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comparative data by results of treatment of patients by 1st and N-j investigated groups

On subjective sensations of patients frequency and intensity boleyovogo a syndrome at sick both investigated groups are practically identical. According to the anamnesis a painful syndrome of various degree of expression nabljuyodalsja at 10 sick 1st investigated groups and 11 patients P-j of investigated group, that in relative expression has made on 25,6 %.

Follows otmeyotit, that the most part of patients of both investigated groups binds pojavleyonie pains to long walking or an intensive exercise stress.

Average term of an external immobilisation plaster longetoj at patients of 1st investigated group has made 29,7±2,31 day. At the majority of patients N-j isyosleduemoj groups bracing during all term of an adnation of fracture osushcheyostvljalas apparatus Ilizarova. The immobilisation was spent by a plaster bandage to 3 sick patients after the preschedule dismantle of the apparatus of external bracing bound to development of a purulent inflammation of soft tissues in the field of spokes (2 patients) and spitsevogo a calcaneus osteomyelitis (1 patsiyoent).

Consolidation of fractures of calcaneuses at both patients issledueyomyh ірупп came in similar terms. At patients of 1st investigated group average term of consolidation has made 72,8±5,32 day at unilateral povreyozhdenijah and 91,6±7,19 day at fractures of both calcaneuses. At patients N-j of investigated group accordingly 69,4±4,98 day and 87,5±7,12 day.

The slowed down consolidation of fracture was observed at 3 sick 1st issleyoduemoj groups that has made 7,7 % of observations. In I-j to investigated group this indicator is a little bit better - 2 patients (4,6 %). Not grown together fractures or calcaneus nearthroses it is not taped in one investigated group.

At the majority of patients of both investigated groups it was possible vosstanoyovit a normal anatomic structure of a calcaneus. Depression of size of angle Bellera in the remote period took place only at 2 sick (5,1 %) 1st investigated group, and also at 2 patients (4,6 %) N-j investigated group. At the same patients it is taped posttraumatic uploshchenie a longitudinal crest of foot by results podometrii and plantographies.

Full restoration of movements in an ankle joint is reached at 27 sick (69,2 %) 1st investigated group. In I-j to investigated group this indicator is a little bit better - 33 patients (76,7 %).

The trophicity and force of muscles of an extremity also is a little bit better at patients li­ft than investigated group. Signs of an atrophy of muscles of an anticnemion at antropometricheyoskom research are taped at 6 sick 1st investigated groups (15,4 %), and in P-j to investigated group - at 5 patients (11,6 %). Thus by results diyonamometrii depression of force of muscles of the injured extremity zaregistriroyovano at 8 patients of 1st investigated group (20,5 %) and at 6 sick I-j investigated group (13,9 %).

Frequency of local vascular disturbances and disturbances regionarnoj gemoyodinamiki is practically identical in both investigated groups. The edema konechnoyosti after long walking arose at 6 patients (15,4 %) 1st investigated group and at 6 sick I-j investigated group (13,9 %). A constant edema and trophic disturbances - accordingly at 2 and at 1 patient. Disturbances reyogionarnoj hemodynamics are fixed in total at 8 sick (20,5 %) 1st investigated group and at 8 patients (18,6 %) P-j groups.

Frequency posggravmaticheskogo an arthrosis podtarannogo and-or pjatochno - kubovidnosh a joint a little above in I-j to investigated group. The Posttrauma -

tichesky the arthrosis is diagnosed for 6 patients (15,4 %) 1st investigated group and at 8 sick N-j investigated group (18,6 %).

Proof disability at one level in both investigated groups - a mediko-social commission of experts are recognised by invalids on one patient};

The comparative given estimations of results of treatment of both investigated groups of patients on separate parametres are presented in table 8.

As a whole results of treatment are estimated as good at a larger part patsiyoentov both investigated groups: at 26 sick (66,7±5,87 %) 1st investigated group and at 31 patients (72,1x6,01 %) N-j investigated group.

Satisfactory results are reached at 12 sick (30,7±2,74 %) I - j investigated group and at 11 sick (25,6±2,33 %) I-j investigated group. The unsatisfactory outcome of treatment is registered at 1 patient of 1st issleyoduemoj groups (2,6±0,18 %) and also at 1 patient (2,3±0,16 %) N-j investigated group.

Comparative results of treatment of patients of 1st and P-j investigated groups in a graphic kind are presented on the chart 4. Average term of hospitalisation of patients of 1st investigated group has exceeded that in P-j issledueyomoj to group for 2,4 days and has made 23,6± 1,85 days and 21,2=Ь1,67 day accordingly. Average duration of an out-patient treatment for 4,3 days more low at patients of 1st investigated group - 92,8±3,36 day in comparison with 97,1±3,52 in I-j grupyope. Average term of a temporary invalidity also for 1,9 days more low at patients of 1st investigated group - 116,4±4,61 day in comparison with 118,3^4,58 days in I-j to investigated group.

Table 8.

Comparative estimation of results of treatment of 1st and N-j investigated groups of patients on separate parametres

Estimation parametres I group II group
Painful syndrome after walking 8 (20,5 %) 9 (20,9 %)

Field syndrome in rest 2 (5,1 %) 2 (4,6 %)
The slowed down consolidation of fracture 3 (7.7 %) 2 (4,6 %)
Angle Bellera 11-20 ° 2 (5,1 %) 1 (2,3 %)
Ujul Bellera 10 ° and less 1 (2,3 %)
Iodometrichesky index on Fridlandu 26-28 2 (5,1 %) 1 (2,3 %)
ГІодомстричсский An index on Fridlandu 25 and less 1 (2,3 %)
Index SHtrittera of 51-75 % 2 (5,1 %) 1 (2,3 %)
Index SHtrittera of 76 % and more 1 (2,3 %)
Plantar flexion in an ankle joint 121-130 ° 8 (20,5 %) 7 (16,3 %)
Plantar flexion in an ankle joint 90-120 ° 3 (7.7 %) 2 (4,6 %)
Back flexion in an ankle joint 70-74 ° 9 (23,1 %) 7 (16,3 %)
Back flexion in an ankle joint 75-90 °

g

3 (7,7 %) 3 (7,0 %)
Atrophy of muscles of an anticnemion to 2 sm 4 (10,3 %) 3 (7,0 %)
Atrophy of muscles of an anticnemion more than 2 sm 2 (5,1 %) 2 (4,6 %)
Depression of force of muscles of an anticnemion on 10-29 % 5 (12,8 %) 4 (9,3 %)
Depression of force of muscles juleni on 30 % and more 3 (7,7 %) 2 (4.6 %)
Edema of an extremity after long walking 6 (15,4 %) 6 (13,9 %)
Constant otsk, trophic disturbances 2 (5.1 %) 1 (2.3 %)
Depression LSK and OK ia 10-29 % 6 (15,4 %) 6 (13,9 %)
Depression LSK and OK on 30 % and more 2 (5,1 %) 2 (4,6 %)
Postgravmetnchesky arthrosis 1-Й the item 5 (12,8 %) 6 (13.9 %)
Posttraumatic arthrosis II 1 І V item 1 (2,6 %) 2 (4,6 %)
Postoperative pyesis of soft tissues 2 (5.1 %) 5 (11,6 %)
Posttravmatichssky osteomyelitis 2 (5,1 %) 1 (2.3 %)
Local neurologic disturbances 2 (5,1 %)
Are recognised by invalids of 11 groups 1 (2,3 %)
Are recognised by invalids Ill of group 1 (2,6 %) -

I investigated group II investigated group

Good 66,7 %

Good 72,1 %

The unsatisfactory

2,6 %

Unsatisfactory 23 %

Satisfactory Satisfactory

30,7 % OF 25,6 %

The chart 4. Comparative results of treatment of patients of 1st and N-j investigated groups.

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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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