pirogovestnikВестник Национального медико-хирургического центра им. Н.И. ПироговаBulletin of Pirogov National Medical & Surgical Center2072-82552782-3628Национальный медико-хирургический Центр им. Н.И. Пирогова10.25881/20728255_2024_19_1_143pirogovestnik-84Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEWSОСОБЕННОСТИ ЛЕЧЕНИЯ РАНЕНЫХ С АМПУТАЦИОННЫМИ ДЕФЕКТАМИ НИЖНИХ КОНЕЧНОСТЕЙ В СОЧЕТАНИИ С ПЕРЕЛОМАМИ КОСТЕЙFEATURES OF THE TREATMENT OF WOUNDED WITH AMPUTATION DEFECTS OF THE LOWER EXTREMITIES IN COMBINATION WITH BONE FRACTURESЧупряевВ. А.ChupryaevV. A.v.chupraev@gmail.comКудяшевА. Л.KudyashevA. L.ХоминецВ. В.KhominetsV. V.БадаловВ. И.BadalovV. I.СтрельбаА. А.StrelbaA. A.ФГБВОУ ВО «Военно-медицинская академия им. С.М. Кирова»РоссияS.M. Kirov Military Medical AcademyRussian Federation202412082024191143148Copyright © Чупряев В.А., Кудяшев А.Л., Хоминец В.В., Бадалов В.И., Стрельба А.А., 20242024Чупряев В.А., Кудяшев А.Л., Хоминец В.В., Бадалов В.И., Стрельба А.А.Chupryaev V.A., Kudyashev A.L., Khominets V.V., Badalov V.I., Strelba A.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://submit.pirogov-vestnik.ru/jour/article/view/84

Цель: по данным специальной литературы изучить частоту встречаемости ампутаций нижних конечностей в сочетании с переломами костей при ранениях и травмах; оптимальную хирургическую тактику в отечественной и зарубежной военно-полевой хирургии, травматологии и ортопедии.Материал и методы: проведен анализ 36 отечественных и зарубежных открытых источников литературы по материалу прошедших военных конфликтов. Установлено, что отрывы конечностей в сочетании с тяжелыми множественными повреждениями и переломами костей составляет 3,4–5,6%.Результаты: Предварительные результаты исследования показали необходимость решения проблемы выбора оптимальной хирургической тактики при сочетании отрыва нижней конечности и тяжелого повреждения контрлатеральной нижней конечности.Заключение: Частота ампутаций в мире неуклонно растет по причине увеличения числа пострадавших с высокоэнергетическими травмами, в том числе вследствие вооруженных конфликтов, характеризующихся применением боеприпасов взрывного действия. Лечение раненых с тяжелыми множественными и сочетанными повреждениями с наличием ампутационного дефекта представляет большую проблему как в выборе метода остеосинтеза переломов, так и в показаниях и сроках протезирования

Objective: to study the frequency of lower limb amputations in combination with severe damage to the contralateral lower limb in wounds and injuries; optimal surgical tactics in domestic and foreign military field surgery.Material and methods: the analysis of 36 domestic and foreign open sources of literature on the material of past military conflicts was carried out. It was found that limb tears in combination with severe multiple injuries and bone fractures ranged from 3.4 to 5.6%.Results: The preliminary results of the study showed the need to solve the problem of choosing the optimal surgical tactics when combining lower limb detachment and severe damage to the contralateral lower limb.Conclusion: The frequency of amputations in the world is steadily increasing due to an increase in the number of victims with high-energy injuries, including as a result of armed conflicts characterized by the use of explosive ordnance. The treatment of wounded with severe multiple and combined injuries with the presence of an amputation defect is a big problem both in choosing the method of osteosynthesis of the damaged limb, and in the indications and timing of prosthetics

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The authors declare that there are no conflicts of interest present.