Хирургическое лечение переломов методом накостного остеосинтеза


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На современном этапе развития травматологии и ортопедии существует множество методов по хирургическому лече- нию переломов, но ни один из них не является абсолютным решением и не способен гарантировать удовлетворительный результат. Наибольшее распространение из всех методик продолжает сохранять металлоостеосинтез с применением пластин и винтов. Проанализировав все ступени развития и подробно остановившись на современных видах пластин, при- меняемых в травматологии и ортопедии, были отражены главные направления развития этих технологий. На примерах разобраны наиболее популярные конструкции, применяемые на различных сегментах, сформулированы базовые основы и требования, предопределяющие желаемый эффект. В то же время, при всем разнообразии технологий, на протяжении всего времени существования этих методов остеосинтеза, так и остаётся неразрешимой проблема сопутствующего интраоперационного негативного влияния на регенерацию костной ткани при применении даже самых современных им- плантов, что не исключает риска замедленного или полного отсутствия сращения перелома.

Об авторах

П.И. Калашников

Воронежская государственная медицинская академия им. Н.Н. Бурденко, ул. Студенческая, д. 10, Воронеж, 394036, Российскяа Федерация

Автор, ответственный за переписку.
Email: Trauma.doct@gmail.com
аспирант кафедры травматологии и ортопедии Воронежской государственной медицинской академии им. Н.Н. Бурденко. Россия

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