[Predictors of a knee-joint preserving during high amputation of the lower extremity in a purulent-necrotic complications of obliterating angiopathy].

The causes, influencing possibility of a knee joint preservation, when performing tne lower extremity high amputation, were analyzed in 65 patients while occurrence of purulent-necrotic complications of obliterating angiopathy. In accordance to results of logistic regression the value of comorbidity index 4 and more have appeared significant as a predictor of impossibility to preserve a knee joint. In its bigger or lesser values a success or failure of transtibial amputation is possible.

[Transtibial amputation of the lower extremity in patients with ischemic foot contracture].

The results of operative treatment of 8 patients was analyzed, in whom the lower extremity amputation on the upper third of the shin was performed for severe stage of the ischemic foot contacture. Operative interventions is expedient to perform in a specialized stationary, were exists possibility of further prosthesis. It is necessary to perform the extremity amputation in a residual period of the foot ischemic contracture, when operations for restoration of the sole sensitivity are nonperspective as well as in presence of severe trophic disorders on the sole and the shin, but without purulent--necrotic signs. Confirmed data of clinic--instrumental investigations for chronic course of the ischemic process constitutes an absolute indication for operation.

[Bacteriological investigation and treatment strategies of patients with diabetic foot complicated by purulent necrosis]. / Bakteriolohichne doslidzhennia ta taktyka likuvannia khvorykh z diabetychnoiu stopoiu, uskladnenoiu hniino-nekrotychnym urazhenniam.

Results of examination of 48 patients with diabetic foot (DF), in whom bacteriological investigation of tissues was conducted on various distance from inflammatory focus and in the blood serum (in 30 patients), were analyzed. The role of endogenous mechanism of infection and spread of microorganisms far away the purulent focus borders was established. The data obtained are permitting to perform rational treatment of patients with DF.

[Compartment syndrome in patients with diabetic foot syndrome complicated by purulent necrotic lesions]. / Kompartment-sindrom u khvorykh z syndromom diabetychnoï stopy, uskladnenym hniino-nekrotychnym urazhenniam.

Results of treatment of 35 patients with syndrome of diabetic foot (SDF), complicated by purulent-necrotic affection occurrence, were analyzed. Impact of compartment syndrome in this situation was established. The data obtained would promote the improvement of results of treatment in patients with SDF.