N 2 (183) 2023. P. 61–66

CLINICAL AND NOSOLOGICAL CHARACTERISTICS OF INJURIES OF THE LOWER EXTREMITY BELT IN PATIENTS WITH FRACTURES ON THE BACKGROUND OF COVID-19

S. O. Guryev, P. V. Tanasienko, Ye. O. Skobenko

1 SI “Ukrainian Scientific and Practical Center of Emergency Medical Aid and Disaster Medicine of the Ministry of Health of Ukraine”, Kyiv, Ukraine

2 National Pirogov Memorial Medical University, Vinnytsia, Ukraine

3 SSI “Center for Innovative Medical Technologies of the National Academy of Sciences of Ukraine”, Kyiv, Ukraine

DOI 10.32782/2226-2008-2023-2-11

The clinical and nosological characteristics of fractures in patients with COVID-19 make it possible to assess both the effect of the virus itself and the features of the course of fractures against the background of infection, which in turn will allow a detailed study and analysis of the available clinical and nosological aspects of this scientific problem. The aim of our study was to analyze the clinical and nosological characteristics of lower limb girdle injuries in patients with fractures against the background of COVID-19 and to compare it with the clinical and nosological characteristics of lower limb girdle injuries in the “pre-war period”. To carry out our research, we retrospectively analyzed the treatment of 289 trauma patients who underwent inpatient treatment in one of the city hospitals of Kyiv from 2019 to 2021. In the period of the COVID-19 pandemic, the most common injuries were to bones (29.2%), diaphysis of the lower leg (16.9%) and epiphysis of the lower leg (15.4%), in the pre-war period, fractures of the bones (23.2%), diaphysis were most often found lower leg (19.6%) and proximal part of the thigh (16.1%). In the main array, among patients with injuries to the girdle of the lower extremities, fractures of the lower leg (41.5%) and ankle-foot joint (32.3%) prevailed; in the pre-epidemic period, fractures of the tibia (42.8%) prevailed among patients with injuries to the girdle of the lower extremities and thighs (32.1%). Among patients with fractures against the background of COVID-19, simple fractures of type A (55.4%), somewhat less often fragmentary fractures of type B (36.9%) and rarely multifragmentary type C (7.7%) were detected in the same before the epidemic, approximately the same level of type A and type B fractures was recorded, but twice as many multifragmentary type C fractures were recorded. The COVID-19 pandemic probably had a significant impact on the clinical and nosological structure of bone fractures of the lower extremities, which is primarily a consequence of changes in the active lifestyle of the populat ion.

Key words: pandemic, COVID-19, fractures, lower extremity, clinical and nosological characteristics.

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