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0219U001842,
0116U004053
,
Biomechanically substantiate and develop techniques for restoration of musculoskeletal kinematic function after unstable pelvic injuries
Klimovitsry Volodimir,
12-03-2019
Donetsk national medical university
According to the literature, an informational and analytical study was conducted to study modern ways of solving the problem of effective rehabilitation of patients with unstable pelvic fractures. It is determined that the anatomical and functional construction of the pelvis, which provides the variable stiffness of the connection of its elements, is most effective for the operation of the pelvic glands muscles. A restoration of normal operation of the spine, pelvis and lower extremities as a device for the perception and distribution of strength loads after unstable pelvic fractures is impossible without restoring the adequate function of pelvic muscles, requiring their special training Based on the data of the retrospective analysis of treatment of patients with unstable pelvic lesions, it is determined that one of the important ways to improve the method of restorative treatment of patients with pelvic fractures is the elastic extra-occlusive osteosynthesis by devices of external fixation. On mathematical (CE) pelvic models, changes in the stress-strain state under different methods of stabilizing the sacral-club joint are studied, and it has been proved that under elastic extra-occlusive osteosynthesis external fixation devices reduce total stresses. Graph-analytical modeling of the pelvic glands muscles that provide the balance of the pelvis showed the correlation of the efforts of different muscle groups in providing the horizontal balance of the pelvis and made it possible to significantly compensate for the musculoskeletal function by restoring the muscles. For this purpose, a method of therapeutic regenerative gymnastics for the effective rehabilitation of patients with unstable pelvic lesions has been developed. its clinical implementation was carried out and the effectiveness of its use in patients with unstable pelvic fractures was studied.
Бондаренко С.Є.
Гончарова Л.Д.
Карпінська О.Д.
Карпінський М.Ю.
Климовицький В.Г.
Климовицький Р.В.
Климовицький Ф.В.
Прудніков Ю.В.
Рушай А.К.
Солов’йов І.О.
Тяжелов О.А.
2020-04-02
Updated: 2025-12-08
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