A Complex clinical case of severe traumatic limb injury in a young patient with positive dynamics

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Abstract

A retrospective analysis of a clinical case of the patient receiving treatment at the First Republican Clinical Hospital (Izhevsk) was carried out. In Udmurt Republic, there is an acute problem of traumatization of the population caused by road accidents. In the article, there is presented the case of treatment of the concomitant automobile injury. As a result of complex therapy (disintoxication, antibacterial, symptomatic, cytokine therapy) of this traumatic disease, a local preparation of wounds and autodermoplasty, we managed to reach a positive outcome of hospitalization – discharge from the hospital with the preserved low extremity.

The analyzed clinical case showed that a timely applied complex therapy had a favourable effect on the patient’s health status and treatment. Already on the day 23 from the moment of being injured, the patient was prepared to plastic closing of skin defects, and epithelization of wounds occurred on the day 7 after the autodermoplasty made. The period of wound healing was reduced when including cytokine in the systemic therapy.

About the authors

Albina M. Emelyanova

Izhevsk State Medical Academy, First Republican Clinical Hospital

Author for correspondence.
Email: Interessent.4@gmail.com
ORCID iD: 0000-0002-9180-6944

postgraduate student of the Department of Faculty Surgery, combustiologist of the first qualification category

Russian Federation, Izhevsk; Izhevsk

References

  1. Gumanenko E.K., Zavrazhnov A.A., Suprun A.Yu., Khromov A.A. Severe combined trauma and polytrauma: definition, classification, clinical characteristics, treatment outcomes. Polytrauma 2021; 4.
  2. Styazhkina S.N., Syrkina N.V., Gryazeva A.S., Toropova D.S., Malygin A.L. Analysis of data on victims with chest and abdominal injuries. Scientific Almanac 2015; 10 (3): 358–340 (in Russian).
  3. Styazhkina S.N., Pelina N.A., Bragina E.Y., Zakharova E.A. Combined injuries. Bulletin of Science and Education 2017; 3 (27) (in Russian).
  4. Poluyan I.A., Flurik S.V. Medicine of extreme situations: a manual for students of medical and pediatric faculties: in 3 hours 1. Fundamentals of disaster medicine. Grodno: GrSMU 2015; 240 (in Russian).

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3. Fig.2.

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4. Рис. 3. 23-й день, подготовка к аутодерматопластике

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5. Fig.4.

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