Clinical observation of a victim with an open comminuted III B (Gustilo – Anderson) fracture of the bones of the left forearm and extensive skin undermining of the left shoulder, forearm and hand
A. V. Klimov, 
R. G. Avanesyan,
S. N. Chernyaev,
D. V. Shinkarenko,
A. L. Ogloblin,
I. A. Soloviev,
E. O. Bakasova,
Yu. A. Spesivtsev,
M. Yu. Pletnev
R. G. Avanesyan,
S. N. Chernyaev,
D. V. Shinkarenko,
A. L. Ogloblin,
I. A. Soloviev,
E. O. Bakasova,
Yu. A. Spesivtsev,
M. Yu. Pletnev https://doi.org/10.24884/0042-4625-2025-184-1-82-88
Abstract
The OBJECTIVE was to demonstrate the result of surgical treatment of a victim with an occupational trauma, which included an open comminuted fracture of the bones of the left forearm with partial skin loss and skin undermining from the hand to the upper third of the shoulder. The patient suffered a high-energy occupational trauma as a result of the left upper extremity getting into a machine tool. At the prehospital stage, the ambulance team applied a tourni quet on the upper third of the shoulder and aseptic dressing. When the patient was admitted to the shock room, the patient was examined by the multidisciplinary team. The left upper extremity was assessed by visual examination and additional study methods (radiography, soft tissue ultrasound and ultrasonic dopplerography of vessels). Based on the results of the examination and studies, the decision was made to carry out treatment in several stages.
About the Authors
A. V. Klimov
St. Petersburg State Pediatric Medical University; City Mariinsky Hospital
Russian Federation
Competing Interests:
Russian Federation
Klimov Alexey V., Cand. of Sci. (Med.), Associate Professor of the Department of General Surgery with a Course of Endoscopy, St. Petersburg State Pediatric Medical University; Surgeon of the 5th Surgical Department, City Mariinsky Hospital
2, Litovskaya str., Saint Petersburg, 194100
56, Liteyny str., Saint Petersburg, 191014
Competing Interests:
The authors declare no conflict of interest.
R. G. Avanesyan
St. Petersburg State Pediatric Medical University; City Mariinsky Hospital
Russian Federation
Competing Interests:
Russian Federation
Avanesyan Ruben G., Dr. of Sci. (Med.), Associate Professor, Head of the Department of General Surgery with a Course of Endoscopy, St. Petersburg State Pediatric Medical University; Surgeon of the of 4th Surgical Department, City Mariinsky Hospital
2, Litovskaya str., Saint Petersburg, 194100
56, Liteyny str., Saint Petersburg, 191014
Competing Interests:
The authors declare no conflict of interest.
S. N. Chernyaev
St. Petersburg State Pediatric Medical University; City Mariinsky Hospital
Russian Federation
Competing Interests:
Russian Federation
Chernyaev Sergey N., Cand. of Sci. (Med.), Associate Professor of the Department of Extreme Medicine, Traumatology, Orthopedics and Military Surgery, St. Petersburg State Pediatric Medical University; Head of the Department of Traumatology and Orthopedics, City Mariinsky Hospital
2, Litovskaya str., Saint Petersburg, 194100
56, Liteyny str., Saint Petersburg, 191014
Competing Interests:
The authors declare no conflict of interest.
D. V. Shinkarenko
St. Petersburg State Pediatric Medical University; City Mariinsky Hospital
Russian Federation
Competing Interests:
Russian Federation
Shinkarenko Dmitriy V., Assistant of the Department of Extreme Medicine, Traumatology, Orthopedics and Military Surgery, St. Petersburg State Pediatric Medical University; Orthopedic Traumatologist of the Department of Traumatology and Orthopedics, City Mariinsky Hospital
2, Litovskaya str., Saint Petersburg, 194100
56, Liteyny str., Saint Petersburg, 191014
Competing Interests:
The authors declare no conflict of interest.
A. L. Ogloblin
St. Petersburg State Pediatric Medical University; City Mariinsky Hospital
Russian Federation
Competing Interests:
Russian Federation
Ogloblin Alexander L., Dr. of Sci. (Med.), Associate Professor of the Department of General Surgery with a Course of Endoscopy, St. Petersburg State Pediatric Medical University; Surgeon of the 5th Surgical Department, City Mariinsky Hospital
2, Litovskaya str., Saint Petersburg, 194100
56, Liteyny str., Saint Petersburg, 191014
Competing Interests:
The authors declare no conflict of interest.
I. A. Soloviev
St. Petersburg State Pediatric Medical University; Military Medical Academy; City Mariinsky Hospital
Russian Federation
Competing Interests:
Russian Federation
Soloviev Ivan A., Dr. of Sci. (Med.), Professor of the Department of Hospital Surgery, St. Petersburg State Pediatric Medical University; Associate Professor of the Department of Naval Surgery, Military Medical Academy; Deputy Chief Physician for Surgery, City Mariinsky Hospital
2, Litovskaya str., Saint Petersburg, 194100
56, Liteyny str., Saint Petersburg, 191014
56, Liteyny str., Saint Petersburg, 191014
Competing Interests:
The authors declare no conflict of interest.
E. O. Bakasova
St. Petersburg State Pediatric Medical University
Russian Federation
Competing Interests:
Russian Federation
Bakasova Ekaterina O., 6th year Student of the Faculty of Medicine, North-Western State Medical University named after I.I. Mechnikov; Laboratory Assistant of the Department of General Surgery with a Course of Endoscopy, St. Petersburg State Pediatric Medical University
2, Litovskaya str., Saint Petersburg, 194100
Competing Interests:
The authors declare no conflict of interest.
Yu. A. Spesivtsev
St. Petersburg State Pediatric Medical University; City Mariinsky Hospital
Russian Federation
Competing Interests:
Russian Federation
Spesivtsev Yury A., Dr. of Sci. (Med.), Professor of the Department of General Surgery with a Course of Endoscopy
2, Litovskaya str., Saint Petersburg, 194100
56, Liteyny str., Saint Petersburg, 191014
Competing Interests:
The authors declare no conflict of interest.
M. Yu. Pletnev
St. Petersburg State Pediatric Medical University; City Mariinsky Hospital
Russian Federation
Competing Interests:
Russian Federation
Pletnev Maxim Yu., Assistant of the Department of General Surgery with a Course of Endoscopy, St. Petersburg State Pediatric Medical University; Head of the 4th Surgical Department, City Mariinsky Hospital
2, Litovskaya str., Saint Petersburg, 194100
56, Liteyny str., Saint Petersburg, 191014
Competing Interests:
The authors declare no conflict of interest.
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For citations:
Klimov A.V., Avanesyan R.G., Chernyaev S.N., Shinkarenko D.V., Ogloblin A.L., Soloviev I.A., Bakasova E.O., Spesivtsev Yu.A., Pletnev M.Yu. Clinical observation of a victim with an open comminuted III B (Gustilo – Anderson) fracture of the bones of the left forearm and extensive skin undermining of the left shoulder, forearm and hand. Grekov's Bulletin of Surgery. 2025;184(1):82-88. (In Russ.) https://doi.org/10.24884/0042-4625-2025-184-1-82-88
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