Ðåôåðàò Ìåòà. Îïòèì³çàö³ÿ ë³êóâàííÿ ïåðåëîì³â òèïó Â3 òà ïåðåëîìó òðèêóòíèêà Ôîëüêìàíà, ÿê êîìïîíåíòó ïåðåëîìó ê³ñòî÷îê ãîì³ëêè. Ïåðåëîìè ê³ñòî÷îê ãîì³ëêè º íàéá³ëüø ïîøèðåíîþ òðàâìîþ ê³ñòîê íèaeíüî¿ ê³íö³âêè, âîíè ñêëàäàþòü 9% ñåðåä ïåðåëîì³â ê³ñòîê ñêåëåòó. Á³ëüø³ñòü ïå-ðåëîì³â ñóïðîâîäaeóþòüñÿ ïîøêîäaeåííÿì çâ'ÿçêîâîãî àïàðàòó. ²ñíóº äåê³ëüêà ìåòîä³â ô³êñàö³¿ ê³ñòî÷îê, õî÷à, ö³ëëþ ë³êóâàííÿ çàëèøàºòüñÿ ñòàá³ëüíà àíàòîì³÷íà ðå-ïîçèö³ÿ òà ïîçèö³îíóâàííÿ ëàòåðàëüíî¿ ê³ñòî÷êè â ãí³çä³ òàðàííî¿ (ìàëîãîì³ëêîâà âèð³çêà) ê³ñòêè ãîì³ëêîâî-ñòóïíåâîãî ñóãëîáà ³ êîðåêö³ÿ äîâaeèíè ìàëîãîì³ëêîâî¿ ê³ñòêè. Íåîáõ³äí³ñòü îïåðàö³éíîãî ë³êóâàííÿ ïåðåëîì³â ëàòå-ðàëüíî¿ òà ìåä³àëüíî¿ ê³ñòî÷îê íà ñüîãîäí³ íå âèêëèêຠñóïåðå÷îê, õî÷à ïèòàííÿ ô³êñàö³¿ ïåðåëîì³â çàäíüîãî êðàþ çàëèøàºòüñÿ â³äêðèòèì. Ìàòåð³àë ³ ìåòîäè. Çà ïåð³îä â³ä 2013 äî 2016 ðîêó íà áàç³ òðàâìàòîëîãî-îðòîïåäè÷íîãî â³ää³ëåííÿ Ê8ÌÊË ì. Ëüâîâà áóëî ë³êîâàíî 43 ïàö³ºíòè ³ç ïåðåëîìàìè ê³ñòî÷îê ãîì³ëêè òèïó  òà çàäíüîãî êðàþ âåëèêîãîì³ëêîâî¿ ê³ñòêè òèïó Â3, ÿêèõ ïîçä³ëåíî íà 2 ãðóïè. Ó ö³é ïðàö³ ìè êîðèñòóâàëèñÿ êëàñèô³êàö³ºþ ïåðåëîì³â çà Danis-Weber (â ìî-äèô³êàö³¿ AO/ASIF).  îáîõ ãðóïàõ ï³ñëÿîïåðàö³éíå ë³êóâàííÿ ì³ñòèëî ðàííþ àêòèâíó ðîçðîáêó ðóõ³â â ãîì³ëêîâîñòóïíåâîìó ñóãëîá³ ç ïåðøîãî äíÿ ï³ñëÿ îïåðàö³¿. Ðåçóëüòàòè é îáãîâîðåííÿ. Íàøèì ðåòðîñïåêòèâíèì äîñë³äaeåííÿì îòðèìàíî íàñòóïí³ ðåçóëüòàòè: òåðì³í äîñÿãíåííÿ ïîâíîãî îá'ºìó ðóõ³â â ãîì³ëêîâî-ñòóïíåâîìó ñóãëîá³ â äðóã³é ãðóï³ áóâ êîðîòøèé íà 9 äí³â, â ïîð³âíÿíí³ ç ïåðøîþ. Îá'ºì ðóõ³â îö³íþâàâñÿ çà øêàëîþ ôóíêö³îíàëüíèõ ðåçóëüòàò³â Olenrud & Wolander. Âèñíîâîê. Ïðÿìà ðåïîçèö³ÿ ³ ô³êñàö³ÿ òðèêóòíèêà Ôîëüêìàíà çàáåçïå÷óº àíàòîì³÷íå ñï³âñòàâëåííÿ â³äëàì-ê³â òà â³äíîâëåííÿ ñòàá³ëüíîñò³ çàäíüî¿ ì³aeãîì³ëêîâî¿ çâ'ÿçêè ÿê êîìïîíåíòó ïîøêîäaeåííÿ ñèíäåñìîçó. Àíàòî-ì³÷íà ðåïîçèö³ÿ, ñòàá³ëüíà ô³êñàö³ÿ çàäíüîãî êðàþ òà âèêîðèñòàííÿ çàäíüî¿ ïðîòèêîâçíî¿ ïëàñòèíè äëÿ îñòåîñèíòåçó ËÊ -õàðàêòåðèçóºòüñÿ êðàùîþ ñòàá³ëüí³ñòþ ïðè ðîòàö³éíèõ òà êîâçíèõ íàâàíòàaeåííÿõ òà äàëî ìîaeëèâ³ñòü øâèäøî¿ ðåàá³ë³òàö³¿ òà îñüîâîãî íàâàíòàaeåííÿ â êîíòðîëüí³é ãðóï³ äîñë³äaeåííÿ.
Ìåòà. Çíàéòè åôåêòèâíå ð³øåííÿ ïðè ë³êóâàíí³ îñòåîàðòðîçó êîë³íà ç âàëüãóñíîþ äåôîðìàö³ºþ íà ï³ç-í³õ ñòàä³ÿõ. Ìàòåð³àë ³ ìåòîäè. Ó íàøîìó äîñë³äaeåíí³ ìè ë³êóâàëè õ³ðóð´³÷íèì øëÿõîì 67 ïàö³ºíò³â ç äå´åíåðàö³éíèì îñòåîàðòðîçîì êîë³ííîãî ñóãëîáó ç âàëüãóñíîþ äåôîðìàö³ºþ, âèêîðèñòîâóþ÷è òîòàëüíå åíäîïðîòåçóâàííÿ êîë³ííîãî ñóãëîáó. 15 ïàö³ºíò³â ìàëè ëîêàë³çîâàíèé ðåâìàòî¿äíèé àðòðèò, 52 ïàö³ºíòè ìàëè ïåðâèííèé îñòåîàðòðîç êîë³íà, äâîñòîðîííÿ àðòðîïëàñòèêà êîë³ííîãî ñóãëîáó áóëî ïðîâåäåíî ó 7 âèïàäêàõ. Ðåçóëüòàòè ë³êóâàííÿ áóëè îö³íåí³ çà ̳aeíàðîäíèì ïîêàçíèêîì åíäîïðîòåçóâàííÿ êîë³ííîãî ñóãëîáó. Ðåçóëüòàòè òà îáãîâîðåííÿ. Ðåçóëüòàòè ë³êóâàííÿ áóëè îö³íåí³ çà ̳aeíàðîäíèì ïîêàçíèêîì åíäîïðîòåçóâàííÿ êîë³ííîãî ñóãëîáó ç ñåðåäí³ì áàëîì 32 ïóíêòè ïåðåä îïåðàö³ºþ òà 84 ïóíêòàìè ï³ñëÿ îïåðàö³¿ ïðîòÿãîì 2-4 ðîê³â. Âèñíîâêè. Òîòàëüíà àðòðîïëàñòèêà êîë³ííîãî ñóãëîáà º àð´óìåíòîâàíèì ³ åôåêòèâíèì ð³øåííÿì ïðè ë³-êóâàíí³ îñòåîàðòðîçó êîë³íà ç âàëüãóñíîþ äåôîðìà-ö³ºþ íà ï³çí³õ ñòàä³ÿõ. Ðåòåëüíèé â³äá³ð ïàö³ºíò³â, ïðîâåäåííÿ ïðàâèëüíî¿ ïåðåäîïåðàö³éíî¿ ï³äãîòîâêè, äîòðèìàííÿ õ³ðóð´³÷íèõ ìåòîä³â â³äïîâ³äíî äî àë´îðèòìó äîçâîëÿº íàì äîñÿãòè õîðîøèõ ôóíêö³îíàëüíèõ ðåçóëüòàò³â ó á³ëüøîñò³ âèïàäê³â. Òîòàëüíà àðòðîïëàñòèêà êîë³íà äîçâîëÿº âèêîíàòè êîðåêö³þ äåôîð-ìàö³¿, óñóíóòè áîëüîâèé ñèíäðîì, ïîë³ïøèòè ìîá³ëü-í³ñòü ñóãëîáó, â³äíîñíî øâèäêî â³äíîâèòè ôóíêö³þ â ï³ñëÿîïåðàö³éíîìó ïåð³îä³ ³ çíà÷íî ïîêðàùèòè ÿê³ñòü aeèòòÿ ïàö³ºíò³â. Ó õâîðèõ ç âàëüãóñíîþ äåôîðìà-ö³ºþ á³ëüø í³ae íà 20°, ðåêîìåíäóºòüñÿ çàñòîñîâóâàòè ñóïðàñòàá³ë³çîâàí³ ðåâ³ç³éí³ ïðîòåçè.
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