FEATURES OF REARFOOT INJURIES IN PATIENTS WITH MULTISYSTEM TRAUMA

Background. Rearfoot injuries occur 2.5 times more often in a multisystem trauma than in patients with an isolated injury. The foot trauma is often misdiagnosed at the stage of intensive care treatment. Up to 22% of victims with foot injuries become disabled.Aim of the study. The aim of the study is...

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Main Authors: V. B. Bondarev, V. O. Kalensky, P. A. Ivanov
Format: Article
Language:Russian
Published: Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department 2016-06-01
Series:Неотложная медицинская помощь
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Online Access:https://www.jnmp.ru/jour/article/view/272
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author V. B. Bondarev
V. O. Kalensky
P. A. Ivanov
author_facet V. B. Bondarev
V. O. Kalensky
P. A. Ivanov
author_sort V. B. Bondarev
collection DOAJ
description Background. Rearfoot injuries occur 2.5 times more often in a multisystem trauma than in patients with an isolated injury. The foot trauma is often misdiagnosed at the stage of intensive care treatment. Up to 22% of victims with foot injuries become disabled.Aim of the study. The aim of the study is to determine distinctive characteristics of rearfoot injuries in patients with multisystem trauma.Material and methods. We peformed a retrospective study of 89 cases of rearfoot injuries in patients admitted to the N.V. Sklifosovsky Research Institute for Emergency Medicine in 2011–2013.Results. There were 128 calcaneus and talus fractures. Middle-aged male patients (39±14.5 years) prevailed.Conclusion. We found several peculiarities: the common mechanism of an injury was the fall from a height (64%). Up to 40% of patients with multisystem trauma had injuries of two and more anatomic areas. The multisystem spinal (lower thoracic and lumbar) injury was detected in 29% of patients. In 38% of cases we revealed polysegmental fractures of lower limbs. In patients with polytrauma, multiple foot injuries were diagnosed in 31 cases (35%), most common were bilateral calcaneus fractures. We also diagnosed 60% of Gustilo and Anderson open fractures of III type.
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spelling doaj-art-826a8484ded64adf8643ecc23f0fc9f22025-08-20T03:56:38ZrusSklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare DepartmentНеотложная медицинская помощь2223-90222541-80172016-06-01022024268FEATURES OF REARFOOT INJURIES IN PATIENTS WITH MULTISYSTEM TRAUMAV. B. Bondarev0V. O. Kalensky1P. A. Ivanov2N.V. Sklifosovsky Research Institute for Emergency MedicineN.V. Sklifosovsky Research Institute for Emergency MedicineN.V. Sklifosovsky Research Institute for Emergency MedicineBackground. Rearfoot injuries occur 2.5 times more often in a multisystem trauma than in patients with an isolated injury. The foot trauma is often misdiagnosed at the stage of intensive care treatment. Up to 22% of victims with foot injuries become disabled.Aim of the study. The aim of the study is to determine distinctive characteristics of rearfoot injuries in patients with multisystem trauma.Material and methods. We peformed a retrospective study of 89 cases of rearfoot injuries in patients admitted to the N.V. Sklifosovsky Research Institute for Emergency Medicine in 2011–2013.Results. There were 128 calcaneus and talus fractures. Middle-aged male patients (39±14.5 years) prevailed.Conclusion. We found several peculiarities: the common mechanism of an injury was the fall from a height (64%). Up to 40% of patients with multisystem trauma had injuries of two and more anatomic areas. The multisystem spinal (lower thoracic and lumbar) injury was detected in 29% of patients. In 38% of cases we revealed polysegmental fractures of lower limbs. In patients with polytrauma, multiple foot injuries were diagnosed in 31 cases (35%), most common were bilateral calcaneus fractures. We also diagnosed 60% of Gustilo and Anderson open fractures of III type.https://www.jnmp.ru/jour/article/view/272polytraumacalcaneus fracturestalus fractures
spellingShingle V. B. Bondarev
V. O. Kalensky
P. A. Ivanov
FEATURES OF REARFOOT INJURIES IN PATIENTS WITH MULTISYSTEM TRAUMA
Неотложная медицинская помощь
polytrauma
calcaneus fractures
talus fractures
title FEATURES OF REARFOOT INJURIES IN PATIENTS WITH MULTISYSTEM TRAUMA
title_full FEATURES OF REARFOOT INJURIES IN PATIENTS WITH MULTISYSTEM TRAUMA
title_fullStr FEATURES OF REARFOOT INJURIES IN PATIENTS WITH MULTISYSTEM TRAUMA
title_full_unstemmed FEATURES OF REARFOOT INJURIES IN PATIENTS WITH MULTISYSTEM TRAUMA
title_short FEATURES OF REARFOOT INJURIES IN PATIENTS WITH MULTISYSTEM TRAUMA
title_sort features of rearfoot injuries in patients with multisystem trauma
topic polytrauma
calcaneus fractures
talus fractures
url https://www.jnmp.ru/jour/article/view/272
work_keys_str_mv AT vbbondarev featuresofrearfootinjuriesinpatientswithmultisystemtrauma
AT vokalensky featuresofrearfootinjuriesinpatientswithmultisystemtrauma
AT paivanov featuresofrearfootinjuriesinpatientswithmultisystemtrauma