scholarly journals THE PROBLEMS OF REHABILITATION OF THE PATIENTS AFTER THE EXTREMITY AMPUTATION

2009 ◽  
Vol 17 (1) ◽  
pp. 115 ◽  
Author(s):  
P. G. Shvalb ◽  
C. B. Baranov
Keyword(s):  
Lower Extremity ◽  
Postoperative Period ◽  
Lower Extremities ◽  
Critical Ischemia ◽  
Local Complications ◽  
Methods Of Treatment ◽  
Extremity Amputation

Quality of a life of patients with a chronic critical ischemia of the lower extremities and an ineffectual attempt of the restoration of a blood-groove before amputation, after amputation and at a stage of prosthetics with the help of own questionnaire with special specificity is analysed. The indications to the amputation and reamputation the of the lower extremity are formulated. It is shown, that the duly and correctly executed amputation without the general and local complications in the postoperative period though results to the disablement (invalidisation), but as it is paradoxical sounds, it improves some aspects of quality of a life of the patient. Therefore the amputation is one of regular, though also undesirable methods of treatment of patients in a stage of a critical ischemia. The conclusion is made, that process of rehabilitation of patients in a stage of a critical ischemia with ineffectual attempt of restoration of a blood-groove after the extremity amputation depending on a way of movement proceeds during 2 periods.

scholarly journals Molecular Mechanisms Associated with ROS-Dependent Angiogenesis in Lower Extremity Artery Disease

Antioxidants ◽  
2021 ◽  
Vol 10 (5) ◽  
pp. 735
Author(s):  
Greg Hutchings ◽  
Łukasz Kruszyna ◽  
Mariusz J. Nawrocki ◽  
Ewa Strauss ◽  
Rut Bryl ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Blood Vessel ◽  
Lower Extremity ◽  
Molecular Mechanisms ◽  
Lower Extremities ◽  
Tissue Response ◽  
Peripheral Arteries ◽  
Artery Disease ◽  
Lower Extremity Artery Disease

Currently, atherosclerosis, which affects the vascular bed of all vital organs and tissues, is considered as a leading cause of death. Most commonly, atherosclerosis involves coronary and peripheral arteries, which results in acute (e.g., myocardial infarction, lower extremities ischemia) or chronic (persistent ischemia leading to severe heart failure) consequences. All of them have a marked unfavorable impact on the quality of life and are associated with increased mortality and morbidity in human populations. Lower extremity artery disease (LEAD, also defined as peripheral artery disease, PAD) refers to atherosclerotic occlusive disease of the lower extremities, where partial or complete obstruction of peripheral arteries is observed. Decreased perfusion can result in ischemic pain, non-healing wounds, and ischemic ulcers, and significantly reduce the quality of life. However, the progressive atherosclerotic changes cause stimulation of tissue response processes, like vessel wall remodeling and neovascularization. These mechanisms of adapting the vascular network to pathological conditions seem to play a key role in reducing the impact of the changes limiting the flow of blood. Neovascularization as a response to ischemia induces sprouting and expansion of the endothelium to repair and grow the vessels of the circulatory system. Neovascularization consists of three different biological processes: vasculogenesis, angiogenesis, and arteriogenesis. Both molecular and environmental factors that may affect the process of development and growth of blood vessels were analyzed. Particular attention was paid to the changes taking place during LEAD. It is important to consider the molecular mechanisms underpinning vessel growth. These mechanisms will also be examined in the context of diseases commonly affecting blood vessel function, or those treatable in part by manipulation of angiogenesis. Furthermore, it may be possible to induce the process of blood vessel development and growth to treat peripheral vascular disease and wound healing. Reactive oxygen species (ROS) play an important role in regulation of essential cellular signaling pathways such as cell differentiation, proliferation, migration and apoptosis. With regard to the repair processes taking place during diseases such as LEAD, prospective therapeutic methods have been described that could significantly improve the treatment of vessel diseases in the future. Summarizing, regenerative medicine holds the potential to transform the therapeutic methods in heart and vessel diseases treatment.

On the prolonged and controlled cerebrospinal anesthesia

1999 ◽  
Vol 80 (5) ◽  
pp. 382-383
Author(s):  
A. A. Nazipov ◽  
А. V. Shutov ◽  
А. K. Saetgaraev
Keyword(s):  
Lower Extremity ◽  
Postoperative Period ◽  
Subarachnoid Space ◽  
Lower Extremity Amputation ◽  
Extremity Amputation

The catheterization of subarachnoid space was used which made it possible to perform the adequate anesthesia in lower extremity amputation, adenomectomy and phlebectomy, and the prolonged anesthesia in the immediate postoperative period. The catheterization of subarachnoid space has the following advantages: anesthesia comes earlier, its level is higher, it is easily performed, dozes of drugs are less.

scholarly journals Health-Related Quality of Life after Major Lower Extremity Amputation Due to Musculoskeletal Tumors

2017 ◽  
Vol 20 (9) ◽  
pp. A453-A454
Author(s):  
JP Repo ◽  
I Barner-Rasmussen ◽  
RP Roine ◽  
A Häkkinen ◽  
C Blomqvist ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Lower Extremity ◽  
Lower Extremity Amputation ◽  
Health Related Quality ◽  
Musculoskeletal Tumors ◽  
Related Quality ◽  
Health Related ◽  
Extremity Amputation

Quality of life three years after major lower extremity amputation due to peripheral arterial disease

2010 ◽  
Vol 22 (5-6) ◽  
pp. 395-405 ◽  
Author(s):  
Leena Remes ◽  
Raimo Isoaho ◽  
Tero Vahlberg ◽  
Matti Viitanen ◽  
Markku Koskenvuo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Peripheral Arterial Disease ◽  
Lower Extremity ◽  
Arterial Disease ◽  
Lower Extremity Amputation ◽  
Peripheral Arterial ◽  
Extremity Amputation

scholarly journals The results of replacement arthroplasty in the treatment of bone chondrosarcoma

TRAUMA ◽  
2021 ◽  
Vol 22 (2) ◽  
pp. 45-50
Author(s):  
V.V. Protsenko ◽  
О.A. Buryanov ◽  
Bishtawi Obada ◽  
Ye.О. Solonitsyn ◽  
Yu.N. Litun
Keyword(s):  
Survival Rate ◽  
Lower Extremity ◽  
Surgical Complications ◽  
Functional Result ◽  
Lower Extremity Amputation ◽  
Cement Spacer ◽  
Replacement Arthroplasty ◽  
Eortc Qlq ◽  
Extremity Amputation

This article reports on the results of replacement arthroplasty in the treatment of bone chondrosarcoma. As a result of replacement arthroplasty in 28 patients, post-surgical complications were observed in two (7.1 %) patients, and tumor recurrence was observed in two (7.1 %) patients. Infectious post-surgical complications were observed in one patient after replacement arthroplasty of coxofemoral joint; the endoprosthesis in this patient was removed, and cement spacer was implanted; six months later the replacement arthroplasty was repeated. The aseptic loosening of the endoprosthetic stem of the joint was observed in one patient after knee arthroplasty; the replacement arthroplasty was repeated. The chondrosarcoma recurrence was identified in two patients between 18 to 53 months; lower extremity amputation was performed in one patient at the level of the mid-third of the femur; lower extremity amputation was performed in one patient at the level of the lower third of the femur, and polychemotherapy courses, including further metastasectomy, were performed in three patients having dedifferentiated and mesenchymal chondrosarcoma with metastases in the lungs. The functional result in the extremity, depending on the tumor site (based on MSTS scoring system) after the endoprosthetic procedure constituted 68.4 to 89.2 %. The quality of life of patients, according to the EORTC QLQ-30 questionnaire, was 40–50 scores before the arthroplasty, while after the arthroplasty the score went up and constituted 85–90 on average. The overall three-year survival rate of patients with chondrosarcoma constituted 95.3 ± 1.7 % and the five-year survival rate was 89.7 ± 2.1 %. The survival rate for patients with mesenchymal and dedifferentiated chondrosarcoma constituted 0 %.

TRAUMATOLOGICAL OPERATIONS FOR CLOSED ANKLE AND LOWER / MIDDLE THIRD OF TIBIA FRACTURES ON VENOUS INSUFFICIENCY DEVELOPMENT

2019 ◽  
pp. 22-27
Author(s):  
E.P. Kukushkin ◽  
V.I. Midlenko ◽  
O.V. Midlenko ◽  
N.I. Belonogov
Keyword(s):  
Lower Extremity ◽  
Postoperative Period ◽  
Saphenous Vein ◽  
Venous Insufficiency ◽  
Lower Extremities ◽  
Research Data ◽  
Patient Complaints ◽  
Tibia Fractures ◽  
Closed Fractures ◽  
Open Injuries

The objective of the paper is to evaluate the effect of intraoperative damage to the saphenous vein during operations for injuries of the ankles and lower/middle third of the tibia on the incidence of venous insufficiency during postoperative period. Materials and Methods. The authors examined 213 patients operated for closed fractures of the ankle and lower / middle third of the tibia. All the patients initially demonstrated no signs of venous lower extremity insufficiency. Patients with open injuries were not included in the study. The patients were divided into 2 groups. In patients of the first group (n=103), which was formed according to retrospective analysis, a large saphenous vein was damaged during the operation. In the second group (n=110), the vein was not damaged, as a result of proprietary techniques. In the postoperative period, the authors compared patient complaints and objective research data, characterizing the development of venous insufficiency of the lower extremities. Results. During the postoperative period, the initial signs of lower extremity venous insufficiency were manifested in 33.25 % of patients with intraoperative damage to the large saphenous vein. In cases where damage to the saphenous vein during surgery was avoided, signs of lower extremity venous insufficiency in the postoperative period were observed in 8.41 % of patients. Conclusion. With intraoperative damage to the large saphenous vein during operation for injuries to the ankle and lower / middle third of the tibia, venous insufficiency of the lower extremity develops 4 times more often than wihtout intraoperative damage to the large saphenous vein. Keywords: venous insufficiency of the lower extremities, large saphenous vein, fracture of the lower / middle third of the lower leg, traumatologist. Цель исследования: оценить влияние интраоперационного повреждения большой подкожной вены при операциях по поводу травм лодыжек и нижней/средней трети большеберцовой кости на частоту развития признаков венозной недостаточности в послеоперационном периоде. Материалы и методы. Обследовано 213 пациентов, оперированных по поводу закрытых переломов лодыжек и нижней/средней трети большеберцовой кости, у которых изначально отсутствовали признаки венозной недостаточности нижних конечностей. Пациенты с открытыми травмами в исследование не включались. Наблюдались 2 группы пациентов. У пациентов первой группы (103 чел.), сформированной по данным ретроспективного анализа, во время операции повреждалась большая подкожная вена. Во второй группе (110 чел.) данного повреждения удалось избежать, в т.ч. в результате использования авторских методик. В послеоперационном периоде проводилась сравнительная оценка жалоб пациентов и данных объективного исследования, характеризующих развитие признаков венозной недостаточности нижних конечностей. Результаты. Начальные признаки венозной недостаточности нижних конечностей в послеоперационном периоде проявлялись у 33,25 % пациентов с интраоперационным повреждением большой подкожной вены. В случаях, когда повреждения большой подкожной вены во время операции удалось избежать, признаки венозной недостаточности нижних конечностей в послеоперационном периоде наблюдались у 8,41 % пациентов. Выводы. При интраоперационном повреждении большой подкожной вены во время операций по поводу травм лодыжек и нижней/средней трети большеберцовой кости венозная недостаточность нижней конечности развивается в 4 раза чаще, чем при отсутствии интраоперационного повреждения большой подкожной вены. Ключевые слова: венозная недостаточность нижних конечностей, большая подкожная вена, перелом нижней/средней трети голени, травматолог.

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