51 research outputs found

    High-boiling components in straw oil

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    Investigation of straw oil and polymer quality produced in the process of its regeneration has been carried out. The conclusions about using polymers as a material for base end products are made. Flow scheme of technological treatment of straw oil wastes is suggested

    Manufacture of desired end products by means of fine treatment of coal tar resin

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    The possibility of desired end product manufacture from by-product coke industry wastes is shown. A large number of valuable products can be obtained from different fractions of coal tar resin by their fine treatment. The products obtained in this way find application in medical and chemical industries and etc. Moreover, recycling of by-product coke wastes into end products solves the problem of their utilization

    Self-consistent theory of intrinsic localized modes: application to monatomic chain

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    A theory of intrinsic localized modes (ILMs) in anharmonic lattices is developed, which allows one to reduce the original nonlinear problem to a linear problem of small variations of the mode. This enables us to apply the Lifshitz method of the perturbed phonon dynamics for the calculations of ILMs. In order to check the theory, the ILMs in monatomic chain are considered. A comparison of the results with the corresponding molecular dynamics calculations shows an excellent agreement.Comment: 9 pages, 1 figure, 1 tabl

    Новый способ ΠΎΡ‚ΠΊΡ€Ρ‹Ρ‚ΠΎΠΉ Ρ€Π΅ΠΏΠΎΠ·ΠΈΡ†ΠΈΠΈ ΠΈ удСрТания костных ΠΎΡ‚Π»ΠΎΠΌΠΊΠΎΠ² с использованиСм пластиковых Ρ…ΠΎΠΌΡƒΡ‚ΠΎΠ²-стяТСк

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    Background. The quality of fractures reposition in open osteosynthesis is one of the important factors determining the outcome of treatment. Often, the reposition and fixation of bone fragments is not an easy task. The authors propose a method of reposition and temporary fixation of fragments using plastic ty-raps used in electrical work. The aim of the study is to demonstrate the possibilities of new method of intraoperative reposition and fixation of bone fragments using plastic ty-raps. Materials and Methods. Ty-raps were sterilized before the surgery in the modes intended for the preparation of polymer products. After the fragments were dissected, their reposition and fixation are carried out with the help of clamps and bone clamps. At this stage, there is a need for the use of ty-raps, since the bone clamps prevent the plate from laying on the bone. To do this, 3-4 plastic ty-raps were applied to the areas of bone free from bone clamps in the area of the fragments contact. In those places where an intact periosteum and muscles are attached to the fragment, narrow transverse channels in soft tissues are formed with the instrument to wrap the bone with a ty-rap. Then the free end of the ty-rap is passed through its lock and tightened as much as possible. After tightening all the ty-raps, the bone clamps are removed. The applied ty-raps reliably keep the bone fragments from any displacement, even when the segment rotates. A bone plate is placed on the bone surface with tightened ty-raps. Then the plate fixed to the bone with screws. The plate should be placed on the bone without strong pressing, which allows you to remove the ty-raps from under the plate at any stage of osteosynthesis. The ty-raps are removed by cutting them with a scalpel or snacking with wire cutter, then the plate is fixed to the bone with the remaining screws. Conclusion. Ty-raps have many positive properties: they are affordable, cheap, do not lose their mechanical properties after sterilization, allow you to securely hold bone fragments during reposition, X-ray negative. The method has demonstrated convenience and reliability.ΠΠΊΡ‚ΡƒΠ°Π»ΡŒΠ½ΠΎΡΡ‚ΡŒ. ΠšΠ°Ρ‡Π΅ΡΡ‚Π²ΠΎ Ρ€Π΅ΠΏΠΎΠ·ΠΈΡ†ΠΈΠΈ ΠΎΡ‚Π»ΠΎΠΌΠΊΠΎΠ² ΠΏΡ€ΠΈ ΠΎΡ‚ΠΊΡ€Ρ‹Ρ‚ΠΎΠΌ остСосинтСзС являСтся ΠΎΠ΄Π½ΠΈΠΌ ΠΈΠ· Π²Π°ΠΆΠ½Ρ‹Ρ… Ρ„Π°ΠΊΡ‚ΠΎΡ€ΠΎΠ², ΠΎΠΏΡ€Π΅Π΄Π΅Π»ΡΡŽΡ‰ΠΈΡ… исход лСчСния. НСрСдко рСпозиция ΠΈ ΡƒΠ΄Π΅Ρ€ΠΆΠ°Π½ΠΈΠ΅ костных ΠΎΡ‚Π»ΠΎΠΌΠΊΠΎΠ² ΠΏΡ€Π΅Π΄ΡΡ‚Π°Π²Π»ΡΡŽΡ‚ собой Π½Π΅ΠΏΡ€ΠΎΡΡ‚ΡƒΡŽ Π·Π°Π΄Π°Ρ‡Ρƒ. Авторами ΠΏΡ€Π΅Π΄Π»ΠΎΠΆΠ΅Π½ способ Ρ€Π΅ΠΏΠΎΠ·ΠΈΡ†ΠΈΠΈ ΠΈ Π²Ρ€Π΅ΠΌΠ΅Π½Π½ΠΎΠ³ΠΎ удСрТания ΠΎΡ‚Π»ΠΎΠΌΠΊΠΎΠ² с использованиСм пластиковых Ρ…ΠΎΠΌΡƒΡ‚ΠΎΠ²-стяТСк, ΠΈΡΠΏΠΎΠ»ΡŒΠ·ΡƒΠ΅ΠΌΡ‹Ρ… ΠΏΡ€ΠΈ элСктромонтаТных Ρ€Π°Π±ΠΎΡ‚Π°Ρ…. ЦСль ΠΏΡ€ΠΎΠ΄Π΅ΠΌΠΎΠ½ΡΡ‚Ρ€ΠΈΡ€ΠΎΠ²Π°Ρ‚ΡŒ возмоТности Π½ΠΎΠ²ΠΎΠ³ΠΎ способа ΠΈΠ½Ρ‚Ρ€Π°ΠΎΠΏΠ΅Ρ€Π°Ρ†ΠΈΠΎΠ½Π½ΠΎΠΉ Ρ€Π΅ΠΏΠΎΠ·ΠΈΡ†ΠΈΠΈ ΠΈ удСрТания костных ΠΎΡ‚Π»ΠΎΠΌΠΊΠΎΠ² ΠΏΡ€ΠΈ ΠΏΠΎΠΌΠΎΡ‰ΠΈ пластиковых Ρ…ΠΎΠΌΡƒΡ‚ΠΎΠ²-стяТСк. ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π» ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹. Π₯ΠΎΠΌΡƒΡ‚Ρ‹-стяТки ΠΏΠ΅Ρ€Π΅Π΄ ΠΎΠΏΠ΅Ρ€Π°Ρ†ΠΈΠ΅ΠΉ ΠΏΠΎΠ΄Π²Π΅Ρ€Π³Π°ΡŽΡ‚ стСрилизации Π² Ρ€Π΅ΠΆΠΈΠΌΠ°Ρ…, ΠΏΡ€Π΅Π΄Π½Π°Π·Π½Π°Ρ‡Π΅Π½Π½Ρ‹Ρ… для ΠΏΠΎΠ΄Π³ΠΎΡ‚ΠΎΠ²ΠΊΠΈ ΠΏΠΎΠ»ΠΈΠΌΠ΅Ρ€Π½Ρ‹Ρ… ΠΈΠ·Π΄Π΅Π»ΠΈΠΉ. ПослС выдСлСния ΠΎΡ‚Π»ΠΎΠΌΠΊΠΎΠ² ΠΎΡΡƒΡ‰Π΅ΡΡ‚Π²Π»ΡΡŽΡ‚ ΠΈΡ… Ρ€Π΅ΠΏΠΎΠ·ΠΈΡ†ΠΈΡŽ ΠΈ ΡƒΠ΄Π΅Ρ€ΠΆΠ°Π½ΠΈΠ΅ с ΠΏΠΎΠΌΠΎΡ‰ΡŒΡŽ Π·Π°ΠΆΠΈΠΌΠΎΠ² ΠΈ костодСрТатСлСй. На этом этапС ΠΎΠΏΠ΅Ρ€Π°Ρ†ΠΈΠΈ Π²ΠΎΠ·Π½ΠΈΠΊΠ°Π΅Ρ‚ ΠΏΠΎΡ‚Ρ€Π΅Π±Π½ΠΎΡΡ‚ΡŒ Π² ΠΏΡ€ΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠΈ Ρ…ΠΎΠΌΡƒΡ‚ΠΎΠ²-стяТСк, Ρ‚Π°ΠΊ ΠΊΠ°ΠΊ костодСрТатСли ΠΏΡ€Π΅ΠΏΡΡ‚ΡΡ‚Π²ΡƒΡŽΡ‚ ΡƒΠΊΠ»Π°Π΄ΠΊΠ΅ пластины Π½Π° ΠΊΠΎΡΡ‚ΡŒ. Для этого Π½Π° свободныС ΠΎΡ‚ костодСрТатСлСй участки кости Π² области стыковки ΠΎΡ‚Π»ΠΎΠΌΠΊΠΎΠ² Π½Π°ΠΊΠ»Π°Π΄Ρ‹Π²Π°ΡŽΡ‚ 34 пластиковых Ρ…ΠΎΠΌΡƒΡ‚Π°-стяТки. Π’ Ρ‚Π΅Ρ… мСстах, Π³Π΄Π΅ ΠΊ ΠΎΡ‚Π»ΠΎΠΌΠΊΡƒ ΠΏΡ€ΠΈΠΊΡ€Π΅ΠΏΠ»ΡΡŽΡ‚ΡΡ нСповрСТдСнная надкостница ΠΈ ΠΌΡ‹ΡˆΡ†Ρ‹, инструмСнтом Ρ„ΠΎΡ€ΠΌΠΈΡ€ΡƒΡŽΡ‚ ΡƒΠ·ΠΊΠΈΠ΅ ΠΏΠΎΠΏΠ΅Ρ€Π΅Ρ‡Π½Ρ‹Π΅ ΠΊΠ°Π½Π°Π»Ρ‹ Π² мягких тканях для обхватывания кости Ρ…ΠΎΠΌΡƒΡ‚ΠΎΠΌ. Π—Π°Ρ‚Π΅ΠΌ свободный ΠΊΠΎΠ½Π΅Ρ† Ρ…ΠΎΠΌΡƒΡ‚Π° проводят Ρ‡Π΅Ρ€Π΅Π· Π΅Π³ΠΎ Π·Π°ΠΌΠΎΠΊ ΠΈ максимально Π·Π°Ρ‚ΡΠ³ΠΈΠ²Π°ΡŽΡ‚. ПослС затягивания всСх Ρ…ΠΎΠΌΡƒΡ‚ΠΎΠ² костодСрТатСли ΡΠ½ΠΈΠΌΠ°ΡŽΡ‚. НалоТСнныС Ρ…ΠΎΠΌΡƒΡ‚Ρ‹ Π½Π°Π΄Π΅ΠΆΠ½ΠΎ ΡƒΠ΄Π΅Ρ€ΠΆΠΈΠ²Π°ΡŽΡ‚ костныС Ρ„Ρ€Π°Π³ΠΌΠ΅Π½Ρ‚Ρ‹ ΠΎΡ‚ ΠΊΠ°ΠΊΠΈΡ…-Π»ΠΈΠ±ΠΎ смСщСний Π΄Π°ΠΆΠ΅ ΠΏΡ€ΠΈ Ρ€ΠΎΡ‚Π°Ρ†ΠΈΠΈ сСгмСнта. ΠŸΠΎΠ²Π΅Ρ€Ρ… кости с затянутыми Ρ…ΠΎΠΌΡƒΡ‚Π°ΠΌΠΈ-стяТками ΡƒΠΊΠ»Π°Π΄Ρ‹Π²Π°ΡŽΡ‚ накостный фиксатор. Π—Π°Ρ‚Π΅ΠΌ Ρ„ΠΈΠΊΡΠΈΡ€ΡƒΡŽΡ‚ пластину ΠΊ кости Π²ΠΈΠ½Ρ‚Π°ΠΌΠΈ. Π‘Π»Π΅Π΄ΡƒΠ΅Ρ‚ ΡƒΠΊΠ»Π°Π΄Ρ‹Π²Π°Ρ‚ΡŒ пластину Π½Π° ΠΊΠΎΡΡ‚ΡŒ Π±Π΅Π· сильного приТатия, Ρ‡Ρ‚ΠΎ позволяСт ΡƒΠ΄Π°Π»ΡΡ‚ΡŒ Ρ…ΠΎΠΌΡƒΡ‚Ρ‹-стяТки ΠΈΠ·-ΠΏΠΎΠ΄ пластины Π½Π° любом этапС остСосинтСза. БтяТки ΡƒΠ΄Π°Π»ΡΡŽΡ‚, разрСзая ΠΈΡ… скальпСлСм ΠΈΠ»ΠΈ пСрСкусывая кусачками, Π·Π°Ρ‚Π΅ΠΌ пластину Π·Π°ΠΊΡ€Π΅ΠΏΠ»ΡΡŽΡ‚ ΠΊ кости ΠΎΡΡ‚Π°Π²ΡˆΠΈΠΌΠΈΡΡ Π²ΠΈΠ½Ρ‚Π°ΠΌΠΈ. Π—Π°ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅. Π₯ΠΎΠΌΡƒΡ‚Ρ‹-стяТки ΠΎΠ±Π»Π°Π΄Π°ΡŽΡ‚ ΠΌΠ½ΠΎΠ³ΠΈΠΌΠΈ прСимущСствами: ΠΎΠ½ΠΈ доступны, Π΄Π΅ΡˆΠ΅Π²Ρ‹, Π½Π΅ Ρ‚Π΅Ρ€ΡΡŽΡ‚ своих мСханичСских свойств послС стСрилизации, ΠΏΠΎΠ·Π²ΠΎΠ»ΡΡŽΡ‚ Π½Π°Π΄Π΅ΠΆΠ½ΠΎ ΡƒΠ΄Π΅Ρ€ΠΆΠΈΠ²Π°Ρ‚ΡŒ ΠΎΡ‚Π»ΠΎΠΌΠΊΠΈ костСй Π²ΠΎ врСмя Ρ€Π΅ΠΏΠΎΠ·ΠΈΡ†ΠΈΠΈ, Ρ€Π΅Π½Ρ‚Π³Π΅Π½ΠΎΠ½Π΅Π³Π°Ρ‚ΠΈΠ²Π½Ρ‹. ΠœΠ΅Ρ‚ΠΎΠ΄ продСмонстрировал удобство ΠΈ Π½Π°Π΄Π΅ΠΆΠ½ΠΎΡΡ‚ΡŒ

    Technique of complex slime water treatment of coal-mining branch

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    The possibility of complex slime water treatment at coal-mining and coal-treating plants producing marketable products: power-generating concentrate, coal-water fuel, magnetic fraction, industrial water is shown. A basic process flowsheet of slime water treatment presenting a united technological complex is suggested

    Stepwise quantum decay of self-localized solitons

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    The two-phonon decay of self-localized soliton in a one-dimensional monatomic anharmonic lattice caused by cubic anharmonicity is considered. It is shown that the decay takes place with emission of phonon bursts. The average rate of emission of phonons is of the order of vibrational quantum per vibrational period. Characteristic time of the relaxation is determined by the quantum anharmonicity parameter; this time may vary from a few (quantum lattices, large anharmonicity) to thousands (ordinary lattices, small anharmonicity) of vibrational periods.Comment: 6 pages, 3 figure

    Аутотрансплантация лоскутов ΠΏΡ€ΠΈ Π»Π΅Ρ‡Π΅Π½ΠΈΠΈ ΠΏΠ΅Ρ€ΠΈΠΈΠΌΠΏΠ»Π°Π½Ρ‚Π½ΠΎΠΉ ΠΈΠ½Ρ„Π΅ΠΊΡ†ΠΈΠΈ послС накостного остСосинтСза (Π°Π½Π°Π»ΠΈΠ· клиничСских наблюдСний)

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    Unfortunately, suppuration of a postoperative wound remains the most frequent complication of surgical intervention. If suppuration is located superficially, within the subcutaneous fat, it can be successfully managed with minimal functional losses. The clinical course is significantly complicated if the focus of infection is located under the skin, in the thickness of the muscles, in the fracture zone. In the case of suppuration in the area of osteosynthesis, the complication may become critical.Such a complication is a serious condition that requires multi-stage complex and sometimes multidisciplinary treatment.The conditions for a successful outcome in this pathology are the minimum period from the moment of suppuration, active surgical tactics, stability of the implant, and good vascularization of the surrounding soft tissues.Active surgical tactics involves the opening and sanitation of purulent foci, leaks, recesses. Staged necrectomies are inevitable companions of surgical treatment and can cause the formation of defects in the skin, subcutaneous tissue, and muscles.The resulting soft tissue defect leads to exposure of the bone and plate. Removal of the metal fixator becomes inevitable.Only the closure of the defect with a complex of tissues based on free vascularized composite grafts can radically solve the problem.The article presents two clinical observations of deep wound infection after bone osteosynthesis, where autotransplantation of a vascularized flap was used. The use of this technique made it possible to achieve suppression of infection, wound healing by primary intention, to create conditions for consolidation of the fracture, restoration of function and preservation of the limb as a whole.НагноСниС послСопСрационной Ρ€Π°Π½Ρ‹ остаСтся, ΠΊ соТалСнию, Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ частым ослоТнСниСм хирургичСского Π²ΠΌΠ΅ΡˆΠ°Ρ‚Π΅Π»ΡŒΡΡ‚Π²Π°. Если Π½Π°Π³Π½ΠΎΠ΅Π½ΠΈΠ΅ локализуСтся повСрхностно, Π² ΠΏΡ€Π΅Π΄Π΅Π»Π°Ρ… ΠΏΠΎΠ΄ΠΊΠΎΠΆΠ½ΠΎ-ΠΆΠΈΡ€ΠΎΠ²ΠΎΠΉ ΠΊΠ»Π΅Ρ‚Ρ‡Π°Ρ‚ΠΊΠΈ, с Π½ΠΈΠΌ удаСтся достаточно ΡƒΡΠΏΠ΅ΡˆΠ½ΠΎ Π±ΠΎΡ€ΠΎΡ‚ΡŒΡΡ с ΠΌΠΈΠ½ΠΈΠΌΠ°Π»ΡŒΠ½Ρ‹ΠΌΠΈ Ρ„ΡƒΠ½ΠΊΡ†ΠΈΠΎΠ½Π°Π»ΡŒΠ½Ρ‹ΠΌΠΈ потСрями. ΠšΠ»ΠΈΠ½ΠΈΡ‡Π΅ΡΠΊΠΎΠ΅ Ρ‚Π΅Ρ‡Π΅Π½ΠΈΠ΅ Π·Π½Π°Ρ‡ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎ ослоТняСтся, Ссли ΠΎΡ‡Π°Π³ ΠΈΠ½Ρ„Π΅ΠΊΡ†ΠΈΠΈ располагаСтся ΠΏΠΎΠ΄ ΠΊΠΎΠΆΠ΅ΠΉ, Π² Ρ‚ΠΎΠ»Ρ‰Π΅ ΠΌΡ‹ΡˆΡ†, Π² Π·ΠΎΠ½Π΅ ΠΏΠ΅Ρ€Π΅Π»ΠΎΠΌΠ°. Π’ случаС нагноСния Π² области накостного остСосинтСза ослоТнСниС ΠΌΠΎΠΆΠ΅Ρ‚ ΡΡ‚Π°Ρ‚ΡŒ критичСским.Π’Π°ΠΊΠΎΠ΅ ослоТнСниС β€” это тяТСлоС состояниС, Ρ‚Ρ€Π΅Π±ΡƒΡŽΡ‰Π΅Π΅ многоэтапного комплСксного, Π° ΠΏΠΎΡ€ΠΎΠΉ ΠΌΡƒΠ»ΡŒΡ‚ΠΈΠ΄ΠΈΡΡ†ΠΈΠΏΠ»ΠΈΠ½Π°Ρ€Π½ΠΎΠ³ΠΎ лСчСния.Условиями ΡƒΡΠΏΠ΅ΡˆΠ½ΠΎΠ³ΠΎ исхода ΠΏΡ€ΠΈ Π΄Π°Π½Π½ΠΎΠΉ ΠΏΠ°Ρ‚ΠΎΠ»ΠΎΠ³ΠΈΠΈ ΡΠ²Π»ΡΡŽΡ‚ΡΡ ΠΌΠΈΠ½ΠΈΠΌΠ°Π»ΡŒΠ½Ρ‹ΠΉ срок с ΠΌΠΎΠΌΠ΅Π½Ρ‚Π° нагноСния, активная хирургичСская Ρ‚Π°ΠΊΡ‚ΠΈΠΊΠ°, ΡΡ‚Π°Π±ΠΈΠ»ΡŒΠ½ΠΎΡΡ‚ΡŒ ΠΈΠΌΠΏΠ»Π°Π½Ρ‚Π°Ρ‚Π°, Ρ…ΠΎΡ€ΠΎΡˆΠ°Ρ васкуляризация ΠΎΠΊΡ€ΡƒΠΆΠ°ΡŽΡ‰ΠΈΡ… мягких Ρ‚ΠΊΠ°Π½Π΅ΠΉ.Активная хирургичСская Ρ‚Π°ΠΊΡ‚ΠΈΠΊΠ° ΠΏΠΎΠ΄Ρ€Π°Π·ΡƒΠΌΠ΅Π²Π°Π΅Ρ‚ вскрытиС ΠΈ ΡΠ°Π½Π°Ρ†ΠΈΡŽ Π³Π½ΠΎΠΉΠ½Ρ‹Ρ… ΠΎΡ‡Π°Π³ΠΎΠ², Π·Π°Ρ‚Π΅ΠΊΠΎΠ², ΠΊΠ°Ρ€ΠΌΠ°Π½ΠΎΠ². Π­Ρ‚Π°ΠΏΠ½Ρ‹Π΅ нСкрэктомии ΡΠ²Π»ΡΡŽΡ‚ΡΡ Π½Π΅ΠΈΠ·Π±Π΅ΠΆΠ½Ρ‹ΠΌΠΈ спутниками хирургичСского лСчСния ΠΈ ΠΌΠΎΠ³ΡƒΡ‚ ΡΡ‚Π°Ρ‚ΡŒ ΠΏΡ€ΠΈΡ‡ΠΈΠ½ΠΎΠΉ формирования Π΄Π΅Ρ„Π΅ΠΊΡ‚ΠΎΠ² ΠΊΠΎΠΆΠΈ, ΠΏΠΎΠ΄ΠΊΠΎΠΆΠ½ΠΎΠΉ ΠΊΠ»Π΅Ρ‚Ρ‡Π°Ρ‚ΠΊΠΈ, ΠΌΡ‹ΡˆΡ†.ΠžΠ±Ρ€Π°Π·ΠΎΠ²Π°Π²ΡˆΠΈΠΉΡΡ Π΄Π΅Ρ„Π΅ΠΊΡ‚ мягких Ρ‚ΠΊΠ°Π½Π΅ΠΉ ΠΏΡ€ΠΈΠ²ΠΎΠ΄ΠΈΡ‚ ΠΊ обнаТСнию кости ΠΈ пластины. Π£Π΄Π°Π»Π΅Π½ΠΈΠ΅ мСталлофиксатора становится Π½Π΅ΠΈΠ·Π±Π΅ΠΆΠ½Ρ‹ΠΌ.Π›ΠΈΡˆΡŒ Π·Π°ΠΊΡ€Ρ‹Ρ‚ΠΈΠ΅ Π΄Π΅Ρ„Π΅ΠΊΡ‚Π° комплСксом Ρ‚ΠΊΠ°Π½Π΅ΠΉ Π½Π° основС свободных васкуляризированных составных трансплантатов способно ΠΊΠ°Ρ€Π΄ΠΈΠ½Π°Π»ΡŒΠ½Ρ‹ΠΌ ΠΎΠ±Ρ€Π°Π·ΠΎΠΌ Ρ€Π΅ΡˆΠΈΡ‚ΡŒ Π²ΠΎΠ·Π½ΠΈΠΊΡˆΡƒΡŽ ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌΡƒ.Π’ ΡΡ‚Π°Ρ‚ΡŒΠ΅ прСдставлСны Π΄Π²Π° клиничСских наблюдСния Π³Π»ΡƒΠ±ΠΎΠΊΠΎΠΉ Ρ€Π°Π½Π΅Π²ΠΎΠΉ ΠΈΠ½Ρ„Π΅ΠΊΡ†ΠΈΠΈ послС накостного остСосинтСза, ΠΏΡ€ΠΈ ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Ρ… Π±Ρ‹Π»Π° ΠΏΡ€ΠΈΠΌΠ΅Π½Π΅Π½Π° аутотрансплантация васкуляризированного лоскута. ИспользованиС Π΄Π°Π½Π½ΠΎΠΉ ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΈΠΊΠΈ ΠΏΠΎΠ·Π²ΠΎΠ»ΠΈΠ»ΠΎ Π΄ΠΎΠ±ΠΈΡ‚ΡŒΡΡ подавлСния ΠΈΠ½Ρ„Π΅ΠΊΡ†ΠΈΠΈ, заТивлСния Ρ€Π°Π½Ρ‹ ΠΏΠ΅Ρ€Π²ΠΈΡ‡Π½Ρ‹ΠΌ натяТСниСм, ΡΠΎΠ·Π΄Π°Ρ‚ΡŒ условия для консолидации ΠΏΠ΅Ρ€Π΅Π»ΠΎΠΌΠ°, восстановлСния Ρ„ΡƒΠ½ΠΊΡ†ΠΈΠΈ ΠΈ сохранСния конСчности Π² Ρ†Π΅Π»ΠΎΠΌ
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