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OPERATIVE TREATMENT of FRACTURES of the CALCANEUS At PATIENTS of 1st INVESTIGATED GROUP

I investigated group included 39 patients with fractures of calcaneuses (44 calcaneuses) from among the patients hospitalised for opeyorativnogo of treatment in traumatologic unit Municipal uchrezhdeyonija of public health services «the Hospital №12» cities of Volgograd from 1996 for 2002 inclusive.

As a method operative lecheyonija at patients of I investigated group it is used nakostnyj an osteosynthesis peyorelomov a calcaneus by plates of joint-stock company and screws.

From them 12 patients have been operated initially within 6 hours from the moment of a trauma, the others - within 7-11 days after edema falling off konechyonosti. To 5 patients with bilaterial fractures the osteosynthesis of both calcaneuses is executed single-step.

During operation adhered to the following plan of reconstruction:

1. Restoration of the initial form of a calcaneus;

2. Restoration podtarannoj, calcaneocuboid and calcaneonavicular articulate surfaces;

3. The is stable-functional osteosynthesis.

Operations carried out under a garrot, anaesthesia - periduralnaja or spinal anaesthesia, to 3 patients an operative measure is spent under intubatsionnym a narcosis. For a calcaneus osteosynthesis mainly used lateralnyj access, is more rare — medial. Bilateral access used in unusual cases.

4.2.1.

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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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