Prevention of thrombovenose complications in patients with fractures of crus bones

In this article, the results of prophylaxis of thrombovenous complications in the fractures of the shin bones in the department of Traumatology of the Regional Clinical Hospital of the Republic of Mordovia “RKB no. 4” in Saransk are considered. In the course of the study, an analysis of the medical history and clinical material in the Department of Traumatology of the Regional Clinical Hospital of the Republic of Mordoviaa “RKB no. 4” in Saransk was carried out to retrospectively identify patients with a high rsk of thrombovenous complications in fractures of long tubular bones. A retrospective analysis of the clinical material showed that the vast majority of patients - 52 (81.2%), who are supposed to perform osteosynthesis of the shin bones, belong to the groups of the medium and high risk of thromboembolic complications. The most significant risk factor for postoperative thrombovenous complications was the age of the patient - over 40 years old. Among the 64 patients with bone fractures observed in 16 cases, there was a clinical manifestation of thrombovenous complications, which amounted to 25%. Performing osteosynthesis of the leg bones with an isolated trauma on the first day after the trauma reduces the risk of thrombovenous complications by a factor of 3. Analysis of the timing of development of thrombovenous complications that the maximum number of patients with diagnosed thrombophlebitis 56.3% (n = 9) falls on the 14th day after the trauma. The earliest time for the detection of thrombovenous complications in patients with fractures of the lower leg was 4 days after injury (n = 2, 12.4%).