Issue: 2012, Vol. 17, No. 4

Pisarev В. В., Lvov С. Е., Vasin И. В.

INDICES OF REGIONARY HEMODYNAMICS OF EARLY POSTOPERATIVE PERIOD IN OSTEOSYNTHESIS OF CRUSBONES FRACtURE

Keywords

bones fracture, crus, osteosynthesis, rheovasography, duplex scanning, hemodynamics

Abstarct

82 patients with crus bones fractures were examined on the fifth and tenth days after operation. Osteosynthesis by plates was performed in 40 patients, osteosythesis by rods with blocking was performed in42 patients. Duplex vessel scanning and rheovasography were used for crus blood circulation examination. It was stated that operative treatment of crus bones fractures regardless of the dependence of fragments fixation technique in early postoperative period (first 10 days) resulted in the decrease of arterial blood flow level in damaged limd in comparison with the intact one. Tibia periosteum vessels responded to operative trauma by two-phase alteration of vascular wall tonus in early postoperative period; this response did not depend on osteosynthesis technique. Open reposition greatly decreased the indices of scanning of ATA of the operated crus in comparison with the analogous indices of ATA in closed reposition.