51 research outputs found
ΠΠ΅ΠΊΠΎΡΠΎΡΡΠ΅ ΠΎΡΠΎΠ±Π΅Π½Π½ΠΎΡΡΠΈ Π³ΠΎΡΠΌΠΎΠ½Π°Π»ΡΠ½ΠΎΠ³ΠΎ ΡΡΠ°ΡΡΡΠ° Π² ΡΠ»ΡΡΠ°ΡΡ Ρ Π²ΡΠΎΠΆΠ΄Π΅Π½Π½ΠΎΠΉ ΡΠΊΡΠΎΠΏΠΈΠ΅ΠΉ ΡΠ΅ΠΉΠΊΠΈ ΠΌΠ°ΡΠΊΠΈ
The article presents data on the effects of ovarian hormones on the development of congenital cervical ectopia in young iparous women. Found that the pathological course of pregnancy leads to changes in the fetoplacental system, and results in a decrease of estriol concentration and increase of progesterone protective compensatory levels.Π ΡΡΠ°ΡΡΠ΅ ΠΏΡΠ΅Π΄ΡΡΠ°Π²Π»Π΅Π½Ρ Π΄Π°Π½Π½ΡΠ΅ ΠΎ Π²Π»ΠΈΡΠ½ΠΈΠΈ ΡΠΈΡΠ½ΠΈΠΊΠΎΠ²ΡΡ
Π³ΠΎΡΠΌΠΎΠ½ΠΎΠ² Π½Π° ΡΠ°Π·Π²ΠΈΡΠΈΠ΅ Π²ΡΠΎΠΆΠ΄Π΅Π½Π½ΠΎΠΉ ΡΠΊΡΠΎΠΏΠΈΠΈ ΡΠ΅ΠΉΠΊΠΈ ΠΌΠ°ΡΠΊΠΈ Ρ ΠΌΠΎΠ»ΠΎΠ΄ΡΡ
Π½Π΅ΡΠΎΠΆΠ°Π²ΡΠΈΡ
ΠΆΠ΅Π½ΡΠΈΠ½. ΠΠ±Π½Π°ΡΡΠΆΠ΅Π½ΠΎ, ΡΡΠΎ ΠΏΠ°ΡΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ΅ ΡΠ΅ΡΠ΅Π½ΠΈΠ΅ Π±Π΅ΡΠ΅ΠΌΠ΅Π½Π½ΠΎΡΡΠΈ ΠΏΡΠΈΠ²ΠΎΠ΄ΠΈΡ ΠΊ ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΡΠΌ Π² ΡΠ΅ΡΠΎΠΏΠ»Π°ΡΠ΅Π½ΡΠ°ΡΠ½ΠΎΠΉ ΡΠΈΡΡΠ΅ΠΌΠ΅, ΠΏΡΠΎΡΠ²Π»ΡΡΡΠΈΠΌΡΡ Π² ΡΠΌΠ΅Π½ΡΡΠ΅Π½ΠΈΠΈ ΠΊΠΎΠ½ΡΠ΅Π½ΡΡΠ°ΡΠΈΠΈ ΡΡΡΡΠΈΠΎΠ»Π° ΠΈ Π·Π°ΡΠΈΡΠ½ΠΎ-ΠΊΠΎΠΌΠΏΠ΅Π½ΡΠ°ΡΠΎΡΠ½ΠΎΠΌ ΡΠ²Π΅Π»ΠΈΡΠ΅Π½ΠΈΠΈ ΠΏΡΠΎΠ³Π΅ΡΡΠ΅ΡΠΎΠ½Π°
Π‘ΠΎΠ²ΡΠ΅ΠΌΠ΅Π½Π½ΡΠ΅ Π°ΡΠΏΠ΅ΠΊΡΡ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΡ Π·Π°ΠΌΠ΅ΡΡΠΈΡΠ΅Π»ΡΠ½ΠΎΠΉ Π³ΠΎΡΠΌΠΎΠ½Π°Π»ΡΠ½ΠΎΠΉ ΡΠ΅ΡΠ°ΠΏΠΈΠΈ ΠΏΡΠΈ ΠΊΠΎΡΡΠ΅ΠΊΡΠΈΠΈ Π½Π°ΡΡΡΠ΅Π½ΠΈΠΉ ΡΠΎ ΡΡΠΎΡΠΎΠ½Ρ ΡΠ΅ΡΠ΄Π΅ΡΠ½ΠΎ-ΡΠΎΡΡΠ΄ΠΈΡΡΠΎΠΉ ΡΠΈΡΡΠ΅ΠΌΡ Ρ ΠΆΠ΅Π½ΡΠΈΠ½ Ρ ΠΊΠ»ΠΈΠΌΠ°ΠΊΡΠ΅ΡΠΈΡΠ΅ΡΠΊΠΈΠΌ ΡΠΈΠ½Π΄ΡΠΎΠΌΠΎΠΌ
Hormone replacement therapy (HRT) has been widely used for reliving climacteric disorders. The purpose of present study is to evaluate myocardium function in case of HRT application. Application of hormone replacement therapy has enhanced microcirculation and myocardium metabolism if cardiac embarrassment was induced by pathology in endocrine and central nervous system.Π ΡΠ°Π±ΠΎΡΠ΅ ΠΈΠ·ΡΡΠ΅Π½ΠΎ ΡΠΎΡΡΠΎΡΠ½ΠΈΠ΅ ΠΌΠΈΠΎΠΊΠ°ΡΠ΄Π° Ρ Π±ΠΎΠ»ΡΠ½ΡΡ
Ρ ΠΊΠ»ΠΈΠΌΠ°ΠΊΡΠ΅ΡΠΈΡΠ΅ΡΠΊΠΈΠΌ ΡΠΈΠ½Π΄ΡΠΎΠΌΠΎΠΌ ΠΈ ΠΏΡΠΎΠΈΠ·Π²Π΅Π΄Π΅Π½Π° ΠΎΡΠ΅Π½ΠΊΠ° Π²Π»ΠΈΡΠ½ΠΈΡ ΠΠΠ’ Π½Π° ΠΈΠΌΠ΅ΡΡΠΈΠ΅ΡΡ Π½Π°ΡΡΡΠ΅Π½ΠΈΡ. ΠΠΎΠΊΠ°Π·Π°Π½ΠΎ, ΡΡΠΎ ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΡ ΡΠΎ ΡΡΠΎΡΠΎΠ½Ρ Π‘Π‘Π‘ ΠΏΡΠΈ ΠΠ‘, Π½ΠΎΡΠΌΠ°Π»ΠΈΠ·Π°ΡΠΈΡ ΠΊΠΎΡΠΎΡΡΡ
ΠΏΡΠΎΠΈΡΡ
ΠΎΠ΄ΠΈΡ Π² ΠΏΡΠΎΡΠ΅ΡΡΠ΅ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΡ ΠΠΠ’, Π½ΠΎΡΡΡ ΠΌΠ΅ΡΠ°Π±ΠΎΠ»ΠΈΡΠ΅ΡΠΊΠΈΠΉ Ρ
Π°ΡΠ°ΠΊΡΠ΅Ρ ΠΈ ΠΎΠ±ΡΡΠ»ΠΎΠ²Π»Π΅Π½Ρ ΠΏΠ°ΡΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΠΌΠΈ ΠΏΡΠΎΡΠ΅ΡΡΠ°ΠΌΠΈ Π² ΡΠ½Π΄ΠΎΠΊΡΠΈΠ½Π½ΠΎΠΉ ΠΈ Π¦ΠΠ‘, Π½Π°Π±Π»ΡΠ΄Π°Π΅ΠΌΡΠΌΠΈ ΠΏΡΠΈ Π΄Π°Π½Π½ΠΎΠΌ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΈ
Non-conserved dynamics of steps on vicinal surfaces during electromigration-induced step bunching
We report new results on the non-conserved dynamics of parallel steps on
vicinal surfaces in the case of sublimation with electromigration and step-step
interactions. The derived equations are valid in the quasistatic approximation
and in the limit , where is the inverse
electromigration length, the diffusion length, the kinetic
lengths and the terrace widths. The coupling between crystal sublimation
and step-step interactions induces non-linear, non-conservative terms in the
equations of motion. Depending on the initial conditions, this leads to
interrupted coarsening, anticoarsening of step bunches or periodic switching
between step trains of different numbers of bunches.Comment: 11 pages, 4 figures; revised and extended versio
Measurement of \Gamma_{ee}(J/\psi)*Br(J/\psi->e^+e^-) and \Gamma_{ee}(J/\psi)*Br(J/\psi->\mu^+\mu^-)
The products of the electron width of the J/\psi meson and the branching
fraction of its decays to the lepton pairs were measured using data from the
KEDR experiment at the VEPP-4M electron-positron collider. The results are
\Gamma_{ee}(J/\psi)*Br(J/\psi->e^+e^-)=(0.3323\pm0.0064\pm0.0048) keV,
\Gamma_{ee}(J/\psi)*Br(J/\psi->\mu^+\mu^-)=(0.3318\pm0.0052\pm0.0063) keV.
Their combinations
\Gamma_{ee}\times(\Gamma_{ee}+\Gamma_{\mu\mu})/\Gamma=(0.6641\pm0.0082\pm0.0100)
keV,
\Gamma_{ee}/\Gamma_{\mu\mu}=1.002\pm0.021\pm0.013 can be used to improve
theaccuracy of the leptonic and full widths and test leptonic universality.
Assuming e\mu universality and using the world average value of the lepton
branching fraction, we also determine the leptonic \Gamma_{ll}=5.59\pm0.12 keV
and total \Gamma=94.1\pm2.7 keV widths of the J/\psi meson.Comment: 7 pages, 6 figure
Study of KS KL Coupled Decays and KL -Be Interactions with the CMD-2 Detector at VEPP-2M Collider
The integrated luminosity about 4000 inverse nanobarn of around phi meson
mass ( 5 millions of phi mesons) has been collected with the CMD-2 detector at
the VEPP-2M collider. A latest analysis of the KS KL coupled decays based on 30
% of available data is presented in this paper.
The KS KL pairs from phi meson decays were reconstructed in the drift chamber
when both kaons decayed into two charged particles. From a sample of 1423
coupled decays a selection of candidates to the CP violating KL into pi+ pi-
decay was performed. CP violating decays were not identified because of the
domination of events with a KL regenerating at the Be beam pipe into KS and a
background from KL semileptonic decays.
The regeneration cross section of 110 MeV/c KL mesons was found to be 53 +-
17 mb in agreement with theoretical expectations. The angular distribution of
KS mesons after regeneration and the total cross section of KL for Be have been
measured.Comment: 14 pages, 8 figure
Search for rare Phi decays in pi+ pi_ gamma final state
A search for phi radiative decays has been performed using a data sample of
about 2.0 million phi decays collected by the CMD-2 detector at VEPP-2M
collider in Novosibirsk. From the selected e+ e- -> pi+ pi- gamma events the
following results were obtained: B(phi -> f0(980) gamma) < 1x10-4 for
destructive and B(phi -> f0(980) gamma) < 7x10-4 for constructive interference
with the Bremsstrahlung process respectively, B(phi -> gamma -> pi+ pi- gamma)
20 MeV, B(phi -> rho gamma) < 7x10-4. From the
selected e+ e- -> mu+ mu- gamma events B(phi -> mu+ mu- gamma) =
(2.3+-1.0)x10-5 has been obtained for E of gamma> 20 MeV. The upper limit on
the P,CP-violating decay eta -> pi+ pi- has also been placed: B(eta -> pi+ pi-)
< 9x10-4 . All upper limits are at 90 % C.L.Comment: 18 pages, 7 figure
Search for electroweak production of single top quarks in collisions.
We present a search for electroweak production of single top quarks in the electron+jets and muon+jets decay channels. The measurements use ~90 pb^-1 of data from Run 1 of the Fermilab Tevatron collider, collected at 1.8 TeV with the DZero detector between 1992 and 1995. We use events that include a tagging muon, implying the presence of a b jet, to set an upper limit at the 95% confidence level on the cross section for the s-channel process ppbar->tb+X of 39 pb. The upper limit for the t-channel process ppbar->tqb+X is 58 pb. (arXiv
Hard Single Diffraction in pbarp Collisions at root-s = 630 and 1800 GeV
Using the D0 detector, we have studied events produced in proton-antiproton
collisions that contain large forward regions with very little energy
deposition (``rapidity gaps'') and concurrent jet production at center-of-mass
energies of root-s = 630 and 1800 Gev. The fractions of forward and central jet
events associated with such rapidity gaps are measured and compared to
predictions from Monte Carlo models. For hard diffractive candidate events, we
use the calorimeter to extract the fractional momentum loss of the scattered
protons.Comment: 11 pages 4 figures. submitted to PR
ΠΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΡ 3D-ΠΈΠΌΠΏΠ»Π°Π½ΡΠ°ΡΠΎΠ² Ρ Π±ΠΈΠΎΠ°ΠΊΡΠΈΠ²Π½ΡΠΌΠΈ ΡΠ²ΠΎΠΉΡΡΠ²Π°ΠΌΠΈ Π΄Π»Ρ Π·Π°ΠΌΠ΅ΡΠ΅Π½ΠΈΡ ΠΎΠ±ΡΠΈΡΠ½ΡΡ Π΄Π΅ΡΠ΅ΠΊΡΠΎΠ² ΠΊΠΎΡΡΠ΅ΠΉ: ΡΠΊΡΠΏΠ΅ΡΠΈΠΌΠ΅Π½ΡΠ°Π»ΡΠ½ΠΎΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅
Background. The problem of replacing extensive bone defects remains relevant. The use of implant structures with bioactive properties can stimulate osteogenesis, which will improve the final treatment result.The aim of the study. In an in vivo experiment, to study the possibility of replacing an extensive defect in the bone diaphysis with a personal bioactive cellular 3D implant and evaluate the long-term results of its use.Materials and Methods. In an in vivo experiment, adult large mongrel dogs (n = 8) were modeled with an extensive segmental defect of the tibial diaphysis measuring 4 cm. The defect was replaced with a cellular bioactive 3D implant made of titanium alloy Ti6Al4V, manufactured using the additive technology. The diameter of the cells was 1.5 mm on average. The walls of the implant had pores of 100β 300 ΞΌm in size. The inner and outer surfaces were coated with a calcium phosphate layer formed by micro-arc oxidation. The primary fixation was provided with the Ilizarov apparatus. In the early postoperative period, antibiotic prophylaxis with broad-spectrum drugs was performed. Clinical, X-ray, histological and statistical methods were used to analyze the results. The main control points were considered: the end of external fixation with the Ilizarov apparatus, after 180 days and 1 year after the termination of external fixation.Results. During the experiment, the death of animals and complications were not observed. The spatial location of the implant was preserved. The formation of a strong bone-implantation block occurred 37.2Β±6.3 days after the operation. During this period, the external fixation apparatus was dismantled. Osseointegration was provided under conditions of sufficient primary mechanical stability, due to the cellular structure of the implant, the presence of pores on its walls, and the osteoinductive properties of the applied calcium phosphate coating. The achieved degree of osseointegration persisted in long-term periods (6 months and 1 year after the termination of external fixation). The osteoinductive properties of the calcium phosphate coating were confirmed by the expression of osteopontin cells at all stages of the experiment. Outflow of Ca and P from bone fragments was not observed. An elastic sheath was formed on the surface of the implant, similar in structure to the periosteum. The implant cells were filled with a well-vascularized bone substrate. In the projection of the intermediate zone, compact bone tissue was formed, and in the projection of the medullary canal β reticulofibrous bone marrow. This indicates the possibility of organotypic remodeling of bone structures inside the implant.Conclusion. The results of the study showed the effectiveness of using a bioactive cellular 3D implant to replace an extensive defect in the shaft of the bone. The architectonics and osteoinductive properties of the implant surface contributed to the formation of complete osseointegration in a short time, while maintaining the achieved result in long-term periods.ΠΠΊΡΡΠ°Π»ΡΠ½ΠΎΡΡΡ. ΠΡΠΎΠ±Π»Π΅ΠΌΠ° Π·Π°ΠΌΠ΅ΡΠ΅Π½ΠΈΡ ΠΎΠ±ΡΠΈΡΠ½ΡΡ
ΠΊΠΎΡΡΠ½ΡΡ
Π΄Π΅ΡΠ΅ΠΊΡΠΎΠ² ΠΎΡΡΠ°Π΅ΡΡΡ Π°ΠΊΡΡΠ°Π»ΡΠ½ΠΎΠΉ. ΠΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΠ΅ ΠΈΠΌΠΏΠ»Π°Π½ΡΠ°ΡΠΈΠΎΠ½Π½ΡΡ
ΠΊΠΎΠ½ΡΡΡΡΠΊΡΠΈΠΉ Ρ Π±ΠΈΠΎΠ°ΠΊΡΠΈΠ²Π½ΡΠΌΠΈ ΡΠ²ΠΎΠΉΡΡΠ²Π°ΠΌΠΈ ΠΌΠΎΠΆΠ΅Ρ ΡΡΠΈΠΌΡΠ»ΠΈΡΠΎΠ²Π°ΡΡ ΠΎΡΡΠ΅ΠΎΠ³Π΅Π½Π΅Π·, ΡΡΠΎ ΡΠ»ΡΡΡΠΈΡ ΠΎΠΊΠΎΠ½ΡΠ°ΡΠ΅Π»ΡΠ½ΡΠΉ ΡΠ΅Π·ΡΠ»ΡΡΠ°Ρ Π»Π΅ΡΠ΅Π½ΠΈΡ.Π¦Π΅Π»Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ β Π² ΡΠΊΡΠΏΠ΅ΡΠΈΠΌΠ΅Π½ΡΠ΅ in vivo ΠΈΠ·ΡΡΠΈΡΡ Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡΡ Π·Π°ΠΌΠ΅ΡΠ΅Π½ΠΈΡ ΠΎΠ±ΡΠΈΡΠ½ΠΎΠ³ΠΎ Π΄Π΅ΡΠ΅ΠΊΡΠ° Π΄ΠΈΠ°ΡΠΈΠ·Π° ΠΊΠΎΡΡΠΈ ΠΏΠ΅ΡΡΠΎΠ½Π°Π»ΡΠ½ΡΠΌ Π±ΠΈΠΎΠ°ΠΊΡΠΈΠ²Π½ΡΠΌ ΡΡΠ΅ΠΈΡΡΡΠΌ 3D-ΠΈΠΌΠΏΠ»Π°Π½ΡΠ°ΡΠΎΠΌ ΠΈ ΠΎΡΠ΅Π½ΠΈΡΡ ΠΎΡΠ΄Π°Π»Π΅Π½Π½ΡΠ΅ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΡ Π΅Π³ΠΎ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΡ.Π¦Π΅Π»Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ β Π² ΡΠΊΡΠΏΠ΅ΡΠΈΠΌΠ΅Π½ΡΠ΅ in vivo ΠΈΠ·ΡΡΠΈΡΡ Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡΡ Π·Π°ΠΌΠ΅ΡΠ΅Π½ΠΈΡ ΠΎΠ±ΡΠΈΡΠ½ΠΎΠ³ΠΎ Π΄Π΅ΡΠ΅ΠΊΡΠ° Π΄ΠΈΠ°ΡΠΈΠ·Π° ΠΊΠΎΡΡΠΈ ΠΏΠ΅ΡΡΠΎΠ½Π°Π»ΡΠ½ΡΠΌ Π±ΠΈΠΎΠ°ΠΊΡΠΈΠ²Π½ΡΠΌ ΡΡΠ΅ΠΈΡΡΡΠΌ 3D-ΠΈΠΌΠΏΠ»Π°Π½ΡΠ°ΡΠΎΠΌ ΠΈ ΠΎΡΠ΅Π½ΠΈΡΡ ΠΎΡΠ΄Π°Π»Π΅Π½Π½ΡΠ΅ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΡ Π΅Π³ΠΎ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΡ.ΠΠ°ΡΠ΅ΡΠΈΠ°Π» ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ. Π ΡΠΊΡΠΏΠ΅ΡΠΈΠΌΠ΅Π½ΡΠ΅ in vivo Π²Π·ΡΠΎΡΠ»ΡΠΌ ΠΊΡΡΠΏΠ½ΡΠΌ Π±Π΅ΡΠΏΠΎΡΠΎΠ΄Π½ΡΠΌ ΡΠΎΠ±Π°ΠΊΠ°ΠΌ (n = 8) ΠΌΠΎΠ΄Π΅Π»ΠΈΡΠΎΠ²Π°Π»ΠΈ ΠΎΠ±ΡΠΈΡΠ½ΡΠΉ ΡΠ΅Π³ΠΌΠ΅Π½ΡΠ°ΡΠ½ΡΠΉ Π΄Π΅ΡΠ΅ΠΊΡ Π΄ΠΈΠ°ΡΠΈΠ·Π° Π±ΠΎΠ»ΡΡΠ΅Π±Π΅ΡΡΠΎΠ²ΠΎΠΉ ΠΊΠΎΡΡΠΈ Π²Π΅Π»ΠΈΡΠΈΠ½ΠΎΠΉ 4 ΡΠΌ. ΠΠ΅ΡΠ΅ΠΊΡ Π·Π°ΠΌΠ΅ΡΠ°Π»ΠΈ ΡΡΠ΅ΠΈΡΡΡΠΌ Π±ΠΈΠΎΠ°ΠΊΡΠΈΠ²Π½ΡΠΌ 3D-ΠΈΠΌΠΏΠ»Π°Π½ΡΠ°ΡΠΎΠΌ ΠΈΠ· ΡΠΈΡΠ°Π½ΠΎΠ²ΠΎΠ³ΠΎ ΡΠΏΠ»Π°Π²Π° Ti6Al4V, ΠΈΠ·Π³ΠΎΡΠΎΠ²Π»Π΅Π½Π½ΡΠΌ ΠΏΠΎ Π°Π΄Π΄ΠΈΡΠΈΠ²Π½ΠΎΠΉ ΡΠ΅Ρ
Π½ΠΎΠ»ΠΎΠ³ΠΈΠΈ. ΠΠΈΠ°ΠΌΠ΅ΡΡ ΡΡΠ΅Π΅ΠΊ ΡΠΎΡΡΠ°Π²Π»ΡΠ» Π² ΡΡΠ΅Π΄Π½Π΅ΠΌ 1,5 ΠΌΠΌ. Π‘ΡΠ΅Π½ΠΊΠΈ ΠΈΠΌΠΏΠ»Π°Π½ΡΠ°ΡΠ° ΠΈΠΌΠ΅Π»ΠΈ ΠΏΠΎΡΡ ΡΠ°Π·ΠΌΠ΅ΡΠΎΠΌ 100β300 ΠΌΠΊΠΌ. ΠΠ½ΡΡΡΠ΅Π½Π½ΠΈΠ΅ ΠΈ Π½Π°ΡΡΠΆΠ½ΡΠ΅ ΠΏΠΎΠ²Π΅ΡΡ
Π½ΠΎΡΡΠΈ Π±ΡΠ»ΠΈ ΠΏΠΎΠΊΡΡΡΡ ΠΊΠ°Π»ΡΡΠΈΠΉ-ΡΠΎΡΡΠ°ΡΠ½ΡΠΌ ΡΠ»ΠΎΠ΅ΠΌ, ΡΡΠΎΡΠΌΠΈΡΠΎΠ²Π°Π½Π½ΡΠΌ ΠΌΠ΅ΡΠΎΠ΄ΠΎΠΌ ΠΌΠΈΠΊΡΠΎΠ΄ΡΠ³ΠΎΠ²ΠΎΠ³ΠΎ ΠΎΠΊΡΠΈΠ΄ΠΈΡΠΎΠ²Π°Π½ΠΈΡ. ΠΠ΅ΡΠ²ΠΈΡΠ½ΡΡ ΡΠΈΠΊΡΠ°ΡΠΈΡ ΠΎΠ±Π΅ΡΠΏΠ΅ΡΠΈΠ²Π°Π»ΠΈ Π°ΠΏΠΏΠ°ΡΠ°ΡΠΎΠΌ ΠΠ»ΠΈΠ·Π°ΡΠΎΠ²Π°. Π ΡΠ°Π½Π½Π΅ΠΌ ΠΏΠΎΡΠ»Π΅ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΎΠ½Π½ΠΎΠΌ ΠΏΠ΅ΡΠΈΠΎΠ΄Π΅ ΠΏΡΠΎΠ²ΠΎΠ΄ΠΈΠ»ΠΈ Π°Π½ΡΠΈΠ±ΠΈΠΎΡΠΈΠΊΠΎΠΏΡΠΎΡΠΈΠ»Π°ΠΊΡΠΈΠΊΡ ΠΏΡΠ΅ΠΏΠ°ΡΠ°ΡΠ°ΠΌΠΈ ΡΠΈΡΠΎΠΊΠΎΠ³ΠΎ ΡΠΏΠ΅ΠΊΡΡΠ° Π΄Π΅ΠΉΡΡΠ²ΠΈΡ. ΠΠ»Ρ Π°Π½Π°Π»ΠΈΠ·Π° ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠΎΠ² ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π»ΠΈ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠΉ, ΡΠ΅Π½ΡΠ³Π΅Π½ΠΎΠ³ΡΠ°ΡΠΈΡΠ΅ΡΠΊΠΈΠΉ, Π³ΠΈΡΡΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΠΉ ΠΈ ΡΡΠ°ΡΠΈΡΡΠΈΡΠ΅ΡΠΊΠΈΠΉ ΠΌΠ΅ΡΠΎΠ΄Ρ. ΠΡΠ½ΠΎΠ²Π½ΡΠΌΠΈ ΠΊΠΎΠ½ΡΡΠΎΠ»ΡΠ½ΡΠΌΠΈ ΡΠΎΡΠΊΠ°ΠΌΠΈ ΡΡΠΈΡΠ°Π»ΠΈ: ΠΎΠΊΠΎΠ½ΡΠ°Π½ΠΈΠ΅ Π²Π½Π΅ΡΠ½Π΅ΠΉ ΡΠΈΠΊΡΠ°ΡΠΈΠΈ Π°ΠΏΠΏΠ°ΡΠ°ΡΠΎΠΌ ΠΠ»ΠΈΠ·Π°ΡΠΎΠ²Π°, ΡΠ΅ΡΠ΅Π· 180 ΡΡΡ. ΠΈ ΡΠ΅ΡΠ΅Π· 1 Π³ΠΎΠ΄ ΠΏΠΎΡΠ»Π΅ ΠΏΡΠ΅ΠΊΡΠ°ΡΠ΅Π½ΠΈΡ Π²Π½Π΅ΡΠ½Π΅ΠΉ ΡΠΈΠΊΡΠ°ΡΠΈΠΈ.Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ. ΠΠ° ΠΏΡΠΎΡΡΠΆΠ΅Π½ΠΈΠΈ ΡΠΊΡΠΏΠ΅ΡΠΈΠΌΠ΅Π½ΡΠ° Π³ΠΈΠ±Π΅Π»ΠΈ ΠΆΠΈΠ²ΠΎΡΠ½ΡΡ
ΠΈ ΠΎΡΠ»ΠΎΠΆΠ½Π΅Π½ΠΈΠΉ Π½Π΅ Π½Π°Π±Π»ΡΠ΄Π°Π»ΠΈ. ΠΡΠΎΡΡΡΠ°Π½ΡΡΠ²Π΅Π½Π½ΠΎΠ΅ ΡΠ°ΡΠΏΠΎΠ»ΠΎΠΆΠ΅Π½ΠΈΠ΅ ΠΈΠΌΠΏΠ»Π°Π½ΡΠ°ΡΠ° ΡΠΎΡ
ΡΠ°Π½ΡΠ»ΠΎΡΡ. Π€ΠΎΡΠΌΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅ ΠΏΡΠΎΡΠ½ΠΎΠ³ΠΎ ΠΊΠΎΡΡΠ½ΠΎ-ΠΈΠΌΠΏΠ»Π°Π½ΡΠ°ΡΠΈΠΎΠ½Π½ΠΎΠ³ΠΎ Π±Π»ΠΎΠΊΠ° ΠΏΡΠΎΠΈΡΡ
ΠΎΠ΄ΠΈΠ»ΠΎ ΡΠ΅ΡΠ΅Π· 37,2Β±6,3 ΡΡΡ. ΠΏΠΎΡΠ»Π΅ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΈ. Π ΡΡΠΎΡ ΠΏΠ΅ΡΠΈΠΎΠ΄ Π°ΠΏΠΏΠ°ΡΠ°Ρ Π²Π½Π΅ΡΠ½Π΅ΠΉ ΡΠΈΠΊΡΠ°ΡΠΈΠΈ Π΄Π΅ΠΌΠΎΠ½ΡΠΈΡΠΎΠ²Π°Π»ΠΈ. ΠΡΡΠ΅ΠΎΠΈΠ½ΡΠ΅Π³ΡΠ°ΡΠΈΡ ΠΎΠ±Π΅ΡΠΏΠ΅ΡΠΈΠ²Π°Π»Π°ΡΡ Π² ΡΡΠ»ΠΎΠ²ΠΈΡΡ
Π΄ΠΎΡΡΠ°ΡΠΎΡΠ½ΠΎΠΉ ΠΏΠ΅ΡΠ²ΠΈΡΠ½ΠΎΠΉ ΠΌΠ΅Ρ
Π°Π½ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΡΡΠ°Π±ΠΈΠ»ΡΠ½ΠΎΡΡΠΈ Π·Π° ΡΡΠ΅Ρ ΡΡΠ΅ΠΈΡΡΠΎΠΉ ΡΡΡΡΠΊΡΡΡΡ ΠΈΠΌΠΏΠ»Π°Π½ΡΠ°ΡΠ°, Π½Π°Π»ΠΈΡΠΈΡ ΠΏΠΎΡ Π½Π° Π΅Π³ΠΎ ΡΡΠ΅Π½ΠΊΠ°Ρ
ΠΈ ΠΎΡΡΠ΅ΠΎΠΈΠ½Π΄ΡΠΊΡΠΈΠ²Π½ΡΡ
ΡΠ²ΠΎΠΉΡΡΠ² Π½Π°Π½Π΅ΡΠ΅Π½Π½ΠΎΠ³ΠΎ ΠΊΠ°Π»ΡΡΠΈΠΉ-ΡΠΎΡΡΠ°ΡΠ½ΠΎΠ³ΠΎ ΠΏΠΎΠΊΡΡΡΠΈΡ. ΠΠΎΡΡΠΈΠ³Π½ΡΡΠ°Ρ ΡΡΠ΅ΠΏΠ΅Π½Ρ ΠΎΡΡΠ΅ΠΎΠΈΠ½ΡΠ΅Π³ΡΠ°ΡΠΈΠΈ ΡΠΎΡ
ΡΠ°Π½ΡΠ»Π°ΡΡ ΠΈ Π² ΠΎΡΠ΄Π°Π»Π΅Π½Π½ΡΠ΅ ΠΏΠ΅ΡΠΈΠΎΠ΄Ρ (ΡΠ΅ΡΠ΅Π· 6 ΠΌΠ΅Ρ. ΠΈ 1 Π³ΠΎΠ΄ ΠΏΠΎΡΠ»Π΅ ΠΏΡΠ΅ΠΊΡΠ°ΡΠ΅Π½ΠΈΡ Π²Π½Π΅ΡΠ½Π΅ΠΉ ΡΠΈΠΊΡΠ°ΡΠΈΠΈ). ΠΡΡΠ΅ΠΎΠΈΠ½Π΄ΡΠΊΡΠΈΠ²Π½ΡΠ΅ ΡΠ²ΠΎΠΉΡΡΠ²Π° ΠΊΠ°Π»ΡΡΠΈΠΉ-ΡΠΎΡΡΠ°ΡΠ½ΠΎΠ³ΠΎ ΠΏΠΎΠΊΡΡΡΠΈΡ ΠΏΠΎΠ΄ΡΠ²Π΅ΡΠΆΠ΄Π°Π»ΠΈΡΡ ΡΠΊΡΠΏΡΠ΅ΡΡΠΈΠ΅ΠΉ ΠΊΠ»Π΅ΡΠΊΠ°ΠΌΠΈ ΠΎΡΡΠ΅ΠΎΠΏΠΎΠ½ΡΠΈΠ½Π° Π½Π° Π²ΡΠ΅Ρ
ΡΡΠ°ΠΏΠ°Ρ
ΡΠΊΡΠΏΠ΅ΡΠΈΠΌΠ΅Π½ΡΠ°. ΠΡΡΠΎΠΊΠ° Π‘Π° ΠΈ Π ΠΈΠ· ΠΎΡΠ»ΠΎΠΌΠΊΠΎΠ² ΠΊΠΎΡΡΠΈ Π½Π΅ Π½Π°Π±Π»ΡΠ΄Π°Π»ΠΈ. ΠΠ° ΠΏΠΎΠ²Π΅ΡΡ
Π½ΠΎΡΡΠΈ ΠΈΠΌΠΏΠ»Π°Π½ΡΠ°ΡΠ° Π±ΡΠ»Π° ΠΎΠ±ΡΠ°Π·ΠΎΠ²Π°Π½Π° ΡΠ»Π°ΡΡΠΈΡΠ½Π°Ρ ΠΎΠ±ΠΎΠ»ΠΎΡΠΊΠ°, ΠΏΠΎ ΡΡΡΠΎΠ΅Π½ΠΈΡ ΡΡ
ΠΎΠΆΠ°Ρ Ρ Π½Π°Π΄ΠΊΠΎΡΡΠ½ΠΈΡΠ΅ΠΉ. Π―ΡΠ΅ΠΉΠΊΠΈ ΠΈΠΌΠΏΠ»Π°Π½ΡΠ°ΡΠ° Π±ΡΠ»ΠΈ Π·Π°ΠΏΠΎΠ»Π½Π΅Π½Ρ Ρ
ΠΎΡΠΎΡΠΎ Π²Π°ΡΠΊΡΠ»ΡΡΠΈΠ·ΠΈΡΠΎΠ²Π°Π½Π½ΡΠΌ ΠΊΠΎΡΡΠ½ΡΠΌ ΡΡΠ±ΡΡΡΠ°ΡΠΎΠΌ. Π ΠΏΡΠΎΠ΅ΠΊΡΠΈΠΈ ΠΈΠ½ΡΠ΅ΡΠΌΠ΅Π΄ΠΈ- Π°ΡΠ½ΠΎΠΉ Π·ΠΎΠ½Ρ ΡΠΎΡΠΌΠΈΡΠΎΠ²Π°Π»Π°ΡΡ ΠΊΠΎΠΌΠΏΠ°ΠΊΡΠ½Π°Ρ ΠΊΠΎΡΡΠ½Π°Ρ ΡΠΊΠ°Π½Ρ, Π° Π² ΠΏΡΠΎΠ΅ΠΊΡΠΈΠΈ ΠΊΠΎΡΡΠ½ΠΎΠΌΠΎΠ·Π³ΠΎΠ²ΠΎΠ³ΠΎ ΠΊΠ°Π½Π°Π»Π° β ΡΠ΅ΡΠΈΠΊΡΠ»ΠΎΡΠΈΠ±ΡΠΎΠ·Π½ΡΠΉ ΠΊΠΎΡΡΠ½ΡΠΉ ΠΌΠΎΠ·Π³. ΠΡΠΎ ΡΠ²ΠΈΠ΄Π΅ΡΠ΅Π»ΡΡΡΠ²ΡΠ΅Ρ ΠΎ Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡΠΈ ΠΎΡΠ³Π°Π½ΠΎΡΠΈΠΏΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΡΠ΅ΠΌΠΎΠ΄Π΅Π»ΠΈΡΠΎΠ²Π½ΠΈΡ ΡΡΡΡΠΊΡΡΡ ΠΊΠΎΡΡΠΈ Π²Π½ΡΡΡΠΈ ΠΈΠΌΠΏΠ»Π°Π½ΡΠ°ΡΠ°.ΠΠ°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅. Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ ΠΏΠΎΠΊΠ°Π·Π°Π»ΠΈ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΡ Π±ΠΈΠΎΠ°ΠΊΡΠΈΠ²Π½ΠΎΠ³ΠΎ ΡΡΠ΅ΠΈΡΡΠΎΠ³ΠΎ 3D-ΠΈΠΌΠΏΠ»Π°Π½ΡΠ°ΡΠ° Π΄Π»Ρ Π·Π°ΠΌΠ΅ΡΠ΅Π½ΠΈΡ ΠΎΠ±ΡΠΈΡΠ½ΠΎΠ³ΠΎ Π΄Π΅ΡΠ΅ΠΊΡΠ° Π΄ΠΈΠ°ΡΠΈΠ·Π° ΠΊΠΎΡΡΠΈ. ΠΡΡ
ΠΈΡΠ΅ΠΊΡΠΎΠ½ΠΈΠΊΠ° ΠΈ ΠΎΡΡΠ΅ΠΎΠΈΠ½Π΄ΡΠΊΡΠΈΠ²Π½ΡΠ΅ ΡΠ²ΠΎΠΉΡΡΠ²Π° ΠΏΠΎΠ²Π΅ΡΡ
Π½ΠΎΡΡΠΈ ΠΈΠΌΠΏΠ»Π°Π½ΡΠ°ΡΠ° ΡΠΏΠΎΡΠΎΠ±ΡΡΠ²ΠΎΠ²Π°Π»ΠΈ ΡΠΎΡΠΌΠΈΡΠΎΠ²Π°Π½ΠΈΡ ΠΏΠΎΠ»Π½ΠΎΠΉ ΠΎΡΡΠ΅ΠΎΠΈΠ½ΡΠ΅Π³ΡΠ°ΡΠΈΠΈ Π² ΠΊΠΎΡΠΎΡΠΊΠΈΠ΅ ΡΡΠΎΠΊΠΈ Ρ ΡΠΎΡ
ΡΠ°Π½Π΅Π½ΠΈΠ΅ΠΌ Π΄ΠΎΡΡΠΈΠ³Π½ΡΡΠΎΠ³ΠΎ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠ° Π² ΠΎΡΠ΄Π°Π»Π΅Π½Π½ΡΠ΅ ΠΏΠ΅ΡΠΈΠΎΠ΄Ρ
Lengthening and deformity correction of lower and upper limbs
The aim of this study is to evaluate the influence of the external fixation associated with intramedullary nailing on the healing index in limb lengthening. Material and Methods. This study was based on a series of patients with lower and upper limb length discrepancy of different etiologies. We evaluated results of treatment in patients undergoing limb lengthening with the combination of an external circular fixator and intramedullary nailing (154 cases). The Ilizarov frame (133 cases) or Taylor Spatial Frame (21 cases) were used in combination with flexible intramedullary nailing. Results. In all the groups of patients we observed a significant reduction of the Healing Index β inferior to 30 days/cm. There were 117 complications but only 10 of them influenced on results of treatment. Finally, results are distributed according to categories: I category β 114 cases (74%), IIa β 27 cases (17.5%), IIb β 3 cases (1.9%), IIIa β 9 cases (5.7%), IVa β 1 case (0.9%). Conclusion. Flexible intramedullary nailing provides multiple advantages to a method of limb lengthening. Flexible Intramedullary Nailing, when correctly applied, respects the bone biological features which are essential for successful limb lengthening.The major effect of application of the combination of external circular fixation with FIN is significant decrease of external osteosynthesis duration
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