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CALCULATION OF THE SAFE RANGE OF LOAD ON THE LIMB IN PATIENTS AFTER OSTEOSYNTHESIS OF HIP FRACTURES ; РАСЧЕТ БЕЗОПАСНОГО ДИАПАЗОНА НАГРУЗКИ НА КОНЕЧНОСТЬ У БОЛЬНЫХ ПОСЛЕ ОСТЕОСИНТЕЗА ПЕРЕЛОМОВ БЕДРА

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  • معلومة اضافية
    • Contributors:
      работа поддержана Министерством науки и высшего образования Российской федерации в рамках проекта по соглашению № 075-15-2021-709 (уникальный идентификатор проекта RF --- 2296.61321X0037
    • بيانات النشر:
      Благотворительный фонд Центра охраны здоровья шахтеров
    • الموضوع:
      2022
    • Collection:
      Polytrauma (E-Journal) / ПОЛИТРАВМА
    • نبذة مختصرة :
      Fractures of the femoral neck occupy a leading place in the structure of general injuries in the Russian Federation. Despite significant achievements in the field of osteosynthesis of femoral neck fractures, the percentage of unsatisfactory outcomes of treatment remains high, including against the background of the use of functional loading during early activation of patients. Therefore, the search for ways to dose the load on the operated limb in the postoperative period in patients with femoral neck fractures is very relevant.The objective of this original study is to determine the range of safe axial load for patients from the study group after osteosynthesis of a femoral neck fracture using a computer program, to compare the results with the comparison group and to form final conclusions about the effectiveness and feasibility of using this program.Materials and methods. The study involved 108 patients with femoral neck fractures, who underwent osteosynthesis with various metal structures. Analysis of the results of the postoperative period of selected patients who made up the comparison and study group was carried out using a universal method for personalized evaluation of treatment outcomes.Results. It was shown that in the study group of 55 patients using our method of dosing the load on the limb, 12 months after the operation, good and excellent results were by 7.51 % and 11.7 % more common, respectively, than in the comparison group, consisting of 53 patients. In the study group, the satisfactory result was observed less frequently by 17.18 % (χ2 = 6.67, p = 0.01).Conclusion. In the course of this study, we were able to determine the range of safe axial load for patients from the study group after osteosynthesis of a fracture of the femoral neck using the program, to evaluate the results of the group using the universal personalized method for evaluating the results of treatment and to compare them with the outcome of surgical treatment of the comparison group, whose restorative treatment proceeded ...
    • File Description:
      application/pdf; text/html
    • Relation:
      http://poly-trauma.ru/index.php/pt/article/view/387/672; http://poly-trauma.ru/index.php/pt/article/view/387/684; http://poly-trauma.ru/index.php/pt/article/downloadSuppFile/387/4122; http://poly-trauma.ru/index.php/pt/article/downloadSuppFile/387/4123; http://poly-trauma.ru/index.php/pt/article/downloadSuppFile/387/4124; http://poly-trauma.ru/index.php/pt/article/downloadSuppFile/387/4125; http://poly-trauma.ru/index.php/pt/article/downloadSuppFile/387/4126; http://poly-trauma.ru/index.php/pt/article/view/387
    • Rights:
      (c) 2022 Ямщиков О.Н., Емельянов С.А., Мордовин С.А., Колобова Е.А., Тепляков П.М., Гришин А.В.
    • الرقم المعرف:
      edsbas.139D8D5D