Main factors that cause negative complications of foot function after receiving mechanical traumatic injuries
DOI:
https://doi.org/10.12775/JEHS.2021.11.08.059Keywords
forensic medical examination, injury of the lower extremities, car injury, signs of negative consequences of fractures, prognostic criteria for severe consequences of mechanical injury, features of forensic examinations, modern forms and types of mechanical trauma of the lower extremitiesAbstract
The article is devoted to an important and relevant area of forensic and clinical research to clarify and implement in medical theory and practice the main factors that cause negative complications of lower extremity function after fractures and other injuries due to mechanical trauma during traffic accidents ( further - road accident) and lead to permanent disability of more than 33%. Therefore, the aim of the study was to identify the criteria that indicate the occurrence of severe consequences of mechanical injury in the form of permanent disability of more than 33%, and to determine the value of these prognostic criteria.
The material of the study was 180 forensic examinations and tests and medical records of victims of road accidents. Of these, 120 examinations and research - the main group, and 60 - control. A number of current legal documents describing the concepts and types of disability have also been studied.
The methods were scientific analysis of legal sources and methods of descriptive statistics of medical and forensic documentation.
The results of the study allowed us to identify 8 groups of symptoms that cause the negative consequences of post-traumatic changes in the form of permanent disability of more than 33%. Based on the study of these signs, prognostic criteria for modern forensic assessment of the severity of injuries burdened with loss of general ability to work in the above range were developed.
The ranking of these prognostic criteria in the main group (voters) was carried out.
A number of clinical and forensic features of modern forms and types of mechanical trauma of the lower extremities during an accident and the consequences of such injuries have been identified.
A number of inconsistencies of by-laws regulating forensic medical examination in the field of glossary on permanent disability are shown.
Conclusions and recommendations for improving the theory and practice of forensic determination of the degree of disability are given.
References
Criminal Code of Ukraine (current) [Electronic resource]. Access mode: https://zakon.rada.gov.ua/laws/show/2341-14#Text (title from the screen) from 16.09.2021 at 19:00
On the development and improvement of the forensic service of Ukraine. Order of the Ministry of Health of Ukraine № 6 of 17.01.1995 Current edition - Adoption of 17.01.1995 [Electronic resource]. Access mode: https://zakon.rada.gov.ua/laws/show/z0248-95#Text (title from the screen) from 16.09.2021 at 19:05
Natalia Pelet-Del-Toro. Morbidity and mortality patterns of pedestrian injuries by age at the Puerto Rico Trauma Hospital from 2000 to 2014 / Natalia Pelet-Del-Toro, Ediel O. Ramos-Meléndez, Omar García-Rodríguez, Jorge Pelet Mejías, Pablo Rodríguez-Ortiz, Rahman Shiri // Cogent Medicine // Volume 6, 2019 – Issue 1 [Electronic resource]. Access mode: https:// www.tandfonline.com/doi/full/10.1080/2331205X.2019.1600211 (заголовок з екрану) від 15.10.2021 р. о 17:00
Instructions for forensic examination. Current edition - Adoption of 17.01.1995 [Electronic resource]. Access mode: https://zakon.rada.gov.ua/laws/show/z0254-95#Text (title from the screen) from 14.10.2021 at 17:30
Rules of forensic medical determination of the severity of bodily injuries. Current edition - Adoption of 17.01.1995 [Electronic resource]. Access mode: https://zakon.rada.gov.ua/laws/show/z0255-95#Text (title from the screen) from 14.10.2021 at 17:40
Rules for conducting commission forensic medical examinations in the bureau of forensic medical examination. Current edition - Adoption of 17.01.1995 [Electronic resource]. Access mode: https://zakon.rada.gov.ua/laws/show/z0256-95#Text (title from the screen) from 14.10.2021 at 17:50
Denisiuk M., Afsari A. Femoral Shaft Fractures. StatPearls [Internet]. StatPearls Publishing; Treasure Island (FL): March 14, 2020. Available from: https://www.ncbi.nlm.nih.gov/books/NBK556057/
Department for Transport Scottish Government Welsh Assembly Government. Reported road casualties Great Britain 2012. London, Department for Transport Great Minster House, 2013.
Dickinson A. et al. Falls from Height: Injury and Mortality. J.R. Army. Med. Corps. 2012. Vol. 158, No. 2. P. 123–127.
Dickson DR, Moulder E, Hadland Y et al.: Grade 3 open tibial shaft fractures treated with a circular frame, functional outcome and systematic review of literature. Injury 2015; 46:751–758.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 V. Sokol
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 316
Number of citations: 0