I.F. AKHTYAMOV^1,2, B.G. ZIATDINOV¹, T.A. KILMETOV¹, G.G. GARIFULLOV²

¹Kazan State Medical University, 49 Butlerov Str., Kazan, Russian Federation, 420012

²Republic Clinical Hospital of the MH of RT, 138 Orenburgskiy  Trakt, Kazan, Russian Federation, 420064

 Akhtyamov I.F. ― D. Med. Sc., Professor, Head of the Department of Traumatology, Orthopedics and Surgery of Extreme Conditions, Chief Researcher of the Research Department, tel. +7-905-315-01-50, е-mail: yalta60@mail.ru

Ziatdinov B.G. ― Assistant of the Department of Traumatology, Orthopedics and Surgery of Extreme Conditions, tel. +7-927-242-18-48, e-mail: ziatdinov.b@gmail.ru

Kilmetov T.A. ― Assistant of the Department of Traumatology, Orthopedics and Surgery of Extreme Conditions, tel. +7-917-286-78-27, e-mail: t.kilmetov@gmail.com

Garifullov G.G. ― Cand. Med. Sc., Head of the Traumatology Department, tel. +7-919-637-55-77, e-mail: gamgg@mail.ru

 Comparative analysis was conducted of the efficiency of the author’s method of prevention of thromboembolic complications in patients with primary and revision arthroplasty. 110 patients participated in the study, including 51 (46.36%) men and 59 (53.64%) women who underwent arthroplasty for degenerative lesions (56 patients) or periprosthetic infection (54 patients) of the hip joint. Each of these clinical and laboratory studies had been conducted before and ten days after the intervention. The diagnosis of thrombosis of the foundation was based on a stage ultrasound scanning of deep veins. Electroneurostimulation of calf muscles of the patient was applied in 15 cases of primary total arthroplasty, and in each case of the two-stage revision intervention; we compared the results of 4-6 and 1-3 times a day impact on leg muscles. Statistical analysis of biological markers (clinical and biochemical analyzes of blood and coagulation), the evaluation of thrombosis risk factors, the volume of intervention and the use of different types of prosthesis fixation led to the following conclusions. The proposed method of preventing the lower limbs thrombosis at the major joint arthroplasty in patients with high risk of hemostatic complications is more effective than the traditional approach, both in patients with periprosthetic infection (1.64 times) and in patients with primary arthroplasty (3.64 times).

Key words: arthroplasty, complications, deep vein thrombosis, electroneurostimulation of muscles.

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