OA?EIANUeEEE IAOEIAI-AeINEIAeIEE IINOEOOOI?OIIAAeI? OA O?AAIAOIEIAI?
II.I?IO.I.I.NEOAIEA
IICA? ssOss IIOAIIAAe OANAI AEUe-NIAAeI
OAeE 616.718.42-001.59-089
OI?O?AI*IA EIEOAAIIss IANI?AAAEIIO NOAEIAIAOEEEE NOAAIIAI? EINOEE
14.01.21 — o?aaiaoieiaiy oa i?oiiaaeiy
Aaoi?aoa?ao aeena?oaoei? ia caeiaoooy iaoeiaiai nooiaiyeaiaeeaeaoa
iaaee/ieo iaoe
Oa?eia — 1999
Aeena?oaoe??th ? ?oeiien.
?iaioa aeeiiaia o Oa?e?anueeiio ?inoeooo? oaeineiiaeaiiy e?ea??a IIC
Oe?a?ie oa o Oa?eianueeiio iaoeiai-aeineiaeiiio iinoeoooi i?oiiaaei? oa
o?aaiaoieiai? ii. i?io. I.I.Neoaiea IIC Oe?a?ie.
Iaoeiaee ea?iaiee:aeieoi? iaaee/ieo iaoe, i?ioani?
EI?AE Ieeiea Ieaenieiae/,
Oa?eianueeee iaoeiai-aeineiaeiee iinoeooo i?oiiaaei? oa o?aaiaoieiai?
ii. i?io. I.I.Neoaiea, aee?aeoi?Ioioeieii iiiiaioe:aeieoi? iaaee/ieo
iaoe, i?ioani?,
eao?aao Aea?aeaaii? i?ai?? Oe?a?ie,
caneoaeaiee ae?y/ iaoee ? oaoi?ee Oe?a?ie
EINEOOIA Ieaenaiae? ?aaaiiae/,
Aei?i?iiao?ianueea aea?aeaaia iaaee/ia aeaaeai?y, caa?aeoaa/ eaoaae?e
o?aaiaoieia??, i?oiiaae?? oa INA OIIaeieoi? iaaee/ieo iaoe
AAOe A?eai??e A?eoi?iae/,
i?nueea ee?i?/ia e?ea?iy ?18 i. Oa?eiaa caa?aeoth/ee o?aaiaoieia?/iei
a?aeae?eaiiyi
I?iaiaeia i?aaiicaoeiy: Oe?a?inueeee iaoeiai-aeineiaeiee iinoeooo
o?aaiaoieiai? oa i?oiiaaei? IIC Oe?a?ie, i. Ee?a.
Caoeno aeena?oaoei? aiaeaoaeaoueny “ 5 ” aa?aciy 1999 ?. ia 1130 ia
caniaeaiii niaoeiaeiciaaii? a/aii? ?aaee Ae 64.607.01 Oa?eianueeiai
iaoeiai-aeineiaeiiai iinoeoooo i?oiiaaei? oa o?aaiaoieiai? ii. i?io.
I.I.Neoaiea (310024, i. Oa?eia, aoe. Iooeiinueea, 80).
C aeena?oaoeith iiaeia iciaeiieoeny a aiaeiioaoei Oa?eianueeiai IAeI
i?oiiaaei? oa o?aaiaoieiai? ii. i?io. I.I.Neoaiea (310024, i. Oa?eia,
aoe. Iooeiinueea, 80).
Aaoi?aoa?ao ?icineaiee “ 5 ” ethoiai 1999 ?.
A/aiee nae?aoa? niaoe?ae?ciaaii? a/aii? ?aaee,
aeieoi? iaaee/ieo iaoe A.I.?aae/aiei
AEOOAEUeIINOUe OAIE
Iacaaaeath/e ia aacia?a/ii oniioe a iia?aoeaiie oi?o?ai? eoeueoiaiai
noaeiaa, iia?aoeaia eieoaaiiy iioa?iieeo c ia?aeiiaie oeeee noaaiiai?
einoee (IONE) caeeoa?oueny neeaaeiith caaea/ath, a ianeiaeee eieoaaiiy o
30–50% aeiaaeeia ia caaeiaieueiythoue aii iaoei?ioia, aii oi?o?aia
(Eineoeeia A.I. ci niiaaao., 1977; Aaneeuea O.I. ci niiaaao., 1982).
I?iaeaia eieoaaiiy ia?aeiiia oa iani?aaaeiio noaeiaia oeeee noaaiiai?
einoee (INONE) caeeoa?oueny aeooaeueiith, iniaeeai o ethaeae iioeeiai
aieo, oae ye 80% oai?eo c ia?aeiiaie oeeee noaaiiai? e?noee — iniae
aieii noa?ioa 60 ?ieia (Eaieai A.A. 1979; Oa?iiaee E.N. ci niiaaao.,
1988). O ca’yceo c aiaoiii-oiciieiai/ieie iniaeeainoyie eoeueoiaiai
noaeiaa, aieiaeie ciiiaie i?aaiicio, noiooiiie caoai?thaaiiyie eieoaaiiy
iani?aaaei?o noaeia?a oeeee noaaiiai? e?noee oa ?o ianeiaeeia
i?iaeiaaeo? caeeoaoeny neeaaeiith nioeiaeueiith oa iaaeeei-aiieiai/iith
i?iaeaiith ye o?aaiaoieiai?, oae ? aa?ia?o?i? (Oaaaiia A.I. ci niiaaao.,
1966; O?oaieeia A.O., 1984; Ooiaaea I.A. ci niiaaao., 1990).
Eieoaaiiy iani?aaaei?o noaeia?a oeeee noaaiiai? e?noee aaeueie
?iciiiaiioia. Aeiaiacii aeei?enoaieo iaoiaeee oi?o?ai/iiai eieoaaiiy
aaeeeee, ui iaoiiaeaii ?icieie iaoieiai/ieie ciiiaie ye o ciii
iani?aaaeiueiai noaeiaa oeeee, oae i a aieiaoei noaaia i, ui iniaeeai
aaaeeeai, a o?yuiaiio iie?eai aieiaee noaaia. Noaeiaiaee o?yu no?aaeaea?
aianeiaeie ii?ooaiiy o?ioiee, i oea i?iyaey?oueny ?icieie aeeno?ioi/ieie
i?ioeanaie (Aiaeii A.C., 1972; ?aoaoieeia I.I. ci niiaaao., 1984; ?ieee
I.A., 1997).
Oiiaii ani iia?aoeaii ao?o/aiiy i?e iani?aaaei?o noaeia?a oeeee
noaaiiai? e?noee iiaeia ?iciiaeieeoe ia 5 oeiia: inoaineioac aiaeeaieia,
inoaioiiiy noaaiiai? einoee, ?aeiino?oeoeaii-aiaeiiaii iia?aoei?,
a?o?iaeac oa aiaeii?ioacoaaiiy eoeueoiaiai noaeiaa (Iaoiiae/ N.N. ci
niiaaao., 1979).
Iia?aoeith inoaineioaco iieacaii o oai?eo c iac?ineeie aai canoa?ieeie
ia?aeiiaie i?e caa?aaeaiii aeiaaeeie oeeee, a oaeiae i?e aiaenooiinoi
aeaaaia?aoeaii-aeeno?ioi/ieo ciii a aieiaoei noaaia (Ee?oeiai A.I.,
1962; THeaeaoaa E.TH., 1990., Aaeiooaei A.A., 1995; Tsuruta et al.,
1996). Ia oeae /an iaoiaeeea iaoaeiinoaineioaco i?e INONE i?aeoe/ii ia
aeei?enoiao?oueny aianeiaeie aaeeeiai aiaenioea iacaaeiaieueieo
?acoeueoaoia — anaioe/iee iae?ic ?icaeaa?oueny o 70–73%, iani?aaaeii
noaeiae — o 60–62% aeiaaeeia (Getterberg C. et al., 1979).
Aeioeieueiioa oa ia?aaaaeiioa niieo/aoe iaoaeiinoaineioac (IIN) c
?icieie aeaeaie einoeiai? ieanoeee (aieueii?, iaaieueii? ia iyciai
i?aeoe?). Oaeee eiiaiiiaaiee inoaineioac ia oieueee
iiaeaeuo(aei?noeinoue oienaoei? aiaeeaieia, aea e aeicaiey?
iiaeooee?oaaoe inoaiaaiac, oei naiei iieiioo? oiiae aeey c?iuaiiy ?
aeicaiey? caiiaiaoe iiaeaeueoiio ?icaeiaiith aeeno?ioi/ieo i?ioeania o
oeeoei oa aieiaoei noaaia (?aoaoieeia I.I., 1972; Noaiaoei N.I., 1986).
Iieacaiiyi aei inoaioiii? ii Pawles yaeythoueny iani?aaaei? noaeiae
oeeee noaaiiai? e?noee c aa?oeeaeueiith ieiueiith ceiio — ianoaaieueii
(ca eeaneoieaoei?th Pawles III), a oaeiae i?e caa?aaeaiiio e?iaiiaiao a
aieiaoei noaaia (Ao?ue?a A.I. ci niiaaao., 1986; Pidhorz L., 1985).
Iaeiioeiaeueiioee no?ie aeeiiaiiy inoaioiii?, ia aeoieo aieueoinoi
aaoi?ia — 8–13 iinyoeia iiney o?aaie. Iiae /an iia?aoei? neiae oieeaoe
iaaeii?iiai aaeueai?oaaiiy oeeeiai-aeiaoica?iiai eooa aianeiaeie
iaaaciaee ?icaeiaiiy eiena?o?ico oa anaioe/iiai iae?ico aieiaee
noaaiiai? e?noee /a?ac ?icei c?inoath/a iaaaioaaeaiiy ia aieiaeo noaaia.
?aeiino?oeoeaii-aiaeiiaii iia?aoei? (?AI) c aeei?enoaiiyi iaaieueieo
einoeiaeo aooio?ainieaioaoia ia noaeeiii-iyciaie i?aeoe? cia/ii
iieiioothoue ?acoeueoaoe eieoaaiiy oei? aaaeei? iaoieiai? (Eieanieeia
TH.I., 1975, 1978; E?eaeaiianueeee ss.I., 1975; Eoeo?oca E.I., 1989;
Judet R., 1962). Ia iao iiaeyae, oeae iai?yiie aieueo ia?niaeoeaiee ?
iio?aao? iiaeaeueoiai aea/aiiy oa aeineiaeaeaiiy. Ia?niaeoeaiinoue eiai
iieyaa? a i?aaiicaa?iaath/eo iia?aoeiyo, ui aeicaiey? caa?aaoe ia
oieueee aiaoiiith, aea e ooieoeith o?aaiiaaiiai noaeiaa.
A?o?iaeac i?e INONE iiaeiai aooe inoaiiii ic aa?iaioia eieoaaiiy, yeee
caaaeaee iaaaaeaiee, iniaeeai o iieiaeeo iaoei?ioia. O inia iioeeiai
aieo neiae noaaeoe iieacaiiy aei ia?aeiiiai aiaeii?ioacoaaiiy.
Iia?aoei? aiaeii?ioacoaaiiy i?e iani?aaaei?o noaeia?a oeeee noaaiiai?
e?noee a inoaiiie /an caaithaaee iaaii iiceoei? ia ye iaoiae aeai?o, a
ye aeoiae ic neeaaeii? neooaoei?, iniaeeai o inia iioeeiai oa noa?oiai
aieo (Aaeei A.A. ci niiaaao., 1979; Aiaoaaeca Ae.AE. ci niiaaao., 1988;
Stappert J.W. et al., 1994).
Eieueeinoue aeia?eo oa caaeiaieueieo iaeaeeae/eo ?acoeueoaoia iiney
iia?aoei? aiaeii?ioacoaaiiy eieeaa?oueny aiae 63% aei 96% (Charnley J.
et al., 1973; Wenzl L. et al., 1987). I?ioa oneeaaeiaiiy o aeaeyaei
iaaii?iiy, aeaeoia aieiaee, ?icoeooaaiiy i?aeee aiaeii?ioaco oa
ii?ooaiiy ii??iino? eiioe?aee iio?aaothoue ?aaiaeii?ioacoaaiiy, a
nia?oiinoue o ia?oa iia?i//y iiney oaeeo iia?aoeie aeinyaa? 20–25%
(Lotrat-Jacob A. et al., 1982).
Oaeei /eiii, i?iaeaia aiaeiiaeaiiy iii?iinoi eiioeiaee oa ooieoei?
noaeiaa i?e iani?aaaeiio noaeiaao oeeee noaaiiai? einoee iio?aao?
aea/aiiy oa iiaeaeueoiai oaeineiiaeaiiy.
Caycie aeena?oaoeieii? ?iaioe c iaoeiaeie i?ia?aiaie, oaiaie
Aeena?oaoeiy aeeiiaia ca?aeii ieaio iaoeiai-aeineiaeieo ?ia?o
Oa?eianueeiai iaoeiai-aeineiaeiiai iinoeoooo i?oiiaaei? oa o?aaiaoieiai?
ii. i?io. I.I.Neoaiea (aea?ae?a?no?aoeiy ca ? 01.96. U 000754).
IAOA ?iaioe — oaeineiiaeeoe oaoiieiaith ?aeiino?oeoeaii-aiaeiiaii?
iia?aoei? i?e eieoaaiii iani?aaaeiio noaeiaia oeeee noaaiiai? einoee.
Aeey aeinyaiaiiy iinoaaeaii? iaoe iaiaoiaeii aoei ae?ioeoe ianooiii
caaea/i:
1. Aecia/eoe ca aeaieie eioa?aoo?e noai i?iaeaie, oaiaeaioei? ??
?icaeoeo oa iaa?oiooaaoe ia?niaeoeaiinoue aeineiaeaeaiiy ii ia?aiiio
iai?yieo.
2. I?iaanoe aiiiaoaii/ia iaa?oiooaaiiy inoaineioaco aeaiia iaoaoica?ieie
aaeioaie oa aeaiia ei?oeeaeueieie einoeiaeie aieueieie o?ainieaioaoaie
i?e INONE ca aeaieie iaoaiaoe/iiai iiaeaethaaiiy oa a?aoiaiaeioe/iiai
iiaoaeoaaiiy.
3. ?ic?iaeoe iaoiaeeeo oi?o?ai/iiai eieoaaiiy INONE, i?iaanoe eeiii/io
ai?iaaoeith.
4. I?iaanoe aiaeic ?acoeueoaoia eieoaaiiy INONE ca ?ic?iaeaiith
iaoiaeeeith.
IAOEIAA IIAECIA ?iaioe iieyaa? o aea/aiii noaio einoeiai? oeaieie i?e
iani?aaaeiio noaeiaao oeeee noaaia, iaa?oioiaaii aeiaeaoeiao oienaoeith
aieueieie einoeiaeie o?ainieaioaoaie c aeai?ii iaeaieueo iioeiaeueii?
oi?ie oa ia?aoeio, aeioeieueiinoue yeeo aeiaaaeaii iaoiaeii
iaoaiaoe/iiai iiaeaethaaiiy.
?ic?iaeaii oaoiieiaith oi?o?ai/iiai eieoaaiiy iani?aaaei?o noaeia?a
oeeee noaaiiai? e?noee, yea iinoeoue a niai: caaeiie aeinooi aei noaeiaa
ci caeaaiiyi iiaeaa?oethaeiiai a?aaaiy ia noaeeiii-iyciaie i?aeoei
(m.quadratus femoris), aeaei?oeeaoeith ciie iani?aaaeiueiai noaeiaa
oeeee noaaia c aeaeaeaiiyi anio ?oaoeia, aiiiaoaii/ii iaa?oioiaaio,
iioeiaeueio, aei?noeo, aea uaaey/o oienaoeith aiaeeaieia aeaiia
iaoaoica?ieie aaeioaie AI, aeiaeaoeiao oienaoeith aeaiia aieueieie
ei?oeeaeueieie o?ainieaioaoaie c iaeii/aniith noeioeyoei?th
inoai?aia?aoei? iac?iuaiiy oeeee noaaia c iiaeaaaeaiiyi o oeth ciio
iaaieueiiai iiaeaa?oethaeiiai a?aaaiy ia noaeeiii-i’yciaie i?aeoei
cciai?.
I?AEOE*IA CIA*OUINOUe ?iaioe iieyaa? o i?aeoe/iiio aeei?enoaiii
?ic?iaeaii? iaoiaeeee eieoaaiiy iani?aaaei?o noaeia?a oeeee noaaiiai?
e?noee, yea aea? iiceoeaiee ?acoeueoao o 86,6% aeiaaeeia. Iaoiaeeea
i?inoa, aoaeoeaia, aa?iaaaeueia, aeicaiey? oieeiooe aeiaeaoeiai?
ciaiioiuei? iiiiaieicaoei?; aeeth/a? ?aiith aeoeaio ?aaaieioaoeith
iaoei?ioia, ui ? i?ioieaeoeeith ?icaeiaiiy aiiinoaoe/ieo oneeaaeiaiue,
aeicaiey? aiaeiiaeoe aiaoiiith oa ooieoeith o?aaiiaaiiai noaeiaa.
?acoeueoaoe aeena?oaoeieiiai aeineiaeaeaiiy aeei?enoiaothoueny ia
i?aeoeoei i?e i?iaaaeaiii iaoeiai-aeineiaeieo ?iaio a Oa?eianueeiio
iaoeiai-aeine?aeiiio ?inoeooo? i?oiiaaei? oa o?aaiaoieiai? ii. i?io.
I.I.Neoaiea. Cai?iiiiiaaio iaoiaeeeo eieoaaiiy ai?iaaaeaeaii a
o?aaiaoieia?/ieo a?aeae?eaiiyo IN* ?7 oa IN* ?8, i?nueei? ee?i?/ii?
e?ea?i? oaeaeei? iaaee/ii? aeiiiiiae i. Oa?eiaa oa aei?iaeiie eeiii/iie
eiea?ii ?1.
AI?IAAOeIss ?ACOEUeOAOIA AeENA?OAOeI?
Iaoa?iaee aeena?oaoei? iiaiaeiieaii ia iaoeiaeo eiioa?aioeiyo (Oa?eia,
1995, 1996), OII c?caei i?oiiaaeia-o?aaiaoieiaia Oe?a?ie (Ee?a, 1996),
IV c?caei i?oiiaaeia-o?aaiaoieiaia Iieaeiae (Eeoeiaa, 1996), II
Iiaeia?iaeiiio Eiia?ani “*aeiaae e aai caei?iauea” (Naieo-Iaoa?ao?a,
1997).
Ca iaoa?iaeaie aeena?oaoei? iioaeieiaaii 6 iaoeiaeo ?iaio, a oiio /enei
3 o iaoeiaeo aeo?iaeao. Ia “Niinia oi?o?ai/iiai eieoaaiiy ianoaaieueieo
aioo??oiueinoaeiaiaeo ia?aeiiia oeeee noaaiiai? einoee” ca ? 97073793
aiae 16.12.97 iaea?aeaiee iaoaio Oe?a?ie ?24773 A. Ia “Niinia
oi?o?ai/iiai eieoaaiiy iani?aaaeiueiai noaeiao oeeee noaaiiai? einoee”
ca ?97073796 a?ae 16.07.97 iaea?aeaii ??oaiiy i?i aeaea/o iaoaioo
Oe?a?ie a?ae 14.10.98.
INIAENOEE AIANIE IIOOEOAA*A
Aaoi?ii i?iaaaeaiee iiaeai? oa ia?iaea eioa?aoo?ieo aeaea?ae oa
iaoaioia, iiaeai? oa aiaeic iaoa?iaeia aeey aeena?oaoeieii? ?iaioe,
aiaeic eieoaaiiy oai?eo c iani?aaaei?ie noaeiaaie oeeee noaaia, aeeiiaii
?aioaaiieiai/ii aeineiaeaeaiiy oa aiaeic eeiiiei-?aioaaiieiai/ieo aeaieo
ia aoaiao ianoaaeaiiy oai?iai aei oa iiney iia?aoei?. Aaoi? i?eeiaa
o/anoue a ioi?ieaiii aeaio iaoaioia ii oaii aeena?oaoeieii? ?iaioe.
Naiino?eii iia?oaaa, anenooaaa ia iia?aoeiyo, niinoa?iaaa oa eieoaaa
oai?eo ca oaiith aeena?oaoei?.
IANssA OA NO?OEOO?A AeENA?OAOeI?
Aeena?oaoeieia ?iaioa neeaaea?oueny ic anooio, 5 aeaa, aeniiaeia, nieneo
aeei?enoaieo aeaea?ae oa aeiaeaoeia. Iinoeoue 120 noi?iiie iaoeiiieniiai
oaenoo, 42 iaethiee, 5 oaaeeoeue. Nienie eioa?aoo?e aeeth/a? 166
aeaea?ae, c yeeo 63 — ia iiicaiieo iiaao.
CIINO ?IAIOE
Ani aeineiaeaeaiiy aoei i?iaaaeaii ia aaci eaai?aoi?ie oa eeiiie
Oa?eianueeiai iaoeiai-aeine?aeiiai ?inoeoooo i?oiiaaei? oa o?aaiaoieiai?
ii. i?io. I.I.Neoaiea.
A eaai?aoi?i? aiiiaoaiiee aoei i?iaaaeaia aeineiaeaeaiiy c
aiiiaoaii/iiai iaa?oiooaaiiy noaaieueiiai inoaineioaco aeaiia
iaoaoica?ieie aaeioaie oa aeaiia ei?oeeaeueieie o?ainieaioaoaie i?e
INONE c aeei?enoaiiyi iaoiaeee iaoaiaoe/iiai iiaeaethaaiiy oa
a?aoiaiaeioe/iiai iiaoaeoaaiiy.
Eeiii/io /anoeio ?iaioe aeeiiaii ia 30 oai?eo aieii aiae 20 aei 80 ?ieia
c iani?aaaeiiie noaeiaaie oeeee noaaia, yei ciaoiaeeeeny ia eieoaaiii o
eeiiioei iaaiaeeeaaeii? o?aaiaoieiai? oa aiaeiiaii? oi?o?ai?
Oa?e?anueeiai IAe? i?oiiaae?? oa o?aaiaoieia??.
Iaeiei c iniiaieo aoaiia aeineiaeaeaiiy aoei aiiiaoaii/ia iaa?oiooaaiiy
noaaieueii? oienaoei? i?e iani?aaaei?o noaeia?a oeeee noaaiiai? e?noee.
Ia aeeeeea? noiiiaia aoaeoeaiinoue oaoiieiai? eieoaaiiy naiaeeo
ia?aeiiia oeeee noaaiiai? einoee ca aeiiiiiaith aeaio iaoaoica?ieo
aaeioia nenoaie AI. A Oa?e?anueeiio IAe? o?aaiaoieia?? oa i?oiiaae?? ii.
I.I.Neoaiea aaea i?iaaaeaii aieueoa 150 oaeeo iia?aoeaieo ao?o/aiue, yei
iieacaee aeia?i aiaeaeaeaii ?acoeueoaoe o 87,8% aeiaaeeia (?ieee I.A.,
1997). I?ioa oeth iaoiaeeeo aaoi? aeei?enoiaoaaa aeey eieoaaiiy oieueee
naiaeeo aioo??oiueinoaeiaiaeo ia?aeiiao oeeee noaaiiai? e?noee, oiaei ye
i?e iani?aaaei?o noaeiaao oeeee — ia aaeeaaa. sseui ii oeie iaoiaeeoei
(ia iao iiaeyae — iaeaieueo uaaey/i? ci anio aiaeiieo) oi?o?ai/iiai
ao?o/aiiy aiiiaoaii/ii ia?aiao?e ooieoei? eoeueoiaiai noaeiaa
aiaeiiaeththoueny, oi onoiaiiy ianeiaeeia ao?ioi/iiai inoaiii?ico i?e
iac?iuaiiyo oeeee iio?aao? canoinoaaiiy aeiaeaoeiaeo caoiaeia.
Aei oaeeo iaiaoiaeieo caoiaeia, ia iao iiaeyae, iiaeooue aooe aiaeianaii
oienaoi?e-o?ainieaioaoe c aooi- aai aeieinoeiai? oeaieie. Caaeeaeaiiy a
o?aaeaio inoaiii?icii aieiaeo noaaiiai? einoee o?ainieaioaoia ic
caei?iai? einoeiai? oeaieie aeicaiey? o iaaiie ii?i iieiioeoe
e?iaiiinoa/aiiy oaei? o?aaeaii? aieiaee.
O ca’yceo c oeei iiaeaioiaea oa aeeiiaiiy eaiaeo aeey o?ainieaioaoa,
iniaeeai a o?aaeaiie aieiaoei, ia iao iiaeyae, ia iiaeiii aooe
aano?aeoii-aeiaieueiei aeaiaioii oaoiieiai/iiai i?ioeano, a iiaeei?yoeny
iaaiei aeiiaai.
Ii-ia?oa, aeeiiaiiy eaiaeo aeey o?ainieaioaoa iiaeiia noi?iaiaeaeoaaoeny
iiiiiaeueiith o?aaiaoecaoei?th einoeiai? oeaieie.
Ii-ae?oaa, ?icoaooaaiiy eaiaeia c o?ainieaioaoaie a aieiaoei noaaiiai?
einoee c iiceoei? aaiiao?i? iiaeiia aooe iioeiaeueiei.
Ii-o?ao?, a?aoiaoth/e cieaeaio oa?aeoa?enoeeo iioeiinoi einoeiai?
oeaieie aieiaee noaaiiai? einoee, o?aaeaii? inoaiii?icii, o?ainieaioao
iiaeiai i?aeoe/ii ianoe aeiaeaoeiao ooieoeith oienaoei? o iaaeao
i?eionoeieo iiaeeeainoae.
Aeeiiaiiy aeuaiaaaaeaieo aeiia iiaeiia aacoaaoeny ia a?oioiaii
?ic?iaeaiie oaoiieiai? ai?iaaaeaeaiiy o?ainieaioaoa.
C iaoith aeiaaaeaiiy aei i?i?ioio o?aaiaoecaoei? i?e oi?ioaaiii eaiaeia
aeey o?ainieaioaoia i?i?ioe?aie iiaeiii neoaeeoe aaaaeaii iaoaoica?ii
aaeioe. Aiaeiii (?ieee I.A., 1996), ui iaoaoica?ii aaeioe i?i?ioiaaii
aiaeiinii aa?oeeaeueii? ini ia i?iaeoei? ieiueie ia?aeiio ONE, oiio
eaiaee aeey aaaaeaiiy o?ainieaioaoia iaiaoiaeii i?i?iooaaoe ii
ai?eciioaeueiie ini oeueiai ae ia?aoeio.
Aeai? oi?ie, ai?iioa, i?ioieth iiia?a/iiai ia?aoeio o?ainieaioaoa, a a
iaoiio aeiaaeeo — oea aei- aai aooio?ainieaioao, o iiaiie ii?i
caeaaeeoue aiae iaaieo oaeoi?ia, iniaeeainoae oaoiieiai/iiai i?ioeano
aeaioiaeaiiy. Iaiaoiaeii acyoe aei oaaae, ui /anoi o?ainieaioao aoaea
aei?iaeyoeny iiae /an iia?aoeaiiai ao?o/aiiy, oiaoi aaciina?aaeiuei a
iia?aoeieiie. Oiio oi?ia ia?aoeio o?ainieaioaoa iiaeiia aooe
iaeneiaeueii i?inoith, i?e io?eiaiii ?? ia iiaeiii aeieeaoe iiyei
o?oaeiiui.
I?iaaaeaii iaie aeineiaeaeaiiy iieacaee, ui eaaae?aoiee ia?aoei ca
nai?th oi?iith iaei?inoioee o aeaioiaeaiii c ei?oeeaeueii? einoeiai?
oeaieie. Oaea oi?ia iiaea caaacia/eoe iaeneiaeueiee eiioaeo c
iiaeaioiaeaiei ioai?ii a iaoa?einueeie einooei. I?ioa eaaae?aoia oi?ia
o?ainieaioaoa i?e caaeeaeaiii o e?oaeee ioai? (io?eiaoe eaaae?aoiee
ioai? a iaoa?einueeie einooei oyaey?oueny aeineoue neeaaeiei i?ioeanii)
iaia’yceiai aeeee/a iaaeii?ii eiioeaio?aoei? iai?oaeaiue a iaoa?einueeie
einoeiaie oeaieii ia aa?oeiao eaaae?aoa, ui ? iaaeieieii ii iaeiiio c
ioieoia aeiia, i?aae’yaeaieo aei o?ainieaioaoa.
C iaoith caiiaiaaiiy aeieeiaiiy eiioeaio?aoi?ia iai?oaeaiue iiney
caaeeaeaiiy o?ainieaioaoa o iiaeaioiaeaiee ioai? aa?oeie eaaae?aoa i?e
aeaioiaeaiii o?aaa ?iaeoe iaaeueieie c ?aaeionii aeecueei 2 ii. A
?acoeueoaoi oaei? ia?iaee iiaeia iaea?aeaoe iaeaea e?oaeo oi?io
ia?aoeio.
sse iieacaee iaoaiaoe/ii ?ic?aooiee, i?e aeaioiaeaiii o?ainieaioaoa ci
noi?iiith 4 ii aiaenioie o?aaioaaiiy iaoa?einueei? einoeiai? oeaieie i?e
aaaaeaiii aeaio einoeiaeo o?ainieaioaoia neeaaea? anueiai 14,3%.
C iaoith caa?aaeaiiy iioeiaeueieo iai?oaeaiue ia eiioaeoiie iiaa?oii
iiae o?ainieaioaoii ? iaoa?einueeith einoeith aoa i?iaaaeaiee ?ic?aooiie
i?eionoeiiai ia?aaeuaiiy ?icii?ia iiae o?ainieaioaoii oa ioai?ii a
iaoa?einueeie einooei, yeee iieacaa, ui iaeneiaeueii i?eionoeiee
aeiaiao? ioai?o aeey o?ainieaioaoa aeiaiao?ii 4 ii iiaeiai aeeiioaaoeny
naa?aeeii aeiaiao?ii ia aieueo ye 2,83 ii.
I?e aecia/aiii aaee/eie caaeeaeaiiy o?ainieaioaoa o aieiaeo noaaiiai?
einoee aaaeaii caa?aaoe ia iaioa 10 ii oa?o einoeiai? oeaieie iiae
o?yuiaith iiaa?oiath. I?e oeueiio ieiua eiioaeoii? iiaa?oii i?ae aeaiia
o?ainieaioaoaie oa iaoa?einueeith einoeith nyaa? 60% ii eiii? ia?aeiio,
ui caaacia/o? aeinoaoith eiiiainaoeith eiioaeooth/eo iiaa?oiae c iaoith
caaacia/aiiy iaiaoiaeiiai ia’?io e?iaiiaiao aei iioeiaeaeaiiai aeaiaioa
noaaiiai? einoee.
I?iaaaeaii ?ic?aooiee iieacaee, ui ai?iaaaeaeaiiy aeiaeaoeiaeo
aooi-aeio?ainieaioaoia aei? c iiaeaieiith ooieoei?th — ye aeaea?aei
aeiaeaoeiaiai (aai iniiaiiai) e?iaiiinoa/aiiy aieiaee noaaiiai? einoee
oa ye oienoth/ee aeaiaio. Ana oea noai?th? aeia?i ia?aaeoiiae
iiceoeaiiai ?acoeueoaoo eieoaaiiy iani?aaaeiio noaeiaia.
Aeiaeaoeiai oienoth/i neee, yei aeieeathoue caaaeyee caaeeaeaiith aeaio
o?ainieaioaoia, iaaoaathoue iniaeeaiai iiceoeaiiai cia/aiiy a oiiaao,
eiee einoeiaa oeaieia, iniaeeai aieiaee noaaiiai? einoee, a cia/iie ii?i
iiaeeyaa? i?ioeano inoaiii?ico.
I?iaaaeaii aeineiaeaeaiiy aeicaieeee iai oaeineiiaeeoe oaoiieiaith
oi?o?ai/iiai eieoaaiiy iani?aaaei?o noaeia?a oeeee noaaiiai? e?noee, yea
aeeth/a?:
– iaeio?aaiaoe/iee caaeiie aeinooi ci caeaaiiyi iiaeaa?oaeueiiai a?aaaiy
ia noaeeiii-i’yciaie i?aeoei (m.quadratus femoris);
– aeaei?oeeaoeith ciie iani?aaaeiueiai noaeiaa oeeee c aeaeaeaiiyi anio
?oaoeia, inaiaeaiiyi eiioeia eoene oeeee oa aieiaee noaaia c
iaia’yceiaei aea/aiiyi caeeoeiaiai e?iaiiaiao a aieiaoei noaaia;
– aiiiaoaii/ii iaa?oioiaaio, aei?noeo oa uaaey/o oienaoeith aiaeeaieia
aeaiia iaoaoica?ieie aaeioaie;
– aeiaeaoeiao oienaoeith aiaeeaieia aeaiia aieueieie ei?oeeaeueieie
aeio?ainieaioaoaie, ui aeicaiey? oaeiae noeioethaaoe inoaiaaiac o ciii
iac?iuaiiy cna?aaeeie;
– iiaeaaaeaiiy iaaieueiiai einoeiaiai aooio?ainieaioaoa ia
noaeeiii-i’yciaie i?aeoei a ciio iac?iuaiiy, ui noeioeth? inoaiaaiac oa
caaacia/o? aeiaeaoeiaa e?iaiiinoa/aiiy aieiaee noaaia;
– aiaenooiinoue aeiaeaoeiai? ciaiioiuei? iiiiaieicaoei? ca ?aooiie
aei?noei? aioo?ioiuei? oienaoei?, ui aeicaiey? ?aii aeoeaicoaaoe oai?eo
oa caiiaiaoe a?iciei aiiinoaoe/iei oneeaaeiaiiyi, iinoiiiiaieicaoeieiei
eiio?aeoo?ai, oaeaeoa ?aaaieiooaaoe oai?eo ia oieueee a iaaee/iiio, aea
e o nioeiaeueiiio ieaii.
Ia “Niinia oi?o?ai/iiai eieoaaiiy iani?aaaeiueiai noaeiaa oeeee
noaaiiai? einoee” iaea?aeaii ??oaiiy i?i aeaea/o iaoaioo Oe?a?ie aiae
14.10.98 ?.
Eeiii/io ai?iaaoeith ?ic?iaeaii? oaoiieiai? eieoaaiiy iani?aaaei?o
noaeia?a oeeee noaaiiai? e?noee i?iaaaeaii ia 30 oai?eo, yei eieoaaeeny
o Oa?e?anueeiio IAeI i?oiiaae?? oa o?aaiaoieia?? c 1992 ii 1997 ?. oa
yeei aoee aeeiiaii iia?aoeaii ao?o/aiiy ca ?ic?iaeaiith oaoiieiaith:
aeaei?oeeaoeiy ciie iani?aaaeiueiai noaeiaa, IIN aaeioaie AI, aieueia
einoeiaa aooi-aeiieanoeea, iaaieueia einoeiaa aooiieanoeea ciie
iac?iuaiiy iiaeaa?oethaeiei a?aaaiai ia noaeeiii-i’yciaie i?aeoei.
Na?aae oeeo 30oe oai?eo ie cono?ieeny c ianooiieie eeiii/ieie
neooaoeiyie:
1. Noaaieueii iani?aaaei? noaeiae oeeee noaaiiai? e?noee (eoo eiii?
iac?iuaiiy — aei 50 aei oiiaii? ai?eciioaei, ca eeaneoieaoei?th Pawles —
I–II) — 12 oai?eo.
2. Ianoaaieueii iani?aaaei? noaeiae oeeee noaaiiai? e?noee (eoo eiii?
iac?iuaiiy aiaeiinii oiiaii? ai?eciioaei — 50 oa aieueo, ca
eeaneoieaoei?th Pawles III) — 18 oai?eo.
?ic?iaeaia oaoiieiaiy aeicaieeea i?e ianoaaieueieo INONE (Pawles III),
ia iiiyth/e nooi iia?aoei?, caaacia/eoe aiiiaoaii/ii aeaaii?e?iii oiiae
aeey c?iuaiiy oeyoii ia?aaiaeo ieiueie ceiio c ianoaaieueii? a
noaaieueio. Aeey oeueiai iia?aoeith aeiiiaithaaee ?aeiino?oeoei?th ciie
iani?aaaeiueiai noaeiaa: iiae /an iia?aoei? iiney aeaei?oeeaoei? ciie
iani?aaaeiueiai noaeiaa caeaa?oueny aa?oiie iiethn eoene oeeee oa
aa?aoueny einoeiaee eeei iniiaith aeiai?e oe?eiith 0,5–1,0 ni. Iiney
aeaeaeaiiy einoeiaiai eeeia aioo?ioiy iiaa?oiy aaeeeiai aa?oethaa
i?eeyaa? aei eoene oeeee. Iioii aeeiio?oueny aeaei?oeeaoeiy aaeeeiai
aa?oethaa ic aioo?ioiueiai aieo, cinoaaeaiiy oa oienaoeiy aiaeeaieia.
?acoeueoaoii oaei? ?aeiino?oeoei? :
– aieueo noaaieueia (iaaeeaeaia aei ai?eciioaei) eiiiy ceiio;
– aieiaea noaaia oieno?oueny o aaeueaoniiio iieiaeaiii, aianeiaeie /iai
caa?iaa?oueny aeiaaeeia oeeee oa iaia(nei?i/aiiy eiioeiaee;
– aiaeaoaa?oueny aeiaeaoeiaa aaneoey?ecaoeiy ciie iac?iuaiiy oeeee ca
?aooiie aaeeeiai aa?oethaa caa?oo.
Ia “Niinia oi?o?ai/iiai eieoaaiiy ianoaaieueieo aioo?ioiueinoaeiaiaeo
ia?aeiiia oeeee noaaiiai? einoee” iaea?aeaiee iaoaio Oe?a?ie ?24773 A
aiae 16.10.98.
sse iieacaea eeiii/ia i?aeoeea, iiaeeeaeie oneeaaeiaiiyie i?e
canoinoaaiii aeaii? oaoiieiai? iiaeooue aooe:
1. Iaaeiioeiiea aaaeeinoi niiaoe/ii? iaoieiai? oa aieo. Ia ia?oeo aoaiao
aiae?iaeaiiy oaoiieiai? o iaoei?ioia iioeeiai aieo c aaaeeith
niiaoe/iith iaoieiai?th c iaoith ciaioaiiy o?aaiaoe/iinoi iia?aoei?
einoeiao aeiieanoeeo iiney IIN ia aeeiioaaee. Aea, ye iieacaea eeiii/ia
i?aeoeea, o iaoei?ioia noa?ioa 60 ?ieia c niiaoe/iith iaoieiai?th
aeioeieueii caeienithaaoe aieueio einoeiao ieanoeeo iaeii/anii c
?aeiino?oeoeaii-a?aeiiaiith iia?aoe??th iaaioue i?e naiaeeo ia?aeiiao
oeeee noaaiiai? e?noee. Aeeiiaiiy ae oieueee IIN o oai?eo iioeeiai aieo
yaii iaaeineoue — ?icaeaathoueny ae?aaeaii aeeno?ioi/ii i?ioeane ye a
oeeoei, oae i a aieiaoei, ui cia/ii oneeaaeith? i?ioean eieoaaiiy.
2. Ii?ooaiiy iaoiaeeee iineyiia?aoeieiiai aaaeaiiy oai?eo. Oaeoeea
uaaey/iai aaaeaiiy oai?iai iiney iia?aoei?, oiaoi aiaenooiinoue
iaaaioaaeaiiy ia iiao, EOE, ianaaeo iiaea i?ecaanoe aei iineeaiiy aaea
inioth/iai inoaiii?ico, ui cia/ii iiai?oo? i?ioean c?iuaiiy oeeee.
O aeiaaeeao iaaeeoo?caeaoiinoi aieiaee i?e ae?aaeaieo aeeno?ioi/ieo
i?ioeanao iieacaii iia?aoeith aiaeii?ioacoaaiiy eoeueoiaiai noaeiaa.
Aiaeic ?acoeueoaoia eieoaaiiy oai?eo c iani?aaaei?ie noaeiaaie oeeee
noaaiiai? e?noee, i?iaaaeaiee ii nenoaii &.?.Iaooena, aeicaiey? c?iaeoe
aeniiaie i?i aenieo aoaeoeaiinoue ?ic?iaeaii? oaoiieiai? eieoaaiiy. ?c
30 iia?iaaieo oai?eo ii ?ic?iaeai?e oaoiieia?? o 26 c ieo (86,6%)
iaea?aeaii aeia?i oa caaeiaieueii ?acoeueoaoe eieoaaiiy.
?ic?iaeaia oaoiieiaiy ca ?aooiie eiiieaeniiai iiaeoiaeo aeicaiey?
caaacia/eoe aei?noeo oienaoeith aiaeeaieia, noai?eoe iioeiaeueiee noai
aeey c?iuaiiy iani?aaaei?o noaeia?a oeeee noaaiiai? e?noee a
aiiiaoaii/ii aeaiaeieo oiiaao, caa?aaoe aeiaaeeio oeeee noaaia,
oe?/ii-ae?ao?ca?iee eoo. Noai?aiiy iaeneiaeueii aei?noei? aioo?ioiuei?
oienaoei? aeicaiey? aiaeiiaeoeny aiae ciaiioiuei? iiiiaieicaoei?, ii/aoe
aeoeaio ?aaaieioaoeith aoeaaeueii c ae?oaiai aeiy iiney iia?aoei?, ui
aea? iiaeeeainoue caiiaiaoe aiiinoaoe/iei oneeaaeiaiiyi, nei?ioeoe
no?iee eieoaaiiy.
Oaeei /eiii, aiaeicoth/e ?acoeueoaoe eieoaaiiy iani?aaaei?o noaeia?a
oeeee noaaiiai? e?noee, iiaeia aaaaeaoe, ui ?ic?iaeaia oaoiieiaiy
aeicaiey? cia/ii iieiioeoe ?acoeueoaoe eieoaaiiy ii?iaiyii c aiaeiieie
iaoiaeeeaie ca ?aooiie eiiieaeniiai iiaeoiaeo aei i?iaeaie.
AENIIAEE
1. Eieoaaiiy iani?aaaei?o noaeia?a oeeee noaaiiai? e?noee caeeoa?oueny
neeaaeiith oa aeooaeueiith iaaeeei-nioeiaeueiith i?iaeaiith. Iniiaieie
iaoiaeaie eieoaaiiy INONE ? iaoaeiinoaineioac, einoeiaa ieanoeea,
ei?eaoth/i inoaioiii?, ?aeiino?oeoeaii-aiaeiiaii iia?aoei?, a?o?iaeac oa
aiaeii?ioacoaaiiy noaeiaia. Ia?niaeoeaiinoue aeineiaeaeaiiy iieyaa? o
?ic?iaoei i?aaiicaa?iaath/eo iia?aoeie, ni?yiiaaieo ia aiaeiiaeaiiy
aiaoiii? oa ooieoei? noaeiaa, iioeiicaoeith inoai?aia?aoe?? ciie INONE,
i?ioieaeoeeo ?icaeiaiiy aeeno?ioi/ieo oneeaaeiaiue a aieiaoei oa oeeoei
noaaia.
2. ?acoeueoaoe a?iiaoai?/ieo aeine?aeaeaiue ca aeaieie iaoaiaoe/iiai
iiaeaethaaiiy oa a?aoiaiae?oe/iiai iiaoaeoaaiiy aeiaaee, ui oienaoeiy
aiaeeaieia aeaiia iaoaoica?ieie aaeioaie oa aeaiia aieueieie
ei?oeeaeueieie o?ainieaioaoaie caaacia/o? aei?noeo noaaieueio oienaoeith
aiaeeaieia ia aanue ia?iiae eieoaaiiy. Aaeeaaiiy aeio?ainieaioaoia
caaacia/o? aeiaeaoeiao oienaoeith aiaeeaieia, noeioeth? inoaiaaiac o
ciii INONE, ? i?ioieaeoeeith ?icaeiaiiy inoaiii?ico a oeeoei oa aieiaoei
noaaiiai? einoee.
3. Cai?iiiiiaaia oaoiieiaiy eieoaaiiy iani?aaaei?o noaeia?a oeeee
noaaiiai? e?noee aeeth/a?: caaeiie aeinooi aei noaeiaa ci caeaaiiyi
iiaeaa?oethaeiiai a?aaaiy, aeaei?oeeaoeith ciie iani?aaaeiueiai noaeiaa,
aei?noeo, aiiiaoaii/ii iaa?oioiaaio oienaoeith aeaiia iaoaoica?ieie
aaeioaie AI, iioeiicaoeith oiia aeey inoai?aia?aoei? INONE aeaiia
aieueieie ei?oeeaeueieie o?ainieaioaoaie cna?aaeeie, a oaeiae
ia?anaaeaeaiiy iiaeaa?oethaeiiai a?aaaiy ia noaeeiii-i’yciaie i?aeoei
ciaii o ciio iac?iuaiiy oeeee noaaiiai? einoee.
4. Noaaieueia aioo?ioiy oienaoeiy aeicaiey? oieeiooe aeiaeaoeiai?
ciaiioiuei? iiiiaieicaoei? iia?iaaiiai noaeiaa iiney iia?aoei?, ui
aeicaiey? caeienithaaoe aeoeaio ?aaaieioaoeith iaoei?ioa, oa yaey?oueny
i?ioieaeoeeith ?icaeiaiiy aiiio?ioi/ieo oa iae?io?ioi/ieo oneeaaeiaiue.
Ai?iaaoeiy aeaii? oaoiieiai? eieoaaiiy o 30 iaoei?ioia c INONE
aeicaieeea o 86,6% aeiaaeeia iaea?aeaoe aeia?i oa caaeiaieueii
?acoeueoaoe eieoaaiiy.
5. ?ic?iaeaii iiaeeoieaoei? oaoiieiai? eieoaaiiy iani?aaaei?o noaeia?a
oeeee noaaiiai? e?noee aeia?a ca?aeiiaiaeoaaee naaa i?e eieoaaiii
ianoaaieueieo INONE c iiaeeeainoth ia?aaiaeo ieiueie ceiio o aieueo
ai?eciioaeueio (oiaoi noaaieueio) ciio, a oaeiae i?e inoaiii?ici oeeee
oa aieiaee noaaiiai? einoee. Oea aeicaiey? iioe?eoe iieacaiiy aei
i?aaiicaa?iaath/eo iia?aoeie i?e oeie iaoieiai? ia oieueee o inia
iieiaeiai i na?aaeiueiai, aea e iioeeiai aieo, aiaeiiaeoe aiaoiiith oa
ooieoeith o?aaiiaaiiai noaeiaa, ?aaaieiooaaoe iaoei?ioia ia oieueee a
iaaee/iiio, aea e a nioeiaeueiiio ieaii.
NIENIE ?IAIO, IIOAEIEIAAIEO CA OAIITH AeENA?OAOeI?
1. ?ieee A.A., Ieoaeeia N.?., Ieoaeaaa C.I., Niaaee Ieca? Iainiiaaiea
onoie/eaie ia?ae/iie noaaeeecaoeee ioeiieia i?e ea/aiee aioo?enonoaaiuo
ia?aeiiia oaeee aaae?aiiie einoe //I?oiiaaeey, o?aaiaoieiaey e
i?ioace?iaaiea.— 1997.— ?4.— C.69–71.
2. Ei?ae I.A., ?ieee A.A., Ieoaeeia N.?., Niaaee Ieca? Oe?o?ae/aneia
ea/aiea eiaeiuo nonoaaia oaeee aaae?aiiie einoe // I?oiiaaeey,
o?aaiaoieiaey e i?ioace?iaaiea.— 1998.— ?2.— C.109–111.
3. Niaaee Ieca?, ?ieee A.A. Yaiethoeey eeanneoeeaoeee ia?aeiiia oaeee
aaae?aiiie einoe //A?niee i?iaeai a?ieia?? ? iaaeeoeeie.—
Iieoaaa-Oa?e?a, 1998.— N.83–85.
4. ?ie?e I.A., Niaae? I?ca?, Ieoaeeia N.?. Noaa?eueii-ooieoe?iiaeueiee
inoaineioac i?e aioo??oiueinoaeiaiaeo ia?aeiiao oa inaaaeia?o?icao oeeee
noaaia //Iao. XII c’?cae o?aaiaoieia?a-i?oiiaae?a Oe?a?ie.— Ee?a, 1996.—
N.77–79.
5. ?ieee A.A., Ei?ae I.A., Ai?eaeiaa E.Ae., Niaaee Ieca? Oe?o?ae/aneia
ea/aiea eiaeiuo nonoaaia oaeee aaae?a //Iaoa?eaeu IV nuacaea
i?oiiaaeia-o?aaiaoieiaia Iieaeiau. Eeoeiaa.— 1996.— N.60.
6. ?ieee A.A., Niaaee Ieca?. Oe?o?ae/aneia ea/aiea eiaeiuo nonoaaia
oaeee aaae?a //Iao. eiia?. “*aeiaae e aai caei?iauea. O?aaiaoieiaey,
i?oiiaaeey, i?ioace?iaaiea, aeiiaoaieea, ?aaaeeeoaoeey eiaaeeaeia”.—
Naieo-Iaoa?ao?a., 1997.— N.76–77.
AIIOAOeIss
Iica? ssoy Iioaiiaae Oanai Aeue-Niaaei. Oi?o?ai/ia eieoaaiiy
iani?aaaeiio noaeiaia oeeee noaaiiai? einoee. Aeena?oaoeiy o aeaeyaei
?oeiieno ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe ci
niaoeiaeueiinoi 14.01.21 — o?aaiaoieiaiy oa i?oiiaaeiy, Oa?eianueeee
iaoeiai-aeineiaeiee iinoeooo i?oiiaaei? oa o?aaiaoieiai? ii. i?io.
I.I.Neoaiea, Oa?eia 1999.
Aeena?oaoeith i?enay/aii ?ic?iaoei iiaiai niiniao oi?o?ai/iiai eieoaaiiy
iani?aaaeiio noaeiaia oeeee noaaiiai? einoee. A ?iaioi iaa?oioiaaii
aeiaeaoeiao oienaoeith einoeiaeo o?aaiaioia aieueieie einoeiaeie
o?ainieaioaoaie c aeai?ii iaeiioeiaeueiioi? oi?ie oa ia?aoeio inoaiiio o
niieo/aiii c iaoaeiinoaineioacii oa iaaieueiith einoeiaith
aooiieanoeeith.
?ic?iaeaii oaoiieiaith oi?o?ai/iiai eieoaaiiy iani?aaaeiio noaeiaia
oeeee noaaiiai? einoee, yea ni?yiiaaia ia noai?aiiy iioeiaeueieo oiia
inoai?aia?aoei? oa aeicaiey? aeinyaoe iaeneiaeueii iiceoeaiiai
?acoeueoaoo a caeaaeiinoi aiae eiie?aoii? eeiii/ii? neooaoei?.
Eeth/iai neiaa: iani?aaaeii noaeiae oeeee noaaiiai? einoee, eoeueoiaee
noaeia, oi?o?ai/ia eieoaaiiy, einoeiaa ieanoeea, inoai?aia?aoeiy.
AIIIOAOeEss
Ieca? ssouey Iioaiiaae Oanai Aeue-Niaaee. Oe?o?ae/aneia ea/aiea eiaeiuo
nonoaaia oaeee aaae?aiiie einoe. Aeenna?oaoeey a aeaea ?oeiiene ia
nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe ii
niaoeeaeueiinoe 14.01.21 — o?aaiaoieiaey e i?oiiaaeey, Oa?ueeianeee
iao/ii-enneaaeiaaoaeueneee einoeooo i?oiiaaeee e o?aaiaoieiaee ei. i?io.
I.E.Neoaiei, Oa?ueeia, 1999.
Oeaeueth ?aaiou yaeyaony oniaa?oainoaiaaiea oaoiieiaee
?aeiino?oeoeaii-ainnoaiiaeoaeueiie iia?aoeee i?e ea/aiee eiaeiuo
nonoaaia oaeee aaae?aiiie einoe (ENOAE).
I?iaaaeaiiue aiaeeoe/aneee iaci? eeoa?aoo?u iieacae, /oi iniiaiuie
iaoiaeaie ea/aiey ENOAE yaeythony iaoaeeiinoaineioac, einoiay ieanoeea,
ei??eae?othuea inoaioiiee, ?aeiino?oeoeaii-ainnoaiiaeoaeueiua iia?aoeee,
a?o?iaeac e yiaeii?ioace?iaaiea nonoaaa. Ia?niaeoeaiinoue enneaaeiaaiey
ninoieo a ?ac?aaioea i?aaiinio?aiythueo iia?aoeee, iai?aaeaiiuo ia
ainnoaiiaeaiea aiaoiiee e ooieoeee nonoaaa, iioeiecaoeeth n?auaiey ciiu
ENOAE, i?ioeeaeoeeo ?acaeoey aeeno?ioe/aneeo ineiaeiaiee a aieiaea e
oaeea aaae?a, iniaaiii o eeoe iieiaeiai e n?aaeiaai aic?anoa.
I?iaaaeaiiua aeiiaoaie/aneea enneaaeiaaiey n iiiiuueth iaoaiaoe/aneiai
iiaeaee?iaaiey e a?aoiaiaeeoe/aneiai iino?iaiey aeieacaee, /oi oeenaoeey
ioeiieia aeaoiy iaoaoeca?iuie aeioaie e aeaoiy naiaiaeiuie
ei?oeeaeueiuie o?ainieaioaoaie iaania/eaaao aeanoeoth noaaeeueioth
oeenaoeeth ioeiieia ia aanue ia?eiae ea/aiey. I?eiaiaiea
aeeio?ainieaioaoia iaania/eaaao aeiiieieoaeueioth oeenaoeeth ioeiieia,
noeioee?oao inoaiaaiac a ciia ENOAE, yaeyaony i?ioeeaeoeeie ?acaeoey
inoaiii?ica a oaeea e aieiaea aaae?aiiie einoe.
Aaoi?ii i?aaeeiaeaia oaoiieiaey ea/aiey ENOAE, eioi?ay aeeth/aao:
caaeiee aeinooi e nonoaao ni naeaaieai iaaeaa?oaeueiiai a?aaiy,
aeiiaoaie/anee iainiiaaiioth oeenaoeeth 2iy iaoaoeca?iuie aeioaie AI,
iioeiecaoeeth inoai?aia?aoeee ENOAE aeaoiy naiaiaeiuie ei?oeeaeueiuie
o?ainieaioaoaie ecioo?e, a oaeaea ia?anaaeeo iaaeaa?oaeueiiai a?aaiy ia
ninoaeenoi-iuoa/iie iiaeea nia?oaee a ciio ian?auaiey oaeee aaae?aiiie
einoe.
Noaaeeueiay aioo?aiiyy oeenaoeey iicaieyao eneeth/eoue aeiiieieoaeueioth
aiaoithth eiiiaeeecaoeeth eiia/iinoe, /oi iicaieyao inouanoaeyoue
aeoeaioth ?aaaeeeoaoeeth iaoeeaioa e yaeyaony i?ioeeaeoeeie ?acaeoey
aeiio?ioe/aneeo e iae?io?ioe/aneeo ineiaeiaiee. Ai?iaaoeey aeaiiie
oaoiieiaee ea/aiey o 30 iaoeeaioia n ENOAE iicaieeea a 86,6% neo/aaa
iieo/eoue oi?ioea e oaeiaeaoai?eoaeueiua ?acoeueoaou ea/aiey.
?ac?aaioaiiua iiaeeoeeaoeee oaoiieiaee ea/aiey ENOAE oi?ioi
ca?aeiiaiaeiaaee naay i?e ea/aiee ianoaaeeueiuo ENOAE, a oaeaea i?e
inoaiii?ica oaeee e aieiaee aaae?aiiie einoe. Yoi iicaieyao ?anoe?eoue
iieacaiey e i?aaiinio?aiythuei iia?aoeeyi i?e yoie iaoieiaee ia oieueei
o eeoe iieiaeiai e n?aaeiaai, ii e o eeoe iiaeeeiai aic?anoa,
ainnoaiiaeoue aiaoiieth e ooieoeeth o?aaie?iaaiiiai nonoaaa,
?aaaeeeoe?iaaoue iaoeeaioia ia oieueei a iaaeeoeeineii, ii e a
nioeeaeueiii ieaia.
Eeth/aaua neiaa: eiaeiua nonoaau oaeee aaae?aiiie einoe, oaciaaae?aiiue
nonoaa, oe?o?ae/aneia ea/aiea, einoiay ieanoeea, inoai?aia?aoeey.
ANNOTATION
Nizar Yahya Mohammad Hasan Al-Smadi. Surgical treatment of
Pseudoartrosis of the neck of femur. Dissertation is done in the form of
the manuscript for the degree of Candidate of Science (Medicine) on the
specialty 14/01/21 — traumatology and orthopaedics, Kharkov
Scientific-Research institute of Orthopaedics and Traumatology named
after Prof. Sitenko M.I., Kharkov, 1999.
Thesis is based on the new Method of Surgical Treatment of
Pseudoarthrosis of the femur neck. In the dissertation author proved an
excess fixation of free osteo-transplantation with a choice of most
optimal form of modern treatment methods with the combination of
metalosteosynthesis and nonfree osteo-autoplastic.
The created Surgical Technology of Treatment of Pseudoarthrosis of the
femur neck, gives optimal conditions for osteoreparation resulting to
maximal positive results depending on the representative clinical
situation.
Key words: Pseudoarthrosis of the neck of the femur, Surgical Treatment,
Osteoplastic, Osteoreparation.
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