Optimization of Postoperative Period Management in Patients with Axial Deformities of Lower Extremities

Peculiarities of postoperative period management are presented for 186 patients with axial lower limb deformities. In the main group (n=95) computer technologies to plan the outcomes and control the treatment course as well as drug prevention of possible complications, i.e. deep vein thrombosis and deformity relapse, were used. In control group (n=91) such measures were not used. Results were assessed at the stage of correction completion, after external fixation device removal and at terms from 1 to 3 years after discharge. In control group the indices of mean duration of correction (11.1±0.2 days), fixation (29.8±0.5 days) and overall term of treatment (47.9±0.6 days) were statistically significant (p<0.01) higher as compared to main group - 8.9±0.1, 20.4±0.5 and 36.1±0.5, respectively. Deep vein thrombosis developed in 2 patients from the control group, no such complication was observed in the main group. In the long-term period in the main group only excellent (29.7%) and good (70.3%) results were recorded, while in control group excellent results were achieved in12.8%, good - in 80%, satisfactory - in 4.3% and poor (deformity relapse) - in 2.9% of cases.

axial deformities, computer technologies, prevention of complications