Features of Radiologic Diagnostics in the Determination of Femoral Stump Defects in Primary Prosthetics

Khasanov Rustamzhon Solievich; Shokirov Mahmutali Hotamovich; Turgunboev Farrukh Yusubjonovich; Ruziboev Dilmurod Ruzimetovich

doi:doi:10.11648/j.jfmhc.20220801.11

Features of Radiologic Diagnostics in the Determination of Femoral Stump Defects in Primary Prosthetics

Khasanov Rustamzhon Solievich, Shokirov Mahmutali Hotamovich, Turgunboev Farrukh Yusubjonovich, Ruziboev Dilmurod Ruzimetovich

Published in Journal of Family Medicine and Health Care (Volume 8, Issue 1)

Received: 9 January 2022 Accepted: 4 February 2022 Published: 16 February 2022

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Abstract

This work is based on a clinical and laboratory study of 43 patients and persons with disabilities who underwent primary prosthetics of the hip stump. Observations were carried out in the period after surgery from 1 month to 6 months in the period from 2014 to 2019 at the clinic of the National Center for Rehabilitation and Prosthetics of Persons with Disabilities. Post-traumatic amputation of limb segment most often occur in patients of young working age, which determines the great socio-economic significance and relevance of reconstructive operations. After amputation of the limb, the processes of restructuring of the tissues of the stump occur under new conditions of blood circulation. Changes in the circulatory system are associated with narrowing of blood flow and thickening of the walls of large arterial and venous vessels, as well as an increase in the number and caliber of capillaries. The defects of the stump are very diverse, these are short and excessively long stumps, the high location of truncated muscle to the skin scar, etc. Diseases of the stump (osteonecrosis, osteophytes, osteomyelitis, phantom pain, ligature fistulas and long-term non-healing wounds) and the result of technical errors in surgical interventions, wound infection and irrational prosthetics. Based on this, it is advisable to use early Doppler ultrasound and X-ray diagnostics in determining malformations and diseases of the stump in order to carry out primary prosthetics. Express prosthetics of the amputation stump in post-traumatic amputations gives a high rehabilitation effect compared to other pathologies: both vascular and other systemic pathologies. The results of complex studies are presented: clinical (orthopedic, neurological), psychological, X-ray, ultrasound, Doppler ultrasonography.

Published in	Journal of Family Medicine and Health Care (Volume 8, Issue 1)
DOI	10.11648/j.jfmhc.20220801.11
Page(s)	1-5
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Amputation Femoral Stump, Prosthetics, Radiography, Ultrasound Examination, Doppler Ultrasonography

References

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[2]	Vasiliev Alexander Yurievich., Egorova Elena Alekseevna. Radiation diagnostics of defects and diseases of the stumps of the lower extremities - M.: Medicine, 2008. - 208 p.
[3]	Vasiliev Elena Alekseevna., Egorova Elena Alekseevna., Smyslenova Margarita Vitalievna. Radiation diagnostics of changes in the stumps of the lower extremities during prosthetics // Journal: Modern technologies in medicine stm-journal. Article in the issue: 1 v. 5, 2013. S. 51-57.
[4]	Vyklyuk Margarita Vitalievna. Radiation diagnostics of the state of the femur stump after mine-explosive wounds: Dis.c.m.s. Moscow State University of Medicine and Dentistry. -2004. 140 s.
[5]	Kulikov Valery Vladimirovich., Lufing Andrey Andreevich., Nikitin Valery Fyodorovich. Medical expert assessment of the outcomes of injuries to the extremities. // Military medical journal. 2000. No. 7. S. 13-15.
[6]	Kosinskaya Natalya Sigismundovna. Traumatic injuries of the osteoarticular apparatus of the limbs as a cause of disability. L; 1970.
[7]	Nechaev Eduard Alexandrovich., Gritsanov Alexander Ivanovich., Rukhlyada Nikolay Vasilievich., Fomin Nikolai Fyodorovich., Shapovalov Vladimir Mikhailovich. Explosive destruction. SPb: Foleant; 2002; 656 s.
[8]	Pustovoitenko Vladlen Tarasovich. The degree of atrophy of the amputation stumps of the femur and lower leg. Minsk: Belarusian Science; 2005; 155 s.
[9]	Khoshimov Bakhtiyor Lutfullayevich. Ultrasound diagnostics of purulent-inflammatory complications of open fractures of the long bones of the extremities. -2014. 39 s.
[10]	Shirikov Alexander Dmitrievich. Medical rehabilitation of disabled people from local military conflicts at the Medical Rehabilitation Center. Conceptual vision of the problem. In the book: Rehabilitation of human health. Materials of Vseros. scientific-practical conferences. M; 1995; With. 16-18.
[11]	Baumgartner Rene., Botta Pierre. Amputation und prothesenversorgungder unteren extremitat. Stuttgart; 1995; R. 462-472.
[12]	Kantemirova Raisa Kantemirovna, Burnos Alexander Alexandrovich, Povorinsky Anton Andreevich, Suslyaev Vadim Gennadievich, Fidarova Zalina Danilovna, Zalnova Irina Alexandrovna. Assessment of the physical condition and adaptation reserves of disabled elderly and senile age, who underwent amputation of the lower extremities at the stage of preparation for prosthetics. Rehabilitation – XXI century: traditions and innovations: Mat. Ist nat. congress. with Int. participation. St. Petersburg, September 1416. 2017. St. Petersburg: FNCSRI them. G. A. Albrecht, 2017. P. 185186. Russian.
[13]	Shcherbina Konstantin Konstantinovich, Suslyaev Vadim Gennadievich, Yu. B. Golubeva, A. V. Sokurov, T. V. Ermolenko, V. M. Yankovskiy. The analysis of prosthetic and orthopedic factories production in the branch of lower extremities prothesis with possibilities of import substitution // Bulletin of the Russian Military Medical Academy – 2018. – № 2 (62). – P. 90-98.
[14]	Suslyaev Vadim Gennadievich, Vladimirova Oksana Nikolaevna, Shcherbina Konstantin Konstantinovich, Sokurov Andrey Vladimirovich, Zhdanov Ivan Yurievich, Chupryaev Victor Andreevich. The role of early prosthetic help in the system of rehabilitation of the military personnel with military trauma: organizational, legal and methodical aspects. // Bulletin of the Russian Military Medical Academy. – 2018. – № 2 (62). – P. 40–47.
[15]	Suslyaev Vadim Gennadievich, Shcherbina Konstantin Konstantinovich, Smirnova Ludmila Mikhailovna, Sokurov Andrey Vladimirovich, Ermolenko Tatyana Valerievna// Medical technology of early recovery of the ability to move independently after amputation of the lower limb. Bulletin of the Russian Military Medical Academy. – 2019. – № 2 (66). – P. 101-109.

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Khasanov Rustamzhon Solievich, Shokirov Mahmutali Hotamovich, Turgunboev Farrukh Yusubjonovich, Ruziboev Dilmurod Ruzimetovich. (2022). Features of Radiologic Diagnostics in the Determination of Femoral Stump Defects in Primary Prosthetics. Journal of Family Medicine and Health Care, 8(1), 1-5. https://doi.org/10.11648/j.jfmhc.20220801.11

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ACS Style

Khasanov Rustamzhon Solievich; Shokirov Mahmutali Hotamovich; Turgunboev Farrukh Yusubjonovich; Ruziboev Dilmurod Ruzimetovich. Features of Radiologic Diagnostics in the Determination of Femoral Stump Defects in Primary Prosthetics. J. Fam. Med. Health Care 2022, 8(1), 1-5. doi: 10.11648/j.jfmhc.20220801.11

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AMA Style

Khasanov Rustamzhon Solievich, Shokirov Mahmutali Hotamovich, Turgunboev Farrukh Yusubjonovich, Ruziboev Dilmurod Ruzimetovich. Features of Radiologic Diagnostics in the Determination of Femoral Stump Defects in Primary Prosthetics. J Fam Med Health Care. 2022;8(1):1-5. doi: 10.11648/j.jfmhc.20220801.11

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@article{10.11648/j.jfmhc.20220801.11,
  author = {Khasanov Rustamzhon Solievich and Shokirov Mahmutali Hotamovich and Turgunboev Farrukh Yusubjonovich and Ruziboev Dilmurod Ruzimetovich},
  title = {Features of Radiologic Diagnostics in the Determination of Femoral Stump Defects in Primary Prosthetics},
  journal = {Journal of Family Medicine and Health Care},
  volume = {8},
  number = {1},
  pages = {1-5},
  doi = {10.11648/j.jfmhc.20220801.11},
  url = {https://doi.org/10.11648/j.jfmhc.20220801.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfmhc.20220801.11},
  abstract = {This work is based on a clinical and laboratory study of 43 patients and persons with disabilities who underwent primary prosthetics of the hip stump. Observations were carried out in the period after surgery from 1 month to 6 months in the period from 2014 to 2019 at the clinic of the National Center for Rehabilitation and Prosthetics of Persons with Disabilities. Post-traumatic amputation of limb segment most often occur in patients of young working age, which determines the great socio-economic significance and relevance of reconstructive operations. After amputation of the limb, the processes of restructuring of the tissues of the stump occur under new conditions of blood circulation. Changes in the circulatory system are associated with narrowing of blood flow and thickening of the walls of large arterial and venous vessels, as well as an increase in the number and caliber of capillaries. The defects of the stump are very diverse, these are short and excessively long stumps, the high location of truncated muscle to the skin scar, etc. Diseases of the stump (osteonecrosis, osteophytes, osteomyelitis, phantom pain, ligature fistulas and long-term non-healing wounds) and the result of technical errors in surgical interventions, wound infection and irrational prosthetics. Based on this, it is advisable to use early Doppler ultrasound and X-ray diagnostics in determining malformations and diseases of the stump in order to carry out primary prosthetics. Express prosthetics of the amputation stump in post-traumatic amputations gives a high rehabilitation effect compared to other pathologies: both vascular and other systemic pathologies. The results of complex studies are presented: clinical (orthopedic, neurological), psychological, X-ray, ultrasound, Doppler ultrasonography.},
 year = {2022}
}

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TY  - JOUR
T1  - Features of Radiologic Diagnostics in the Determination of Femoral Stump Defects in Primary Prosthetics
AU  - Khasanov Rustamzhon Solievich
AU  - Shokirov Mahmutali Hotamovich
AU  - Turgunboev Farrukh Yusubjonovich
AU  - Ruziboev Dilmurod Ruzimetovich
Y1  - 2022/02/16
PY  - 2022
N1  - https://doi.org/10.11648/j.jfmhc.20220801.11
DO  - 10.11648/j.jfmhc.20220801.11
T2  - Journal of Family Medicine and Health Care
JF  - Journal of Family Medicine and Health Care
JO  - Journal of Family Medicine and Health Care
SP  - 1
EP  - 5
PB  - Science Publishing Group
SN  - 2469-8342
UR  - https://doi.org/10.11648/j.jfmhc.20220801.11
AB  - This work is based on a clinical and laboratory study of 43 patients and persons with disabilities who underwent primary prosthetics of the hip stump. Observations were carried out in the period after surgery from 1 month to 6 months in the period from 2014 to 2019 at the clinic of the National Center for Rehabilitation and Prosthetics of Persons with Disabilities. Post-traumatic amputation of limb segment most often occur in patients of young working age, which determines the great socio-economic significance and relevance of reconstructive operations. After amputation of the limb, the processes of restructuring of the tissues of the stump occur under new conditions of blood circulation. Changes in the circulatory system are associated with narrowing of blood flow and thickening of the walls of large arterial and venous vessels, as well as an increase in the number and caliber of capillaries. The defects of the stump are very diverse, these are short and excessively long stumps, the high location of truncated muscle to the skin scar, etc. Diseases of the stump (osteonecrosis, osteophytes, osteomyelitis, phantom pain, ligature fistulas and long-term non-healing wounds) and the result of technical errors in surgical interventions, wound infection and irrational prosthetics. Based on this, it is advisable to use early Doppler ultrasound and X-ray diagnostics in determining malformations and diseases of the stump in order to carry out primary prosthetics. Express prosthetics of the amputation stump in post-traumatic amputations gives a high rehabilitation effect compared to other pathologies: both vascular and other systemic pathologies. The results of complex studies are presented: clinical (orthopedic, neurological), psychological, X-ray, ultrasound, Doppler ultrasonography.
VL  - 8
IS  - 1
ER  -

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Author Information

Khasanov Rustamzhon Solievich

National Center for Rehabilitation and Prosthetics for Persons with Disabilities, Uzbekistan, Tashkent
Shokirov Mahmutali Hotamovich

National Center for Rehabilitation and Prosthetics for Persons with Disabilities, Uzbekistan, Tashkent
Turgunboev Farrukh Yusubjonovich

National Center for Rehabilitation and Prosthetics for Persons with Disabilities, Uzbekistan, Tashkent
Ruziboev Dilmurod Ruzimetovich

National Center for Rehabilitation and Prosthetics for Persons with Disabilities, Uzbekistan, Tashkent

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Plain Text BibTeX RIS

APA Style

Khasanov Rustamzhon Solievich, Shokirov Mahmutali Hotamovich, Turgunboev Farrukh Yusubjonovich, Ruziboev Dilmurod Ruzimetovich. (2022). Features of Radiologic Diagnostics in the Determination of Femoral Stump Defects in Primary Prosthetics. Journal of Family Medicine and Health Care, 8(1), 1-5. https://doi.org/10.11648/j.jfmhc.20220801.11

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ACS Style

Khasanov Rustamzhon Solievich; Shokirov Mahmutali Hotamovich; Turgunboev Farrukh Yusubjonovich; Ruziboev Dilmurod Ruzimetovich. Features of Radiologic Diagnostics in the Determination of Femoral Stump Defects in Primary Prosthetics. J. Fam. Med. Health Care 2022, 8(1), 1-5. doi: 10.11648/j.jfmhc.20220801.11

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AMA Style

Khasanov Rustamzhon Solievich, Shokirov Mahmutali Hotamovich, Turgunboev Farrukh Yusubjonovich, Ruziboev Dilmurod Ruzimetovich. Features of Radiologic Diagnostics in the Determination of Femoral Stump Defects in Primary Prosthetics. J Fam Med Health Care. 2022;8(1):1-5. doi: 10.11648/j.jfmhc.20220801.11

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@article{10.11648/j.jfmhc.20220801.11,
  author = {Khasanov Rustamzhon Solievich and Shokirov Mahmutali Hotamovich and Turgunboev Farrukh Yusubjonovich and Ruziboev Dilmurod Ruzimetovich},
  title = {Features of Radiologic Diagnostics in the Determination of Femoral Stump Defects in Primary Prosthetics},
  journal = {Journal of Family Medicine and Health Care},
  volume = {8},
  number = {1},
  pages = {1-5},
  doi = {10.11648/j.jfmhc.20220801.11},
  url = {https://doi.org/10.11648/j.jfmhc.20220801.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfmhc.20220801.11},
  abstract = {This work is based on a clinical and laboratory study of 43 patients and persons with disabilities who underwent primary prosthetics of the hip stump. Observations were carried out in the period after surgery from 1 month to 6 months in the period from 2014 to 2019 at the clinic of the National Center for Rehabilitation and Prosthetics of Persons with Disabilities. Post-traumatic amputation of limb segment most often occur in patients of young working age, which determines the great socio-economic significance and relevance of reconstructive operations. After amputation of the limb, the processes of restructuring of the tissues of the stump occur under new conditions of blood circulation. Changes in the circulatory system are associated with narrowing of blood flow and thickening of the walls of large arterial and venous vessels, as well as an increase in the number and caliber of capillaries. The defects of the stump are very diverse, these are short and excessively long stumps, the high location of truncated muscle to the skin scar, etc. Diseases of the stump (osteonecrosis, osteophytes, osteomyelitis, phantom pain, ligature fistulas and long-term non-healing wounds) and the result of technical errors in surgical interventions, wound infection and irrational prosthetics. Based on this, it is advisable to use early Doppler ultrasound and X-ray diagnostics in determining malformations and diseases of the stump in order to carry out primary prosthetics. Express prosthetics of the amputation stump in post-traumatic amputations gives a high rehabilitation effect compared to other pathologies: both vascular and other systemic pathologies. The results of complex studies are presented: clinical (orthopedic, neurological), psychological, X-ray, ultrasound, Doppler ultrasonography.},
 year = {2022}
}

Copy | Download

TY  - JOUR
T1  - Features of Radiologic Diagnostics in the Determination of Femoral Stump Defects in Primary Prosthetics
AU  - Khasanov Rustamzhon Solievich
AU  - Shokirov Mahmutali Hotamovich
AU  - Turgunboev Farrukh Yusubjonovich
AU  - Ruziboev Dilmurod Ruzimetovich
Y1  - 2022/02/16
PY  - 2022
N1  - https://doi.org/10.11648/j.jfmhc.20220801.11
DO  - 10.11648/j.jfmhc.20220801.11
T2  - Journal of Family Medicine and Health Care
JF  - Journal of Family Medicine and Health Care
JO  - Journal of Family Medicine and Health Care
SP  - 1
EP  - 5
PB  - Science Publishing Group
SN  - 2469-8342
UR  - https://doi.org/10.11648/j.jfmhc.20220801.11
AB  - This work is based on a clinical and laboratory study of 43 patients and persons with disabilities who underwent primary prosthetics of the hip stump. Observations were carried out in the period after surgery from 1 month to 6 months in the period from 2014 to 2019 at the clinic of the National Center for Rehabilitation and Prosthetics of Persons with Disabilities. Post-traumatic amputation of limb segment most often occur in patients of young working age, which determines the great socio-economic significance and relevance of reconstructive operations. After amputation of the limb, the processes of restructuring of the tissues of the stump occur under new conditions of blood circulation. Changes in the circulatory system are associated with narrowing of blood flow and thickening of the walls of large arterial and venous vessels, as well as an increase in the number and caliber of capillaries. The defects of the stump are very diverse, these are short and excessively long stumps, the high location of truncated muscle to the skin scar, etc. Diseases of the stump (osteonecrosis, osteophytes, osteomyelitis, phantom pain, ligature fistulas and long-term non-healing wounds) and the result of technical errors in surgical interventions, wound infection and irrational prosthetics. Based on this, it is advisable to use early Doppler ultrasound and X-ray diagnostics in determining malformations and diseases of the stump in order to carry out primary prosthetics. Express prosthetics of the amputation stump in post-traumatic amputations gives a high rehabilitation effect compared to other pathologies: both vascular and other systemic pathologies. The results of complex studies are presented: clinical (orthopedic, neurological), psychological, X-ray, ultrasound, Doppler ultrasonography.
VL  - 8
IS  - 1
ER  -

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