Risk of postoperative morbidity and mortality after conversion of osteosynthesis in patients with polytrauma

Mukhanov M.L.

Kuban State Medical University

ORCID: 0000-0002-9061-6014

Blazhenko A.N.

Kuban State Medical University

ORCID: 0000-0002-9957-1422

Baryshev A.G.

Kuban State Medical University;
Ochapovsky Regional Clinical Hospital No.1

SPIN RSCI: 2924-1648
ORCID: 0000-0002-6735-3877

Seumyan E.V.

Kuban State Medical University

ORCID: 0000-0002-2353-6786

Blazhenko A.A.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1

ORCID: 0000-0002-7284-3221

Risk of postoperative morbidity and mortality after conversion of osteosynthesis in patients with polytrauma

Authors:

Mukhanov M.L., Blazhenko A.N., Baryshev A.G., Seumyan E.V., Blazhenko A.A.

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Journal: Pirogov Russian Journal of Surgery. 2024;(5): 43‑50

DOI: 10.17116/hirurgia202405143

Downloaded: 11

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To cite this article:

Mukhanov ML, Blazhenko AN, Baryshev AG, Seumyan EV, Blazhenko AA. Risk of postoperative morbidity and mortality after conversion of osteosynthesis in patients with polytrauma. Pirogov Russian Journal of Surgery. 2024;(5):43‑50. (In Russ.)
https://doi.org/10.17116/hirurgia202405143

Подписка 2025 (Pirogov Russian Journal of Surgery)

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OBJECTIVE

To reduce the incidence of postoperative complications and mortality after conversion of external fixation device into various types of submerged osteosynthesis in patients with polytrauma.

MATERIAL AND METHODS

A retrospective and prospective analysis of treatment outcomes in 351 patients with polytrauma was divided into 2 stages. At the first stage, we analyzed significant predictors of complications after conversion of osteosynthesis in the 1^st group (retrospective analysis). At the second stage, we estimated the efficacy of the developed scale for assessing the risk of complications after conversion of osteosynthesis in a prospective group of patients.

RESULTS

According to the complication risk assessment scale for conversion of osteosynthesis, analysis of time to surgical treatment depending on objective criteria in patients with polytrauma can significantly reduce the incidence of postoperative complications by 14% and mortality rate by 1.7%.

CONCLUSION

The complication risk assessment scale after conversion of osteosynthesis will personalize the approach to timing and methods of conversion. This measure will eliminate the «second hit» in damage control orthopedics and improve the results of treatment.

Keywords:

polytrauma

external fixation device

damage control orthopedics

complication risk assessment scale after conversion of osteosynthesis

Authors:

Mukhanov M.L.

Kuban State Medical University

ORCID: 0000-0002-9061-6014

Blazhenko A.N.

Kuban State Medical University

ORCID: 0000-0002-9957-1422

Baryshev A.G.

Kuban State Medical University;
Ochapovsky Regional Clinical Hospital No.1

SPIN RSCI: 2924-1648
ORCID: 0000-0002-6735-3877

Seumyan E.V.

Kuban State Medical University

ORCID: 0000-0002-2353-6786

Blazhenko A.A.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1

ORCID: 0000-0002-7284-3221

Received:

19.09.2023

Accepted:

14.10.2023

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