PREDICTIVE FACTORS OF CLINICAL OUTCOMES IN THE COMBINED USE OF EXTRACORPOREAL SHOCKWAVE THERAPY AND PHYSICAL REHABILITATION METHODS FOR SHOULDER OSTEOARTHRITIS

The presented clinical case demonstrates that untreated metabolic syndrome significantly complicates the postoperative period after abdominoplasty using the "fleur de lis" method.The main risk factors were decompensated diabetes mellitus, obesity, vascular disorders, and the patient's general polymorbid condition.The data obtained confirm the importance of preoperative compensation of metabolic disorders, medication correction, and clear planning of the scope of surgery.Improved glycemic control and careful monitoring of the wound in the long term are critical to reducing the risk of skin flap necrosis and the development of infectious complications.A multidisciplinary approach is recommended when preparing patients with metabolic syndrome for major reconstructive plastic surgery.