RESUMO
Complex examination of peripheral hemodynamics with rheovasography, US-dopplerography and laser flowmetry was carried out in 67 patients with posttraumatic osteomyelitis of leg bones. In these patients before treatment there were sings of functional spasm of popliteal artery, increase of circulatory resistance in the bed of anterior and posterior tibial arteries, decrease of precapillary vessels reactivity by hypertonic type, decrease of capillary elasticity, their spasm, difficulty of blood outflow from great and middle veins. During treatment by transsosseous osteosynthesis main-changed type of blood flow, unstable vascular tones, decrease of greater artery elasticity, hypertoe of pre- and postcapillary small vessels were found. After treatment normalization of vascular tone, balance of status of pre- and postcapillary vessels, normal reaction of capillaries to functional test were demonstrated.
Assuntos
Fraturas Ósseas/complicações , Traumatismos da Perna/complicações , Perna (Membro)/irrigação sanguínea , Osteomielite/etiologia , Adolescente , Adulto , Feminino , Fixação Interna de Fraturas , Hemodinâmica , Humanos , Fluxometria por Laser-Doppler , Microcirculação , Pessoa de Meia-Idade , Reologia , Ultrassonografia DopplerRESUMO
To estimate the influence of preosseous compressive, osteosynthesis after Ilizarov on the intramuscular pressure, it was determined in the dynamics of treatment in 35 patients with fresh fractures and defects of the leg bones. The parameters of the intramuscular pressure failed to achieve the critical levels of closing the arteriolar bed.