[Ortho] Вывих бедра

[Pavel Ivanov]

п░п╩п╣п╨я│п╟п╫п╢я─ п²п╦п╨п╬п╩п╟п╣п╡п╦я┤, п╟п╠я│п╬п╩я▌я┌п╫п╬ я│п╬пЁп╩п╟я│п╣п╫ я│ п▓п╟п╪п╦.

п■п╬пЁп╪п╟я┌п╦п╥п╪ - я│п©п╬я│п╬п╠ п╪я▀я┬п╩п╣п╫п╦я▐, п╬п©п╣я─п╦я─я┐я▌я┴п╦п╧ п╫п╣п╦п╥п╪п╣п╫п╫я▀п╪п╦ п©п╬п╫я▐я┌п╦я▐п╪п╦, я└п╬я─п╪я┐п╩п╟п╪п╦
п╠п╣п╥ я┐я┤п╣я┌п╟ п╫п╬п╡я▀я┘ п╢п╟п╫п╫я▀я┘ п©я─п╟п╨я┌п╦п╨п╦ п╦ п╫п╟я┐п╨п╦, п╨п╬п╫п╨я─п╣я┌п╫я▀я┘ я┐я│п╩п╬п╡п╦п╧ п╪п╣я│я┌п╟ п╦
п╡я─п╣п╪п╣п╫п╦, я┌.п╣. п╦пЁп╫п╬я─п╦я─я┐я▌я┴п╦п╧ п©я─п╦п╫я├п╦п© я┌п╡п╬я─я┤п╣я│п╨п╬пЁп╬ я─п╟п╥п╡п╦я┌п╦я▐ п╩п╦я┤п╫п╬я│я┌п╦
(п╓п╦п╩п╬я│п╬п╡я│п╨п╦п╧ я│п╩п╬п╡п╟я─я▄).


я│я┐п╠п╠п╬я┌п╟, 12 я▐п╫п╡п╟я─я▐ 2013 пЁ. п©п╬п╩я▄п╥п╬п╡п╟я┌п╣п╩я▄ Alexander Chelnokov п©п╦я│п╟п╩:

> п÷я─п╦п╡п╣я┌я│я┌п╡я┐я▌,
>
> 11 я▐п╫п╡п╟я─я▐ 2013 пЁ., 17:19 п©п╬п╩я▄п╥п╬п╡п╟я┌п╣п╩я▄ "п▓п╩п╟п╢п╦п╪п╦я─"
> <orthoforum на weborto.net <javascript:;>> п╫п╟п©п╦я│п╟п╩:
> > п▓я│п╣ я│п╬п╨я─п╟я┴п╣п╫п╦я▐ я│я─п╬п╨п╬п╡ п╩п╣я┤п╣п╫п╦я▐ п╡я▀п╡п╦я┘п╬п╡ п╠п╣п╢я─п╟ (п╦ п╫п╣ я┌п╬п╩я▄п╨п╬ я█я┌п╦я┘
> п©п╬п╡я─п╣п╤п╢п╣п╫п╦п╧), п©п╬-п╪п╬п╣п╪я┐, п╫п╦п╨п╟п╨п╬пЁп╬ п╬я┌п╫п╬я┬п╣п╫п╦я▐ п╨ п╪п╣п╢п╦я├п╦п╫п╣ п╫п╣ п╦п╪п╣я▌я┌. п║
> [...]
> > п▓я│п╣ я█я┌п╬ п╢п╟п╡п╫п╬ п╢п╬п╨п╟п╥п╟п╫п╬ я█п╨я│п©п╣я─п╦п╪п╣п╫я┌п╟п╩я▄п╫я▀п╪п╦ п╦я│я│п╩п╣п╢п╬п╡п╟п╫п╦я▐п╪п╦ п╨п╟п╨ я┐ п╫п╟я│, я┌п╟п╨
> п╦ п╥п╟ я─я┐п╠п╣п╤п╬п╪ (Welfling J. - 1967, Ayrolles Chr. - 1962, Hungerford D. п╦
> Leung P. - 1983 п╦ я┌.п╢.).
> > п  я│п╬п╤п╟п╩п╣п╫п╦я▌, <<п╦я│п╨я┐я│я│я┌п╡п╬ п╡я─п╟я┤п╣п╡п╟п╫п╦я▐>> я┐я┌я─п╟я┤п╦п╡п╟п╣я┌я│я▐. п≈п╟я┤п╣п╪ п я─п╦я│я┌п╦п╟п╫я┐ п╡п╟п╫
> п╢п╣я─ п▓п╣я─п╨п╣п╫я┐ п©я─п╟п╡п╦п╩я▄п╫п╬ п╩п╣я┤п╦я┌я▄ п╡я▀п╡п╦я┘ п╠п╣п╢я─п╟, п╨п╬пЁп╢п╟ п©я─п╦ п╣пЁп╬ <<п╪п╣я┌п╬п╢п╣>> п╡я│п╣ 100%
> п╡п╣я─п╫я┐я┌я│я▐ п╨ п╫п╣п╪я┐ п╢п╩я▐ я█п╫п╢п╬п©я─п╬я┌п╣п╥п╦я─п╬п╡п╟п╫п╦я▐ п╦ п©я─п╦п╫п╣я│я┐я┌ п╫п╣п╪п╟п╩я▀п╧ п╢п╬я┘п╬п╢.
>
> п·я┌п╩п╦я┤п╦п╣ п╪п╣п╢п╦я├п╦п╫я│п╨п╬п╧ п╫п╟я┐п╨п╦ п╬я┌ я─п╣п╩п╦пЁп╦п╦ п╦ п╢я─я┐пЁп╦я┘ п╢п╬пЁп╪п╟я┌п╦я┤п╣я│п╨п╦я┘ я┐я┤п╣п╫п╦п╧ п╨п╟п╨
> я─п╟п╥ п╡ я┌п╬п╪ п╦ п╥п╟п╨п╩я▌я┤п╟п╣я┌я│я▐, я┤я┌п╬ я│п╣пЁп╬п╢п╫я▐ п╪п╬п╤п╣я┌ п╬п╨п╟п╥п╟я┌я▄я│я▐ п╬я┬п╦п╠п╨п╬п╧ я┌п╬, я┤я┌п╬
> п╡я┤п╣я─п╟ я│я┤п╦я┌п╟п╩п╦ п╫п╣п©я─п╣п╩п╬п╤п╫п╬п╧ п╦я│я┌п╦п╫п╬п╧. п÷п╬я│я┌п╬я▐п╫п╫п╬ п©я─п╬п╢п╬п╩п╤п╟п╣я┌я│я▐ я│п╠п╬я─
> п╫п╟п╠п╩я▌п╢п╣п╫п╦п╧, п©я─п╬п╡п╬п╢п╦я┌я│я▐ п╟п╫п╟п╩п╦п╥, п╢п╣п╩п╟я▌я┌я│я▐ п╫п╬п╡я▀п╣ п╡я▀п╡п╬п╢я▀ п╦ п©я─п╣п╤п╫п╦п╣
> п©я─п╣п╢я│я┌п╟п╡п╩п╣п╫п╦я▐ п©п╣я─п╣я│п╪п╟я┌я─п╦п╡п╟я▌я┌я│я▐. п≤п╫п╬п╧ я─п╟п╥ п╢п╬п╡п╬п╩я▄п╫п╬ я─п╟п╢п╦п╨п╟п╩я▄п╫п╬.
> п╒п╬ п╣я│я┌я▄ п╣я│п╩п╦ п©п╬п╢я┘п╬п╢я▀ 50-п╩п╣я┌п╫п╣п╧ п╢п╟п╡п╫п╬я│я┌п╦ п╫п╣ я│я┤п╦я┌п╟я┌я▄ п╢п╬пЁп╪п╬п╧ п╡п╬ п╡п╣п╨п╦
> п╡п╣п╨п╬п╡, п╟ п╡п╬я│п©п╬п╩я▄п╥п╬п╡п╟я┌я▄я│я▐ я│п╣пЁп╬п╢п╫я▐я┬п╫п╦п╪п╦ п©я─п╣п╨я─п╟я│п╫я▀п╪п╦ п╡п╬п╥п╪п╬п╤п╫п╬я│я┌я▐п╪п╦ п©п╬
> п╢п╬я│я┌я┐п©я┐ п╨ п╟п╨я┌я┐п╟п╩я▄п╫п╬п╧ п╦п╫я└п╬я─п╪п╟я├п╦п╦, я┌п╬ п╩п╣пЁп╨п╬ п╪п╬п╤п╫п╬ п╫п╟п╧я┌п╦ п╡п©п╬п╩п╫п╣
> я┐п╠п╣п╢п╦я┌п╣п╩я▄п╫я▀п╣ п©я┐п╠п╩п╦п╨п╟я├п╦п╦ п╬ п╠п╬п╩п╣п╣ я─п╟п╫п╫п╣п╧ п╫п╟пЁя─я┐п╥п╨п╣ п©п╬я│п╩п╣ я┐я│я┌я─п╟п╫п╣п╫п╦я▐
> п╡я▀п╡п╦я┘п╟ п╠п╣п╢я─п╟.
> п²п╟п©я─п╦п╪п╣я─,  "So after careful evaluation of the patients and the kind
> of treatment, we recommend the following: 1. Immediate, gentle
> reduction of the hip joint; 2. Bedrest for 14 days; 3. Early
> mobilization with full weight bearing."
> http://www.ncbi.nlm.nih.gov/pubmed/9273491
>
> п≤ п╢п╟п╤п╣ п╣я┴п╣ п╠п╬п╩п╣п╣ п╠я▀я│я┌я─п╬, я─п╟п╫п╣п╣ 14 п╢п╫п╣п╧: "Early mobilization was
> concluded to be a safe and more comfortable method of
> after-treatment." http://www.ncbi.nlm.nih.gov/pubmed/8432570
> п≤ п╬п╨п╟п╥я▀п╡п╟п╣я┌я│я▐, я┤я┌п╬ п©я─п╦ я│я─п╟п╡п╫п╣п╫п╦п╦ пЁя─я┐п©п© п╠п╬п╩я▄п╫я▀я┘ я│ п╠п╬п╩п╣п╣ п╦ п╪п╣п╫п╣п╣ п╠я▀я│я┌я─я▀п╪
> п╡п╬п╥п╡я─п╟я┌п╬п╪ п╨ п╫п╟пЁя─я┐п╥п╨п╣ п©я─п╦ п╪п╫п╬пЁп╬п╩п╣я┌п╫п╬п╣п╪ п╫п╟п╠п╩я▌п╢п╣п╫п╦п╦ я─п╟п╥п╫п╦я├п╟ п╫п╣
> п╡я▀я▐п╡п╩я▐п╣я┌я│я▐.
>
> п∙я│п╩п╦ п╠я▀я┌я▄ п╡ п╨я┐я─я│п╣ я│п╣пЁп╬п╢п╫я▐я┬п╫п╣пЁп╬ я│п╬я│я┌п╬я▐п╫п╦я▐ п©я─п╬п╠п╩п╣п╪я▀, п╪п╬п╤п╣я┌ п╠я▀я┌я▄, п╠я┐п╢п╣я┌
> п╪п╣п╫я▄я┬п╣ п╤п╣п╩п╟п╫п╦п╣ п©я─п╬ я┐п╡п╟п╤п╟п╣п╪п╬пЁп╬ п╨п╬п╩п╩п╣пЁя┐ п╥п╩я▀п╣ пЁп╩я┐п©п╬я│я┌п╦ п©п╦я│п╟я┌я▄.
>
> > п≤п╥п╡п╦п╫п╦я┌п╣, п╫п╬ я┌п╟п╨п╬п╡п╬ я┐п╤ п╪п╬п╣ п╪п╫п╣п╫п╦п╣.
>
> п╕п╣п╫п╫п╬я│я┌я▄ п╪п╫п╣п╫п╦я▐ п╬п©я─п╣п╢п╣п╩я▐п╣я┌я│я▐ п╫п╣ я┌п╣п╪, я┤я┌п╬ п╬п╫п╬ "п╪п╬п╣", п╟ я┌п╣п╪, п╫п╟ я┤п╣п╪ п╬п╫п╬
> п╬я│п╫п╬п╡п╟п╫п╬.
>


-- 
п║ я┐п╡п╟п╤п╣п╫п╦п╣п╪,

п÷п╟п╡п╣п╩ п≤п╡п╟п╫п╬п╡
п╬я┌п╢п╣п╩п╣п╫п╦п╣ п╪п╫п╬п╤п╣я│я┌п╡п╣п╫п╫п╬п╧ п╦ я│п╬я┤п╣я┌п╟п╫п╫п╬п╧ я┌я─п╟п╡п╪я▀
п²п≤п≤п║п÷ п╦п╪. п².п▓. п║п╨п╩п╦я└п╬я│п╬п╡я│п╨п╬пЁп╬
пЁ. п°п╬я│п╨п╡п╟
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