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0 #857 Анастасия 20.01.2019 15:57
Добрый день! Подскажите пожалуйста! У ребёнка синдактилия на двух ногах (2-3 пальцы). В какое отделяете хирургии обращаться?
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0 #856 Дина 10.01.2019 12:06
Здравствуйте, у моего ребенка врожденная венозная мальформация нижней губы, языка, неба, подбородка и шеи. Ей 1.5 года. Занимаетесь ли вы лечением АВМ? С какого возраста можно проводить операции? И какая их стоимость?
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0 #855 Ольга 04.01.2019 18:27
Добрый день!
Сын, сейчас 2,9, получил ожоги 1-2-3 степени правой кисти в конце июля 2018. На тыльную сторону и запястье была сделана пластика в Ожоговом отделении больницы им. Сперанского. Сейчас наблюдаемся там у хирурга-реабили толога. Функции кисти не нарушены, грубых рубцов нет, но вовремя не обратили достаточного внимания на образование синдактилий (2-3 палец 1 степень; 3-4, 4-5 2степень). Движения кисти это не ограничивает, но хирург-реабилит олог рекомендует пластику в будущем.
Вопросы:
1) через какое время после травмы рекомендуется операция?
2) делается ли операция по ОМС? ДМС?
3) какова примерная стоимость операции?

Заранее благодарю за ответ.

С уважением,
Ольга
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0 #849 Денис 15.12.2018 17:29
Доброго времени суток! Меня зовут Денис, мне 33 года, г.Тюмень. Получил травму баскетбольным мячом, обратился в поликлинику, оказался перелом. Провели операцию, неудачно. Сейчас предложили сростись фаланги. Сам веду очень активный образ жизни, понимаю что буду испытывать неудобства, даже при сжатии ладони в кулак. Надеюсь, что ещё можно вернуть хоть какую-то подвижность пальцу. Т.к. сейчас он вывихнут я испытываю боли при нагрузке на палец. Могу направить снимки
Скажите, возможно ли получить какое-то лечение кроме сращивания фаланг
Очень рассчитываю на вашу помощь
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0 #830 Ирина Штенцель 03.12.2018 16:39
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  • Васкуляризованные костные аутотрансплантаты в лечении ложных суставов у детей

    Александров А.В.,  Волков В.В.,Рыбченок В. В., Тарасов Н.И., Коваль С.Ю., Подшивалова О.А., Хагуров Р.А., Львов Н.В.

    ДГКБ № 13 им. Н.Ф.Филатова, кафедра хирургических болезней детского возраста РГМУ.

    Лечение больных с врожденными ложными суставами длинных трубчатых костей  конечностей является актуальной проблемой современной реконстуктивно-восстановительной хирургии и ортопедии детского возраста.
    Традиционные варианты костной ауто- и гомо-пластики, компрессионно-дистракционный метод далеко не всегда приводят к положительным результатам, так как помимо диспластических изменений костной ткани существует аномалия развития сосудов микроциркуляторного русла, приводящая к нарушению кровообращения в области псевдоартроза. В этих условиях только пересадка васкуляризованного костного трансплантата с нормально сформированным микроциркуляторным руслом,   является патогенетически обоснованным методом и может гарантировать благоприятный исход. Использование данного метода значительно сокращает  срок стационарного лечения и реабилитации пациента.

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  • Повреждение сухожилий сгибателей

    imagesFlexor Tendon из книги" HAND AND UPPER EXTREMITY REHABILITATION"
    Mary Formby
    The healing of the repaired flexor tendon is at least a 6-month process. The “best” way to manage the first 12-week period remains controversial despite significant research and clinical advances over the last 50 years. Effective communication among surgeon, therapist, and patient throughout the rehabilitation process is essential for achievement of a successful outcome.


    DEFINITION
    Tendon healing occurs by both intrinsic and extrinsic processes.1 When intrinsic healing dominates, few adhesions form, and the result is more freely gliding tendons. Tendons with fewer adhesions must be carefully protected from resistive use, because they may be at greater risk for rupture. The rehabilitation timeline for such patients may need to be slowed. When extrinsic healing dominates, an increased inflammatory response occurs as the result of high-energy injury, postsurgical infection, or other factors. These patients have poorer tendon glide and may need their rehabilitation timeline advanced more quickly. Because each person’s biological response to healing is different, a “pyramid-of-force” model2 for flexor tendon rehabilitation was proposed by Groth in 2004. This model is based on a progression of force application that safely maximizes tendon excursion. Both time-based protocols and Groth’s new rehabilitation model are presented in this chapter.

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