To Conduct A Comparative Assessment Of The Dynamics Of Tissue Microcirculation In Uncomplicated Post-Traumatic Period
Keywords:
Distal forearm fractures, distal radius fractures, microcirculation, laser Doppler flowmetry, thermography, complex regional pain syndrome, minimally invasive osteosynthesisAbstract
Distal forearm fractures are among the most common injuries of the musculoskeletal system, accounting for a large proportion of upper limb trauma. Distal radius fractures represent the majority of these injuries and frequently occur in middle aged and elderly patients, often associated with osteoporosis and minimal trauma. Conventional treatment methods such as prolonged plaster immobilization may lead to complications including secondary fragment displacement, joint stiffness, contractures, and the development of complex regional pain syndrome. Despite advances in surgical techniques, early diagnostic criteria and differentiated treatment approaches for preventing these complications remain insufficiently developed. This study aimed to develop a scientifically based system for comprehensive diagnosis and treatment of distal metaphyseal forearm fractures using minimally invasive techniques combined with instrumental assessment of tissue microcirculation. The research utilized clinical examination together with laser Doppler flowmetry and thermography to analyze microcirculatory dynamics and identify early pathological changes associated with post traumatic complications. The results demonstrated that specific microcirculatory patterns, including deficits in sympathetic regulation, decreased vasoconstrictor response, and redistribution of blood flow toward deeper tissue layers, were early indicators of pathological processes. Thermographic findings such as diffuse hyperthermia of the hand and fingers also provided reliable early diagnostic markers. Implementation of minimally invasive osteosynthesis methods combined with early diagnostic monitoring improved anatomical restoration of the wrist joint and reduced rehabilitation time and disability. The findings suggest that integrating microcirculatory diagnostics with modern fixation techniques can significantly improve treatment outcomes and enable earlier detection and prevention of complex regional pain syndrome in patients with distal forearm fractures.
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