«MODERN SCIENTIFIC CHALLENGES AND TRENDS»
SCIENCECENTRUM.PL
ISSUE 3
ISBN 978-83-949403-3-1
52
individual anatomo-physiological norm, regardless of the nosological form of the
disease.
As practice shows, correction of the inequality of the length of the lower
extremities against the backdrop of a huge number of patients with congenital
pathology of the musculoskeletal system, including with the inequality of the length
of the limbs, as well as this defect make it possible to consider this issue as an
important medical and social problem of hamster development in children remains a
complex and unresolved problem.
And also the authors noted that different classifications of diseases are
used, and far-ranging non-uniform quantitative and qualitative parameters for
assessing the condition of the hip joint are used. The questions of iatrogenic
consequences in the operated joint are rather modestly covered, which has a direct
bearing on the method and magnitude of the correction performed for one or
another component of the joint. No less important is the question of assessing the
results of surgical treatment. The use of separate assessment methods for each
nosological form (presented in almost every monograph and many dissertations),
i.e. a kind of "adaptation" to a specific pathology, reduces the objectivity of the
assessment as a whole and leads to its artificial overestimation.
According to domestic authors, the congenital inequality of the length of the
lower extremities accounts for more than half of all malformations of the
musculoskeletal system in children. Currently, there is a persistent tendency to
increase the frequency of congenital shortening of the femoral segment with it is
associated with up to 36 causes of unequal length of the lower extremities. Despite
the relative scarcity of hip abnormalities, correction of the length of the femoral
segment is a complex task, the solution of which is accompanied by a large number
of complications and unfavorable outcomes. Many orthopedists associate the
formation of femoral defects with a violation of the blood supply of the femoral
segment at the 6th week of intrauterine development.
The anomaly of development of the vascular segment network in patients
with congenital limb inequality causes significant difficulties for surgical patients
from correction patients, which significantly distinguishes these with the acquired
regenerate inequality. The complexity of hypoplasia formation of the distraction
vascular network, that‘s why the study of microcirculation in this zone is relevant.
When surgical treatment of patients with the inequality of the length of the limbs, the
percentage of unfavorable outcomes is high, which is associated with the
peculiarities of the electrophysiology of the structures of the shortened limb, in
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