FEATURES OF SURGICAL TREATMENT OF COMBINED GUNSHOT WOUNDS OF THE HIP JOINT

Authors

  • Eduard Horoshun Military Medical Clinical Center of the Northern Region of the MFC of the AF of Ukraine, Kharkiv; Kharkiv National Medical University., Ukraine https://orcid.org/0000-0003-1258-1319
  • Stanislav Bondarenko Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv, Ukraine https://orcid.org/0000-0003-2463-5919
  • Yurii Klapchuk Military Medical Clinical Center of the Northern Region of the MFC of the AF of Ukraine, Kharkiv; Kharkiv National Medical University, Ukraine https://orcid.org/0000-0003-1903-959X
  • Volodymyr Nehoduiko Military Medical Clinical Center of the Northern Region of the MFC of the AF of Ukraine, Kharkiv; Kharkiv National Medical University, Ukraine https://orcid.org/0000-0003-4540-5207
  • Bogdan Petrenko Military Medical Clinical Center of the Northern Region of the MFC of the AF of Ukraine, Kharkiv; Kharkiv National Medical University, Ukraine https://orcid.org/0009-0004-9349-5141
  • Vladyslav Golopych Military Medical Clinical Center of the Northern Region of the MFC of the AF of Ukraine, Kharkiv; Kharkiv National Medical University, Ukraine https://orcid.org/0009-0005-2772-4572
  • Oleksandr Netetskiy Military Medical Clinical Center of the Northern Region of the MFC of the AF of Ukraine, Kharkiv; Kharkiv National Medical University., Ukraine https://orcid.org/0009-0007-0274-3261

DOI:

https://doi.org/10.15674/0030-5987202545-16

Keywords:

Gunshot wound, hip joint, pelvis, hip arthroplasty, level of medical care

Abstract

A retrospective analysis of surgical treatment is given 7 patients with combined gunshot wounds pelvis and hip joint. Objective. Analyze the results and determine the features of treatment of victims with gunshot wounds to the pelvis and hip joint. Methods. Patients with combined gunshot wounds to the pelvis and hip joint were distributed according to age, the nature of the fracture of the bone, current of the pelvis and proximal thigh, the nature of injuries to the internal organs of the abdominal cavity and pelvis, main nerves, the duration of the total hip arthroplasty (THA), the presence of infectious complications during treatment with the release of pathogen, the period of observation and the assessment on the scale Harris Hip Score (HHS). Analysis of combined firearms wounds of the pelvis and hip joint were carried out comprehensively with the involvement of a multidisciplinary team of specialists (abdominal and vascular surgeons, traumatologist, urologist, proctologist). Results. On the basis of statistical analysis, it was found that among 7 patients with average age 41.1 years, THA was completed in 5/7 (71 %). Medium term to THA (among those who underwent arthroplasty) was 17.0 months. Infectious complications were observed in 57 % of patients: Klebsiella pneumoniae and Klebsiella pneumoniae, Pseudomonas aeruginosa. In case of detected infection or questionable sterility, a two-stage treatment strategy is needed, that has better performance infection control after eradication of infection. Conclusions. In our opinion, the treatment algorithms in the case of gunshot wounds joint injuries of the hip joint will make it possible to reduce the level of infectious complications and improve the reproduction of results of treatment in this category of victims.

Author Biographies

Eduard Horoshun, Military Medical Clinical Center of the Northern Region of the MFC of the AF of Ukraine, Kharkiv; Kharkiv National Medical University.

MD, PhD

Stanislav Bondarenko, Sytenko Institute of Spine and Joint Pathology National Academy of Medical Sciences of Ukraine, Kharkiv

MD, DMSci

Yurii Klapchuk, Military Medical Clinical Center of the Northern Region of the MFC of the AF of Ukraine, Kharkiv; Kharkiv National Medical University

MD, PhD

Volodymyr Nehoduiko, Military Medical Clinical Center of the Northern Region of the MFC of the AF of Ukraine, Kharkiv; Kharkiv National Medical University

MD, DMSci

Oleksandr Netetskiy, Military Medical Clinical Center of the Northern Region of the MFC of the AF of Ukraine, Kharkiv; Kharkiv National Medical University.

MD

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How to Cite

Horoshun, E., Bondarenko, S., Klapchuk, Y., Nehoduiko, V., Petrenko, B., Golopych, V., & Netetskiy, O. (2025). FEATURES OF SURGICAL TREATMENT OF COMBINED GUNSHOT WOUNDS OF THE HIP JOINT. ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, (4), 5–16. https://doi.org/10.15674/0030-5987202545-16

Issue

No. 4 (2025)

Section

ORIGINAL ARTICLES

License

Copyright (c) 2025 Eduard Horoshun, Stanislav Bondarenko, Yurii Klapchuk, Volodymyr Nehoduiko, Bogdan Petrenko, Vladyslav Golopych, Oleksandr Netetskiy

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