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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">spractice</journal-id><journal-title-group><journal-title xml:lang="ru">Хирургическая практика</journal-title><trans-title-group xml:lang="en"><trans-title>Surgical practice (Russia)</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2223-2427</issn><publisher><publisher-name>АНО "Консорциум "Медицинская техника"</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">spractice-53</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>MANU PROPRIA. ORIGINAL RESEARCH</subject></subj-group></article-categories><title-group><article-title>ОСОБЕННОСТИ ОПЕРАТИВНОЙ ТЕХНИКИ ПРИ ИСПОЛЬЗОВАНИИ БИОДЕГРАДИРУЕМЫХ ФИКСАТОРОВ В ЛЕЧЕНИИ ПЕРЕЛОМОВ КОСТЕЙ КОНЕЧНОСТЕЙ</article-title><trans-title-group xml:lang="en"><trans-title>OPERATIVE TECHNIQUE FEATURES IN APPLICATION OF BIOABSORBABLE IMPLANTS FOR LIMB FRACTURES TREATMENT</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>В. Г. Голубев</surname></name><name name-style="western" xml:lang="en"><surname>Golubev</surname><given-names>V. G.</given-names></name></name-alternatives><email xlink:type="simple">golubeff@inbox.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Старостенков</surname><given-names>А. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Starostenkov</surname><given-names>A. N.</given-names></name></name-alternatives><email xlink:type="simple">sinfu2a@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное образовательное учреждение дополнительного профессионального образования "Российская медицинская академия непрерывного профессионального образования" Министерства здравоохранения Российской Федерации, Федеральное государственное бюджетное учреждение здравоохранения Центральная клиническая больница Российской академии наук</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Russian Medical Academy of Continuous Professional Education, Central Clinical Hospital of Russian Academy of Sciences</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное учреждение здравоохранения Центральная клиническая больница Российской академии наук</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Central Clinical Hospital of Russian Academy of Sciences</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2017</year></pub-date><pub-date pub-type="epub"><day>15</day><month>04</month><year>2020</year></pub-date><issue>2</issue><fpage>5</fpage><lpage>13</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; В. Г. Голубев V.G., Старостенков А.Н., 2020</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="ru">В. Г. Голубев V.G., Старостенков А.Н.</copyright-holder><copyright-holder xml:lang="en">Golubev V.G., Starostenkov A.N.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.spractice.ru/jour/article/view/53">https://www.spractice.ru/jour/article/view/53</self-uri><abstract><p>Биодеградируемые винты и спицы применялись в травматологическом отделении ЦКБ РАН (г.Москва) при лечении переломов костей конечностей раз- ных типов и локализации у 120 пациентов за период с 2014г по 2016г. Межотломковая фиксация биодеградируемыми изделиями в качестве единственного средства остеосинтеза была выполнена у 53 пациентов (44%), у 67 пациентов (56%) биодеградируемые фиксаторы использовались совместно с металличе- скими пластинами и винтами. Биодеградируемые винты зарекомендовали себя достаточно эффективным средством межотломковой фиксации, в целом не требующими особых специфических навыков от операционной бригады и соответствующими требованиям принципов АО. Однако выявлены и такие особенности как возможность разрушения винта при использовании неподходящего инструмента или приложении излишних усилий, сложности при определении позиции и длины фиксаторов вследствие их рентгенпрозрачности, а также визуальной прозрачности в ране, возможность адаптации длины фиксаторов и рассверливания установленных винтов, что позволяет использовать их в качестве аугментов и исключает конфликт между имплантатами, желательное проведение винтов через два кортикальных слоя кости и использования винтов с полной и частичной нарезкой в паре.</p></abstract><trans-abstract xml:lang="en"><p>Bioabsorbable screws and rods were used for treatment of different types and locations limb fractures in the CCH of RAS orthopedic trauma department between 2014 and 2016 for 120 patients. Interfragmentary fixation with bioabsorbable implants was applied as a single fixation method for 53 patients (44%), and in 67 (56%) cases it was combined with metallic plates and screws. Bioabsorbable implants were recognized as effective devices for interfragmentary fixation. Generally, bioabsorbable screws and rods did not require particulary scills for the surgeons brigade and accorded with AO principles of fracture management. However there were find out some features of that implant type application like implant destruction possibility when incorrect instrumentation was used, X-ray and visual transparency while implanted, that lead to some difficulties in length measurement and implant position assessment, a possibility of implant length adaptation, drilling through implanted device that eliminates risks of implants conflict, and gives an opportunity for augmentation of bone defects by screws. Also it is desirable to fix implants in two cortexes, and to use fully threaded and lag-screws together in a pair.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>перелом</kwd><kwd>канюлированные винты</kwd><kwd>биодеградируемые винты</kwd><kwd>оперативное лечение</kwd><kwd>fracture</kwd><kwd>cannulated screws</kwd><kwd>bioabsorbable screws</kwd><kwd>operative treatment</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Загородний Н.В., Волна А.А., Панин М.А. Удаление имплантатов. // Вестник РУДН, серия Медицина. 2010. №4. С.44-51</mixed-citation><mixed-citation xml:lang="en">Загородний Н.В., Волна А.А., Панин М.А. Удаление имплантатов. // Вестник РУДН, серия Медицина. 2010. №4. С.44-51</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Böstman O.M. 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