 5th and the 10th days in 1, 2, 3 and 4 months after the operation. It was established that the surgical treatment of the tibia fractures without any difference in using various methods of the broken fragments fixation in the early postoperative period (first 10 days) leads to a decrease in the level of arterial blood flow as a result of the vessels hypotonia. The absence of postoperative immobilization and early loading lead to the more rapid restoration of the initial indices of hemodynamics. Blood flow changes are least expressed and more rapidly restored during the closed reposition osteosynthesis with the help of hinges. The reaction of the vascular system of periosteum in the process of the regeneration of the tibia tissues does not depend on the method of the surgical treatment.

Keywords

• переломы костей голени
• хирургическое лечение
• регионарная гемодинамика
• tibia fractures
• surgical tretment
• blood circulation