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4.5.4. Errors and complications at treatment of patients P-j investigated groups

Complications in the course of treatment were observed at 6 patients N-j issleyoduemoj groups (13,9 %). All complications are taped for 5-7 day in early posleyooperatsionnom the period and bound to development of a purulent infection in the field of apparatus Ilizarova spokes.

Follows otmstit, that almost all cases gnojnoyovospalitelnyh complications took place in the first year of research when meyotodika chreskostnogo a calcaneus osteosynthesis was more not enough otrayobotana. As a rule, the infection developed on a place of the epidermal bubbles arising in places of a tension of a skin about spokes of the apparatus, spent cheyorez a calcaneus. The local tension of a skin is bound with оіраниченной its mobility and a small layer of soft tissues in calcaneal area.

At 3 sick inflammatory phenomena it was possible to stop after opening spitsevyh channels a prescription of antibiotics of a wide spectrum of action and application of local antiseptics (1 % Dioxydinum solution, dimskid and druyogie). 2 patients had to delete the infected spokes and pereprovodit them after infection cupping. At these 5 patients inflammatory oslozhneyonija have not rendered essential negative influence on the general outcome lecheyonija.

At one patient has developed chronic spitsevoj an osteomyelitis pjatochyonoj bones which has passed in the chronic relapsing form and was the reason of proof disability (it is recognised by mediko-social eksyopertnoj by the commission the invalid of II group).

After we began to spend during operation relief incisions on purpose to avoid thus a tension of a skin in the field of spokes appayorata external bracing, purulent complications at our patients not vstrechayolis.

4.5.5.

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Scientific source Ivanov PETER VALENTINOVICH. OPTIMIZATION of TACTICS of SURGICAL TREATMENT And POSTOPERATIVE AFTERTREATMENT of PATIENTS With CALCANEUS FRACTURES. The dissertation on competition of a scientific degree of the candidate of medical sciences. Kazan -.

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