English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Nesmotrya na mnozhestvo predlozhennyh metodov hirurgicheskogo lecheniya yunosheskogo epifizeoliz golovki bedrennoj kosti YUEGBK, prodolzhayutsya poiski varianta operacii, obespechivayushchej udovletvoritel'nuyu korrekciyu, stabil'nuyu fiksaciyu kostnyh fragmentov i nizkij uroven' oslozhnenij. Cel'yu raboty bylo usovershenstvovat' tekhniku lecheniya pacientov s YUEGBK sredne-tyazheloj stepeni. V issledovanie voshli 52 rebenka v vozraste 10–15 let (srednij vozrast 13,1), iz nih 16 devochek i 36 mal'chikov, stradayushchie YUEGBK tyazheloj stepeni (3-ya stadiya po klassifikacii Krechmara), hronicheskogo techeniya, stabil'nogo tipa (klassifikaciya Loder). Pacientam kontrol'noj gruppy (n = 16) vypolnena standartnaya operaciya po Imhauser, issleduemoj (n = 36) — avtorskaya trekhploskostnaya osteotomiya. Pacientov obsledovali do operacii i v otdalennye sroki (srednij srok nablyudeniya sostavil 4,7 goda (ot 1 do 10 let) s pomoshch'yu klinicheskogo metoda (sbor anamneza, ob"ektivnoe issledovanie), rentgenologicheskogo metoda (opredelenie stepeni soskal'zyvaniya i ugla soskal'zyvaniya), a takzhe oprosnika funkcional'nogo sostoyaniya (Harris hip score). V srednem cherez 4,7 goda v obeih gruppah otmecheno uvelichenie ob"ema dvizhenij v sravnenii s dooperacionnymi pokazatelyami (p ≤ 0,05), horoshie funkcional'nye pokazateli HHS (v issleduemoj gruppe — 94 balla, v kontrol'noj — 81 ball); na kontrol'nyh rentgenogrammah otmechena konsolidaciya kostnyh fragmentov s sohraneniem korrekcii proksimal'nogo otdela bedra, dlina konechnostej takzhe vosstanovilas' v obeih gruppah. Predlozhennaya vnesustavnaya osteotomiya pozvolyaet vosstanovit' dlinu konechnosti, anatomo-fiziologicheskie vzaimootnosheniya v tazobedrennom sustave, prosta v ispolnenii i menee travmatichna.

Srednesrochnye rezul'taty vnesustavnoj korrigiruyushchej osteotomii bedra pri yunosheskom epifizeolize golovki bedrennoj kosti