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Чем более неблагоприятными становятся условия рычага, тем хуже будет посадка протеза. В результате возникает нестабильность и постоянное раздражение мягких тканей.","Text",[],[],{"_uid":329,"image":330,"title":333,"component":334,"copyright":9,"image_style":335,"component_style":336},"a6ea42da-0565-4d49-b6b2-f4fa467f288b",{"id":331,"alt":9,"name":9,"focus":101,"title":9,"filename":332,"copyright":9,"fieldtype":11},2080707,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F2330x3106\u002F34e24bfb03\u002Fstump_1.jpg","Культя плеча","Image",[],[337],"lg:col-span-4",{"_uid":339,"image":340,"title":343,"component":334,"copyright":9,"image_style":344,"component_style":345},"7da8f1a6-75c7-4b1d-962d-2144943a65e9",{"id":341,"alt":9,"name":9,"focus":101,"title":9,"filename":342,"copyright":9,"fieldtype":11},2080708,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F3000x4000\u002Fe00f6f5c16\u002Fstump_2.jpg","Культя бедра",[],[337],{"_uid":347,"image":348,"title":351,"component":334,"copyright":9,"image_style":352,"component_style":353},"85052933-2159-4ce0-9a65-206e52b0d7ec",{"id":349,"alt":9,"name":9,"focus":101,"title":9,"filename":350,"copyright":9,"fieldtype":11},2080709,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F2590x3454\u002F73c842d96f\u002Fstump_3.jpg","Культя голени",[],[337],{"_uid":355,"text":356,"component":325,"text_style":357,"component_style":358},"b9ee71d6-3c1f-4fff-b529-d8c79c32e658","## Не подходит для протезирования - что теперь?\n\nЕсли культя после ампутации настолько коротка, что установка протеза затруднена или невозможна, можно провести операцию, чтобы довести культю до оптимальной длины, позволяющей или улучшающей установку протеза. Оставшуюся кость аккуратно рассекают и имплантируют дистракционный интрамедуллярный гвоздь, чтобы новая костная ткань могла сформироваться, а мягкие ткани растягивались.",[],[],{"_uid":360,"text":361,"component":325,"text_style":362,"component_style":363},"9b0703b8-d07c-4a0a-b37a-0d260f5f7039","## Дистракционный интрамедуллярный гвоздь также может удлинить культю после ампутации конечности",[],[],{"_uid":365,"text":366,"component":325,"text_style":367,"component_style":368},"f6e1eb84-bc62-4351-80e1-9053dce14bbb","Удлинение кости и окружающих мягких тканей с помощью дистракционного интрамедуллярного гвоздя происходит так же, как и удлинение ноги. Крайне малая начальная длина культи может быть ограничивающим фактором, поэтому может потребоваться использование специальных конструкций дистракционного интрамедуллярного гвоздя. Однако, если в конечном итоге удается использовать этот выгодный имплантат, то в таких ситуациях внешний фиксатор также не нужен, что является значительным облегчением, особенно в случае коротких бедренных культей.",[],[369],"lg:col-span-8",{"_uid":371,"image":372,"title":375,"component":334,"copyright":9,"image_style":376,"component_style":379},"b4e4b13f-625a-4401-83db-c839cff440e2",{"id":373,"alt":9,"name":9,"focus":101,"title":9,"filename":374,"copyright":9,"fieldtype":11},2080736,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F1862x3724\u002F4d5ac7549a\u002Fstump_4.jpg","Двусторонние ортезы после удлинения голени",[377,378],"object-contain","w-80",[337],{"id":101,"alt":101,"name":9,"focus":101,"title":101,"filename":9,"copyright":101,"fieldtype":11},"При неблагоприятных условиях культя после ампутации может быть настолько короткой, что протез не может быть надежно зафиксирован, несмотря на все возможности протезирования. В таких случаях фиксация протеза возможна только после удлинения кости и окружающих мягких тканей. Удлинение культи с помощью ультракороткого дистракционного интрамедуллярного гвоздя является альтернативой внешнему фиксатору.","Page",[],[],"Слишком короткая ампутационная культя может сделать невозможным установку протеза. Как удлинение ноги может помочь, так и удлинение культи.","stumpfverlaengerung","ru\u002Fspektr-lecheniya\u002Fostatochnoe-udlinenie-konechnosti-posle-amputacii",120,[],780693,"61ab599f-8f6a-488f-8f7a-054d984f2e58","2021-05-17T15:59:52.000Z",[],"spezialgebiete\u002Fstumpfverlaengerung",[396,400,404,408,411],{"path":397,"name":398,"lang":399,"published":21},"expertise\u002Fstump-lengthening","Stump lengthening","en",{"path":401,"name":402,"lang":403,"published":21},"espectro-de-tratamiento\u002Falargamiento-del-munon-tras-la-amputacion","Alargamiento del muñón tras la amputación","es",{"path":405,"name":406,"lang":407,"published":21},"tyf-alalaj\u002Fitalh-altrf-almtbqy-bad-albtr","إطالة الطرف المتبقي بعد البتر","ar",{"path":409,"name":410,"lang":203,"published":21},"spektr-lecheniya\u002Fostatochnoe-udlinenie-konechnosti-posle-amputacii","Остаточное удлинение конечности после ампутации",{"path":412,"name":413,"lang":414,"published":21},"zhi4-liao2-fan4-wei2\u002Fcan2-zhi1-yan2-zhang3","残肢延长","zh",1792469152233]