Possibilities of rehabilitation in atherosclerosis of arteries of the lower limbs in combination with diabetes
- Authors: Spiridonova V.S.1, Sklyarenko R.T.1, Churzin O.A.1, Antonov D.V.2, Omarov M.S.3
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Affiliations:
- St. Petersburg Institute of Advanced Training of Doctors-Experts
- Hospital for veterans of wars
- Main Bureau of Medical and Social Expertise in the Moscow
- Issue: Vol 24, No 2 (2021)
- Pages: 29-32
- Section: Expertise and rehabilitation
- URL: https://rjmseer.com/1560-9537/article/view/75467
- DOI: https://doi.org/10.17816/MSER75467
- ID: 75467
Cite item
Abstract
BACKGROUND: According to the World Health Organization, more than 17 million people die from cardiovascular diseases every year in the world. Coronary heart disease is the leading cause of death in industrialized countries.
AIMS: To evaluate the immediate result of treatment by revascularization of the limb and organ-preserving surgical interventions for purulent-necrotic lesions of the feet, neuropathic form of diabetic foot with osteoarthropathy in chronic arterial insufficiency of the IV degree.
MATERIAL AND METHODS: In the paper, the authors investigated possible treatments with different limb lesions in patients diagnosed with diabetes mellitus. Since in this disease there are complications on the cardiovascular system, most people are diagnosed with obliterating atherosclerosis, which leads to slow necrosis of the limbs. This causes diabetes patients, not only severe pain and an aesthetically unsightly state of the body, but also noticeably worsens the quality of life.
RESULTS: With a consolidated approach to this problem, endocrinologists and cardiovascular surgeons developed and tested the method of endascular surgery. Patients diagnosed with obliterating lower extremity vascular atherosclerosis against the background of diabetes mellitus with trophic and necrotic lesions of the peripheral lower extremities underwent enduscular surgery to revascularize the limb, which showed not just positive immediate treatment results, but gave opportunities to preserve patients’ limbs.
CONCLUSION: Timely recognition and treatment of purulent-necrotic lesions of the feet, the neuropathic form of diabetic foot with osteoarthropathy requires an interdisciplinary approach and close cooperation of doctors of different specialties - endocrinologists, surgeons, podiatrists, orthopedists, general practitioners, etc. Only if these conditions are met, it is possible to achieve significant success and minimize the number of irreversible deformities and amputations of the feet, the weighting of disability groups.
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About the authors
Vera S. Spiridonova
St. Petersburg Institute of Advanced Training of Doctors-Experts
Author for correspondence.
Email: verushas@rambler.ru
MD, Cand. Sci. (Med.), Assistant Professor
Russian Federation, 11/12 Bolshoy Sampsoniyevsky ave., Saint Petersburg, 194044Rimma T. Sklyarenko
St. Petersburg Institute of Advanced Training of Doctors-Experts
Email: solovei_rimma@bk.ru
MD, Dr. Sci. (Med.), Professor
Russian Federation, 11/12 Bolshoy Sampsoniyevsky ave., Saint Petersburg, 194044Oleg A. Churzin
St. Petersburg Institute of Advanced Training of Doctors-Experts
Email: ochurzin@yandex.ru
MD, Cand. Sci. (Med.), Assistant Professor
Russian Federation, 11/12 Bolshoy Sampsoniyevsky ave., Saint Petersburg, 194044Dmitry V. Antonov
Hospital for veterans of wars
Email: angiogvv@rambler.ru
MD
Russian Federation, Saint PetersburgMagomed S. Omarov
Main Bureau of Medical and Social Expertise in the Moscow
Email: msomk@mail.ru
MD, Dr. Sci. (Med.)
Russian Federation, MoscowReferences
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- Sklyarenko RT, Dovgalyuk AZ, Omarov MA, et al. Clinical and expert characteristics of persistent functional disorders in surgical diseases and the possibility of rehabilitation: a manual for doctors. Ed. by R.T. Sklyarenko. Saint Petersburg: Publishing house of the A.I. Herzen Russian State Pedagogical University; 2017. 718 p. (In Russ).