[Prevention and treatment of venous thromboembolic complications in orthopedic patients]. / Kompleksnaya profilaktika i lechenie venoznykh tromboembolicheskikh oslozhnenii u patsientov ortopedicheskogo profilya.

OBJECTIVE: To analyze the comprehensive program for prevention of thromboembolic complications in orthopedic patients. MATERIAL AND METHODS: We have analyzed thromboembolic complications in orthopedic patients after surgeries on large joints over the past 5 years (2018-2022). CONCLUSION: A comprehensive approach to prevention and treatment of thromboembolic complications including ultrasound, early surgical prevention of pulmonary embolism can significantly improve postoperative outcomes after joint replacement surgery. Vacuum aspiration retrograde thrombectomy is effective, feasible and safe for acute ilio-femoral venous thrombosis reducing hospital-stay (p=0.0124) and restoring vein patency. Widespread thromboembolic complications, especially for pulmonary embolism in 2022, are likely due to a new coronavirus infection and require careful screening of patients with risk factors with appropriate preventive antithrombotic therapy.

[Interstitial administration of platelet-enriched autoplasma (PEA) in treatment of lower limb ischaemia].

Along with reconstructive operations, stimulation of neoangiogenesis is one of the methods of treatment for patients suffering from chronic obliterating diseases of arteries of the lower extremities. Cellular transplantation for these purposes has been used in clinical practice only during the last several years. However, the problem concerning an optimal type of cellular material still remains to be solved. The authors carried out comparison between administration of platelet-enriched autoplasma (PEA) in order to stimulate neoangiogenesis and the use of autologous blood according to the Bytok technique. It was demonstrated that judging by such parameters as an increased distance of pain-free walking and an increase in the ankle-brachial index six months after surgery, the use of PEA turned out more efficient.