Intramedullyarnyy Osteosintez U Detey S Perelomami Bedrennoy Kosti Russian edition

Detskiy travmatizm v sovremennykh usloviyakh kharakterizuetsya vysokoy chastotoy mnozhestvennykh i sochetannykh povrezhdeniy, tyazhest' kotorykh v znachitel'noy mere obuslovlena skeletnoy travmoy. Perelomy bedrennoy kosti v strukture povrezhdeniy oporno-dvigatel'nogo apparata u detey, nuzhdayushchikhsya v statsionarnom lechenii, dostigayut 30%, soprovozhdayutsya znachitel'noy krovopoterey i oslozhnyayutsya razvitiem shoka u treti postradavshikh. Konservativnoe lechenie detey s perelomami bedrennoy kosti soprovozhdaetsya vysokoy dlitel'nost'yu gospital'nogo i reabilitatsionnogo periodov, rezul'tiruetsya nepravil'no srosshimisya perelomami ot 7 do 22% patsientov i razvitiem kontraktur kolennogo sustava ot 6 do 34% klinicheskikh nablyudeniy. Perspektivy sovershenstvovaniya lechebnoy pomoshchi dannomu kontingentu postradavshikh svyazany s razrabotkoy i vnedreniem meditsinskikh tekhnologiy, otvechayushchikh trebovaniyam minimal'no invazivnykh operativnykh vmeshatel'stv, ideologiya kotorykh naibolee polno realizuetsya pri vypolnenii zakrytogo intramedullyarnogo osteosinteza.