Issue №4-86, 2018

Efficiency of rehabilitation after milinvasive osteosynthesis of fractures of the derivative valve

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1 Solod E.I., 1 Lazarev A.F., 2,3 Tsykunov M.B., 1 Ovcharenko А.V.

1 Department of acute injury of the Federal State Budgetary Institution "National Medical Research Center of Traumatology and Orthopedics named after N.N. Priorov" of the Ministry of Health of the Russian Federation, Moscow, Russia
2 The Department of Medical Rehabilitation of the Faculty of Additional Professional Education of the Federal State Budget Educational Institution of Higher Education "The Russian National Medical Research University named after N.I. Pirogov" of the Ministry of Health of the Russian Federation, Moscow, Russia
3 Division of Medical Rehabilitation of the Federal State Budgetary Institution "National Medical Research Center of Traumatology and Orthopedics named after N.N. Priorov" of the Ministry of Health of the Russian Federation, Moscow, Russia


ABSTRACT

On the basis of a complex of clinical data and the results of radiation diagnosis of 84 patients', it was shown that in caseof minimally invasive osteosynthesis of acetabulum fractures, rehabilitation measures should be started from the first daysafter the operation. The system-forming principle of the rehabilitation program is a long-term axial unloading of the damagedlimb for at least 6 months with adequate training of the periarticular muscles. The long-term results in terms of up to 10years in 42 patients were studied. The results were evaluated on the Harris scale and amounted to 85.5±4.2 points. In 19% ofcases after 5 years, aseptic necrosis developed, which became the basis for endoprosthesis.


KEYWORDS: rehabilitation, osteosynthesis, acetabular fractures.



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