CLINICO-STATISTICAL INVESTIGATION OF THE EXTREMITY AMPUTATION LEVEL IN WOUNDED PERSONS
Results of treatment of 159 injured persons, in whom the extremities amputation was performed in 2014 – 2016 yrs, were summarized. The injured persons were aged from 18.9 tо 60.3 yrs old, (33.04 ± 1.15) yrs at average, 158 (99.4%) of them – men, and 1 (0.6%) - woman. The main cause of the extremity loss were: the mine-explosive wounding – in 74.8% of injured persons, a splinter one – in 9.4%, the bullet - in 6.9%, the cold trauma – in 4.4%. In 4.4% of the injured persons the explosive trauma was noted (booked injuries), a road-transport accident and collapse of a concrete constructions. In the combat surgical trauma structure a lower extremity amputation have had dominated, occurring in 67.5% observations, and of the lower extremity – in 32.5% (p < 0.001). The amputation rate of the upper extremity segments constitutes: of the brachial segment – 29.0%, of the ulnar segment – 40.3%, of hand – 30.6% (p = 0.35); and of the lower extremity: of the femoral segment – 42.6%, of the shin segment – 41.1%, and of the foot segment – 16.3% (p < 0.001). While determining the necessity in prosthesis in the injured persons the extremities amputation structure must be taken into account.
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