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DISCUSSION OF RESULTS OF RESEARCH

Clinicodiagnostic research regionarnoj at vibratory influence with frequency of 15 Hz and ampliyotudoj 2 mm at healthy examinees has shown hemodynamics of the bottom extremities authentic (r < 0,05) существенное повышение линейной скорости кровотока и пульсового кровенаполнения сосудов не только подвергавшейся вибрационному воздействию, но и контрлатеральной конечности. I (слученные нами данные свидетельствуют о возможности стимуляции кровообращения в травмированной конечности, даже при ее иммобилизации, посредством вибрационного воздействия на контралатеральную конечность. Воздействие на неповрежденную контралатеральную конечность сводит к минимуму риск тромбоэмболических осложнений и опасность повреждения костной мозоли в зоне перелома.

These positions are confirmed at use of vibratory therapy in clinical practice in the course of aftertreatment of patients by 1st and I-j issledueyomyh groups.

Data of clinical section of research allow to make zakljucheyonie about enough high efficiency of the differentiated approach at a choice of methods nakostnogo an osteosynthesis of a calcaneus plates of joint-stock company or chreskostnogo - apparatus of external bracing Ilizarova on the ways developed by us. These methods allow to restore an anatomic structure and to optimise term of consolidation of fracture of a calcaneus.

About it it is authentic (r < 0,05) свидетельствуют положительные результаты лечения, полученные почти у всех больных обеих исследуемых групп, и низкий процент неудовлетворительных исходов - у 1 больного 1-й исследуемой группы (2,60,18%) и у 1 пациента Н-й исследуемой группы (2,30,16%).

the Received results allow to recommend both methods osteosinteyoza to a calcaneus for use in clinical practice.

At the same time, follows otmstit, that at method use nakostnoyogo an osteosynthesis of a calcaneus plates of joint-stock company and screws a little above

Percent of the early postoperative complications bound to technics of the operative measure and its raised travmatichnostyo. The partial regional necrosis of a wound took place at 2 patients, also at 2 patients nabljudayolas transient nejropatija bolshebertsovoju a nerve. Untimely udaleyonie infected metallokonstruktsy has led to development of an osteomyelitis of a calcaneus in 2 patients.

Advantage of the given method, in our opinion, is the possibility of more exact reposition of articulate surfaces of a calcaneus under a direct vision. The low interest testifies to it on - sttrav.maticheskogo an arthrosis podtarannogo and-or a calcaneocuboid joint at patients of 1st investigated group - 15,4 % in comparison with 18,6 % at patients P-j of investigated group more.

Positive it is possible to consider also that factor, that after healing of an operational wound and a removal of sutures patients do not require dressings. It essentially facilitates an out-patient treatment.

Method disadvantage nakostnogo an osteosynthesis of a calcaneus plates of joint-stock company and screws is less full restoration of function of an ankle joint. Full restoration of movements in an ankle joint is reached at 27 sick (69,2 %) 1st investigated group, whereas in N-j to investigated group - at 33 patients (76,7 %). On visible, it it is possible to explain travmati - zatsiej para-articular tissues during an operative measure and nayorusheniem regionarnoj hemodynamics in the early postoperative period.

Advantage of a method chreskostnogo an osteosynthesis apparatus of external bracing certainly are small travmatichnost operative vmeshatelyostva, it "beskrovnost" and the minimum disturbance regionarnoj gemodinamiyoki the injured extremity. The certificate to that are absence of neurologic disturbances in the postoperative period and fuller restoration of function of the injured extremity at patients N-j issledueyomoj groups.

Pyoinflammatory complications at use of this method give in to treatment is easier and less often lead to development of an osteomyelitis of a calcaneus.

It is necessary to carry to its disadvantages not always an ideal reposition susyotavnyh calcaneus surfaces, that in some cases leads to development of a posttraumatic arthrosis podtarannogo and/iln a calcaneocuboid joint in the remote period.

Relative disadvantage is also necessity рсіулярньїх dressings during all term of bracing of an extremity apparatus Ilizarova that complicates an out-patient treatment and does problematic use of the given method at patients with the low social status.

Data of clinical section of research also testify about vyyosokoj efficiency of aftertreatment of patients on developed by us komyopleksnoj rehabilitational проірамме with use of a new way of manipulation of contractures of joints - working capacity completely vosyostanovlena at 97,4 % of patients of 1st investigated group and at 97,7 % of patients I-j investigated іруппьі. Average terms stationary, an out-patient treatment and a temporary invalidity of sick both investigated groups thus a little bit more low takozyh, presented to data of the scientific literature [18, 24, 50, 73, 77, 107].

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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 -.

Other medical related information DISCUSSION OF RESULTS OF RESEARCH:

  1. CHAPTER 4. DISCUSSION
  2. Chapter 4 Discussion of the received results
  3. DISCUSSION OF THE RECEIVED RESULTS
  4. INTRODUCTION
  5. DISCUSSION OF RESULTS OF OWN RESEARCH
  6. INTRODUCTION
  7. Chapter 7 DISCUSSION of RESULTS of RESEARCH
  8. CHAPTER 8. THE CONCLUSION (DISCUSSION OF THE RECEIVED RESULTS)
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  10. CHAPTER №5 DISCUSSION