"Results of prevention of thromboembolic complications in patients with traumatological profile"

Shirokov I. I., Ippolitov I. Y., Pixin I. N., Kistkin A. I., Abinova A. V.

In the article discusses the results of the prevention of thrombovenous complications in patients with a trauma profile in the Department of Traumatology of the hospital of Saransk. The case histories of 168 patients with fractures of the lower extremities who were treated in the emergency department of the Republic of Mordovia, Saransk Republic of Mordovia, were treated in the period from 2016 to 2017. All patients were divided into two groups: a group of patients who received standard heparin for the prevention of thrombotic complications, and a group of patients who received clexane for the prevention of thrombotic complications. The total number of complications in the heparin group was 48 cases (58.5%), while in the group of clexan - 24 cases (27.9%). The total percentage of complications in all observed patients with injuries of the musculoskeletal system was 42.8% (n = 72). The results we obtained allow us to consider the use of heparin for the prevention of thrombovenous complications in injuries of the musculoskeletal system possible only for vital reasons in the absence of other anticoagulants.

Keywords:diaphyseal fractures, prophylaxis of thrombovenous complications