Intramedullyarnyy osteosintez u detey s perelomami bedrennoy kosti: Kliniko-eksperimental"noe issledovanie (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.