Estimation of the treatment efficacy in the wounded persons with the gun–shot polystructural damages of upper extremities

Keywords: gun-shot wounding of upper extremity; the function loss; the function enhancement

Abstract

Objective. To estimate the results and to reveal the rik factors for low efficacy of treatment in wounded persons with a gun-shot polystructural damages of upper extremities (UE).

Маterials and methods. The UE function was estimated in 220 wounded persons, composing a general totality of the investigation, using two complementary procedures: DASH (Disability of the Arm, Shoulder and Hand Outcome Measure) and the AOOS systems in modification of І. М. Кurinnyi. Results, obtained in accordance to both approaches are consistent, what confirms their correlational analysis: r=0.883 – before the treatment, r=0.964 – after the treatment.

Results. There was confirmed the efficacy of the surgical treatment tactics for the wounded persons with a gun-shot polystructural injuries of the UE. This tactics consisted of integration of several stages of reconstructive-restorational interventions, what was objectivized by determined indices of the extremity function growth.

Conclusion. The dependence of the UE function restoration from the day of the wounding obtained and till the beginning of reconstructive-restorational interventions in institutions of Level IV was followed-up. This dependence was substantiated in accordance to index of the function growth and its enhanced efficacy was proved, when the terms noted have constituted lesser than 30 days. The risk degree for negative impact of the factors on the UE function restoration was estimated.

Author Biographies

S. S. Strafun, Institute of Traumatology and Orthopedy, Kyiv

Sergey S. Strafun, PHD, professor,
Head of the Clinic of Microsurgery and Reconstructive Surgery of the Upper extremity GA "Institute of Traumatology and Orthopaedics National Academy of Medical Sciences of Ukraine", Kyiv
Address: 27 Bulvarno-Kudriavska Str., 01601, Kyiv, Ukraina, tel.: +38 (044) 486–18–165;
E-mail: info@ito.gov.ua
ORCID: https://orcid.org/0000-0001-8178-9290

N. О. Borzykh N. О. Borzykh, Institute of Traumatology and Orthopedy, Kyiv

Natalia О. Borzykh, PHD, doktorant, traumatologist
GA "Institute of Traumatology and Orthopaedics National Academy of Medical Sciences of Ukraine", Kyiv
Address: 27 Bulvarno-Kudriavska Str., 01601, Kyiv, Ukraina, tel.: +38 (044) 486–18–165;
E-mail: natashabor@ukr.net
ORCID: https://orcid.org/0000-0002-3733-7905

Ya. V. Tsymbaliuk, Bogomolets National Medical University, Kyiv

Yaroslav V. Tsymbaliuk, aspirant, neurosurgeon
Romodanov Neurosurgery Institute
Address: 32 Platona Mayborody Str, Kiev, 04050Ukraine, tel.+38 (044) 483-94-13;
E-mail: neuro@neuro.kiev.ua
ORCID: https://orcid.org/0000-0002-8746-0944

References

1. Zarutskіy YL, Shudrak AA. Vkazivky z voienno-polovoi khirurhii. Viisk.-med. departament MO Ukrainy. Kyiv: Chalchynska NV; 2014. 399 s. [In Ukrainian]
2. Zarutskіy YL, Zaporozhan VM. Voienno-polova khirurhiia, pidruchnyk. Odesa: ONMedU, 2016. 50 s., 359-73 s. [In Ukrainian].
3. Ebersole GC, Davidge K, Damiano M, Mackinnon SE. Validity and responsiveness of the DASH questionnaire as an outcome measure following ulnar nerve transposition for cubital tunnel syndrome. Plast Reconstr Surg. 2013 Jul;132(1):81-90. doi: 10.1097/PRS.0b013e318290faf6.
4. Kurinnyi IM. Naslidky polistrukturnoi travmy verkhnoi kintsivky ta yikh khirurhichne likuvannia [thesis.]. Kyiv: In-t travmatolohii ta ortopedii AMN Ukrainy; 2009. 33 s. [In Ukrainian]
5. Haiovych VV. Kompleksne ortopedychne likuvannia khvorykh z travmatychnymy ushkodzhenniamy peryferychnykh nerviv nyzhnoi kintsivky (kliniko-eksperymentalne doslidzhennia) [thesis]. Kyiv: In-t travmatolohii ta ortopedii AMN Ukrainy; 2017. 37 s. [In Ukrainian]
Published
2018-07-26
How to Cite
Strafun, S. S., N. О. BorzykhN. О. B., & Tsymbaliuk, Y. V. (2018). Estimation of the treatment efficacy in the wounded persons with the gun–shot polystructural damages of upper extremities. Klinicheskaia Khirurgiia, 85(7), 62-66. https://doi.org/10.26779/2522-1396.2018.07.62
Section
General Problems of Surgery