Функціональне лікування наслідків переломів довгих кісток з застосуванням блокуючого інтрамедулярного метало-полімерного остеосинтезу: Автореф. дис…

OE?A?INUeEEE IAOEIAI-AeINE?AeIEE ?INOEOOO

O?AAIAOIEIA?? OA I?OIIAAe??

Oe E ? E I O ? a i ? I e o a e e i a e /

OAeE 616.71 — 001.5 — 089.84

OOIEOe?IIAEUeIA E?EOAAIIss IANE?AeE?A IA?AEII?A AeIAAEO E?NOIE C
CANOINOAAIIssI AEIEOTH*IAI ?IO?AIAAeOEss?IIAI IAOAEI-IIE?IA?IIAI
INOAINEIOACO

14. 01. 21 — o?aaiaoieia?y oa i?oiiaae?y

Aaoi?aoa?ao

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Ee?a — 1998

Aeena?oaoe??th ? ?oeiien.

?iaioa aeeiiaia a Aoeiaeinuee?e aea?aeaai?e iaaee/i?e aeaaeai?? IIC
Oe?a?ie

Iaoeiaee ea??aiee — aeieoi? iaaee/ieo iaoe, i?ioani? ?oaeaiee ?aai

Ieoaeeiae/ (Aoeiaeinueea aea?aeaaia iaaee/ia aeaaeai?y,

caa. eaoaae?e o?aaiaoieia??, i?oiiaae?? oa iae?io??o?a??)

Io?oe?ei? iiiiaioe:

Caneoaeaiee ae?y/ iaoee ? oaoi?ee Oe?a?ie, Eao?aao Aea?aeaaii? i?ai??
Oe?a?ie, aeieoi? iaaee/ieo iaoe, i?ioani? Neey?aiei ?aaai?e Oeiio?eiae/
(Iaoe?iiaeueiee iaaee/iee oi?aa?neoao ?i.aeaae. I.I. Aiaiiieueoey,
i?ioani? eaoaae?e o?aaiaoieia?? oa i?oiiaae??)

aeieoi? iaaee/ieo iaoe, i?ioani? Aa?oeai Aai??o ?aaiiae/ (Ee?anueea
iaaee/ia aeaaeai?y i?neyaeeieiiii? ina?oe e?ea??a, i?ioani? eaoaae?e
o?aaiaoieia?? oa i?oiiaae??)

I?ia?aeia onoaiiaa — Oa?e?anueeee iaoeiai-aeine?aeiee ?inoeooo
i?oiiaae?? oa o?aaiaoieia?? ?i.i?io. I.?.Neoaiea IIC Oe?a?ie

Caoeno a?aeaoaeaoueny “12“ n?/iy 1999 ?. i 14 aiaeei? ia can?aeaii?
niaoe?ae?ciaaii? a/aii? ?aaee Ae 26.606.01 “O?aaiaoieia?y oa i?oiiaae?y”
i?e Oe?a?inueeiio iaoeiai-aeine?aeiiio ?inoeooo? o?aaiaoieia?? oa
i?oiiaae?? (252054, i.Ee?a, aoe.Ai?ianueeiai, 27)

C aeena?oaoe??th iiaeia iciaeiieoenue o a?ae?ioaoe? Oe?a?inueeiai
iaoeiai-aeine?aeiiai ?inoeoooo o?aaiaoieia?? oa i?oiiaae?? (252054,
i.Ee?a, aoe.Ai?ianueeiai, 27)

Aaoi?aoa?ao ?ic?neaiee “5” a?oaeiy 1998 ?.

A/aiee nae?aoa?

niaoe?ae?ciaaii? a/aii? ?aaee Oeauaiei A.A.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie. I?iaeaia e?eoaaiiy iane?aee?a ia?aeii?a aeiaaeo
e?noie i?iaeiaaeo? caeeoaoenue aeooaeueiith aeey no/aniiai iieie?iiy
o?aaiaoieia?a. Oea iaoiiaeaii oe?eei ?yaeii i?e/ei:

1. Aei 10% oai?eo o?aaiaoieia?/iiai i?io?eth — oea oai?? c ia?aeiiaie
aeiaaeo e?noie (A.O.O?oaieeia, A.E.Aaa?iaa, A.I.Enoiiei e ae?., 1980), c
ieo — 69,5% iio?aaothoue noaoe?iia?iiai e?eoaaiiy (A.I.Ea?aeei, 1986);

2. Iaaaeae? ?acoeueoaoe e?eoaaiiy oeeo oai?eo eieeaathoueny a?ae 10 aei
54,4% (I.A.Aieeia, I.I.Aoaeooao?e, I.A.Ooaeiaa, 1970; A.Ae.Aieeeia,
1978; E.Iaiaaeaaa, 1980; A.A.Caa?aa, 1989; A.A.Aieea, 1990);

3. *anoioa iac?iuaiue (inaaaeia?o?ice, iac?iuai? aai niia?eueiaii
eiinie?aeoth/? ia?aeiie, ?ao?aeoo?e) o oai?eo c ia?aeiiaie aeiaaeo
e?noie noaiiaeoue 0,5-16% (E.Iaiaaeaaa, 1980; E.A.Aioiithe, A.N.Iia/ai,
N.N.No?aooi e ae?., 1989);

4. A caaaeuei?e no?oeoo?? ?iaae?aeiino? a?ae o?aai, oai?? c oe??th
iaoieia??th noaiiaeyoue 19-79% (C.E.Aaoo?ia, AE.I.THoeianeay, 1984;
I.E.?aoo, 1985; A.A.Aaeyeia, E.N.Eaieoaineee, 1986; A.A.Aa?ei,
TH.A.*aieaeiue, I.A.Eiiaoeia, 1987; A.I.Oa?ania 1987; Ae.A.ss?aiaiei,
A.O. O?oaieeia, A.A.Aeeiia e ae?., 1987; K.W.Zilkens, 1983);

5. Iaaaoeai? ?acoeueoaoe e?eoaaiiy iane?aee?a ia?aeii?a aeiaaeo e?noie
aeinyaathoue a?ae 9 aei 33% (I.E.Neieei, A.A.Naaaiei, 1972; E.I.Eicoa,
1978; I.I.Oaiaoia, A.A.Eaa?euaaa, E.I.Iaiaonaaa, O.N.Eneaiaaeia, 1980) ?
a 1,5-2 ?ace ia?aaeuothoue /enei iaaaea/, ye? niinoa??aathoueny i?e
e?eoaaii? na?aeeo ia?aeii?a (A.A.Eoeei, 1983);

?iaae?aei?noue a?ae iane?aee?a ia?aeii?a aii?eee neeaaea? 32-33%
(A.A.Eeth/aaneee, 1979; A.E.Iiinoeoaiea, 1989; A.Sarmiento, L.L.Latta,
1981) ? — 14-31% i?e iane?aeeao ia?aeii?a noaaiiai? e?noee (E.E.Aioiiia,
E.E.AEaaeaiia, E.A.Iaoi?ei, I.I.?aoao-ieeia, 1977; N.N.Oea/aiei,
A.I.Aaeaeoeia, 1985; Ae.A.ss?aiaiei, A.O.O?oaieeia, A.A.Aeeiia e ae?.,
1987; H.B. Boyd et al., 1966; K.H.Muller, 1982).

Ai?iaaaeaeaiiy iaoiaeo aeieoth/iai ?io?aiaaeoey?iiai iaoaei-iie?ia?iiai
inoaineioaco (A?III) eiino?oeoe?yie, ?ic?iaeaieie i?ioani?ii
?.I.?oaeaieeii (aao. na?ae. ?946531, 1982 ?.; aao. na?ae. ?806014,1981
?.), a?aee?eei iia? ia?niaeoeae aeey iiaeaeueoiai ?icaeoeo oa
aaeineiiaeaiiy iia?aoeaiiai e?eoaaiiy ae?ao?ca?ieo ia?aeii?a noaaiiai? ?
aaeeeiaii?eeiai? e?noie oa ?o iane?aee?a, a oaeiae aianei nooo?a? ci?ie
a oaeoeeo i?neyiia?aoe?eiiai aaaeaiiy oai?eo. I?ioa caeeoeeenue
iaae??oaieie ieoaiiy iaoiaeeee ? oaeoeee e?eoaaiiy oai?eo c iane?aeeaie
ia?aeii?a ae?ao?c?a noaaiiai? oa aaeeeiaii?eeiai? e?noie a oiiaao A?III.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie. Aeena?oaoe?y
aeeiiaia ca?aeii ieaio IAe? Aoeiaeinueei? aea?aeaaii? iaaee/ii?
aeaaeai?? ? ? o?aaiaioii eiiieaenii? iaoeiai? ?iaioe eaoaae?e
o?aaiaoieia??, i?oiiaae?? oa iae?io??o?a?? “Iioei?caoe?y a?aeiiaiiai
e?eoaaiiy ia?aeii?a oa ?o iane?aee?a“, oeo? 01.4.10010098, ?
aea?ae?a?no?aoe?? ?I.23.00.0001.90.

Iaoa aeine?aeaeaiiy: ?ic?iaeoe ?aoe?iiaeueio oaeoeeo ooieoe?iiaeueiiai
e?eoaaiiy oai?eo c iane?aeeaie ia?aeii?a ae?ao?c?a noaaiiai? oa
aaeeeiaii?eeiai? e?noie a oiiaao A?III, ui aeicaieeoue iie?aueoe
aoaeoeai?noue o??o?a?/iiai e?eoaaiiy oai?eo c oe??th iaoieia??th.

Aeey aeeiiaiiy aeaii? iaoe aoee iinoaaeai? oae? caaaeaiiy:

— aecia/eoe iniiai? iaoiaee, ye? iie?auothoue i?ioeane ?aia?aoeaii?
?aaaia?aoe?? e?noeiai? oeaieie oa iieacaiiy aei ?o canoinoaaiiy i?e
e?eoaaii? oai?eo c iane?aeeaie ia?aeii?a ae?ao?c?a noaaiiai? oa
aaeeeiaii?eeiai? e?noie a oiiaao A?III;

— aeyaeoe oaeoi?e, ye? a oiiaao A?III aieeaathoue ia oei oa oa?i?ie
c?iuaiiy a?aeeaie?a;

— ?ic?iaeoe oa a?aei?aoethaaoe iioeiaeueio iaoiaeeeo ooieoe?i-iaeueiiai
e?eoaaiiy oai?eo a oiiaao A?III;

— aea/eoe a?aeaeaeai? ?acoeueoaoe ooieoe?iiaeueiiai e?eoaaiiy a oiiaao
A?III oa i?iaiae?coaaoe eiai aoaeoeai?noue.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a.

A ?iaio? aia?oa cai?iiiiiaaiee i?eioeeiiai iiaee i?aeo?ae aei
i?ecia/aiiy ?aiiueiai ooieoe?iiaeueiiai iaaaioaaeaiiy (OI) a oiiaao
A?III. A iniia? eiai eaaeaoue ia oei ia?aeiio oa a?aeiia?aeii
canoiniaaiee aa??aio inoaineioaco a?aeeaie?a aai iac?iuaiue, a ieiua
ii??iiai eiioaeoo a?aeeaie?a, ui nooo?ai a?ae??ciy?oueny a?ae iienaieo a
e?oa?aoo?? iieacaiue aei i?ecia/aiiy OI. Aecia/ai? iioeiaeuei? iaoiaee
aeoea?caoe?? i?ioean?a ?aia?aoeaii? ?aaaia?aoe?? e?noeiai? oeaieie oa
iieacaiiy aei ?o canoinoaaiiy, cai?iiiiiaaia iaoiaeeea eiiieaeniiai
ooieoe?iiaeueiiai ?aaa?e?oaoe?eii-aoaiiiai e?eoaaiiy oai?eo a oiiaao
A?III. Aea/aii ?aioaaiieia?/io aeeiai?eo ?aia?aoeaii? ?aaaia?aoe??
e?noeiai? oeaieie o oai?eo c iane?aeeaie ia?aeii?a ae?ao?c?a noaaiiai?
oa aaeeeiaii?eeiai? e?noie a oiiaao A?III oa oaeoi?e, ye? aieeaathoue ia
oei c?iuaiiy a?aeeaie?a.

I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoao?a.

A aeena?oaoe?ei?e ?iaio? iieacaii iiaeeea?noue canoinoaaiiy
iaoaei-iie?ia?ieo o?enaoi??a i?e e?eoaaii? iane?aee?a ia?aeii?a
ae?ao?c?a noaaiiai? oa aaeeeiaii?eeiai? e?noie, aecia/ai? iniiai?
iaoiaee, ye? iie?auothoue ?aia?aoeaio ?aaaia?aoe?th e?noeiai? oeaieie a
oiiaao A?III oa iieacaiiy aei ?o canoinoaaiiy. Ana oea aea? ciiao
?icoe?eoe ae?aiacii iia?aoeaieo ao?o/aiue i?e e?eoaaii? iane?aee?a
ia?aeii?a ae?ao?c?a aeiaaeo e?noie. A ?iaio? a?aoiaioiaaii
aeeoa?aioe?eiaaiee i?aeo?ae aei i?ecia/aiiy ooieoe?iiaeueiiai
iaaaioaaeaiiy, a oaeiae aecia/aia ?ieue a?aeiiaiiai e?eoaaiiy i?e
ii?ooaii? i?ioean?a ?aia?aoeaii? ?aaaia?aoe?? e?noeiai? oeaieie.
Cai?iiiiiaaia iaoiaeeea ooieoe?iiaeueiiai e?eoaaiiy iiaea aooe oni?oii
canoiniaaia ia o?eueee i?e e?eoaaii? iane?aee?a ia?aeii?a, aea e i?e
?aaa?e?oaoe?eiiio e?eoaaii? na?aeeo ia?aeii?a ae?ao?c?a aeiaaeo e?noie.

Iniaenoee aianie caeiaoaa/a. Aeena?oaoe?y ? oe?eeiaeoi iniaenoith
i?aoeath caeiaoaa/a. Iniaenoa o/anoue aaoi?a aeena?oaoe?? aeyaeeanue o:

1. Aecia/aii? i?noeaaeo oiia, ye? iie?auothoue i?ioeane ?aia?a-oeaiiai
inoaiaaiaco oa iieacaiue aei ?o canoinoaaiiy i?e e?eoaaii? oai?eo c
iane?aeeaie ia?aeii?a ae?ao?c?a noaaiiai? oa aaeeei-aii?eeiai? e?noie a
oiiaao A?III;

2. Oaeineiiaeaii? e?eoaaeueii? oaeoeee oa ?ic?iaoe? iaoiaeeee ?aiiueiai
(OI) i?e e?eoaaii? oai?eo c iane?aeeaie ia?aeii?a ae?ao?c?a noaaiiai? oa
aaeeeiaii?eeiai? e?noie a oiiaao A?III;

3. A?aei?aoethaaii? iaoiaeeee a?aeiiaiiai e?eoaaiiy oai?eo a oiiaao
A?III oa ?ic?iaeaii? iieacaiue aei i?ecia/aiiy ?aiiueiai (OI);

4. Cai?iiiiiaaiiio “niinia? i?io?eaeoeee oa e?eoaaiiy eiio?aeoo? i?e
ia?aeiiao” a oiiaao A?III;

5. Aea/aii? a?aeaeaeaieo ?acoeueoao?a ooieoe?iiaeueiiai e?eoaaiiy oa
aiae?c? ?o aoaeoeai?no?.

6. Aeena?oaio i?eeiaa aaciina?aaeith o/anoue o ai?iaaaeaeaii?
?acoeueoao?a aeine?aeaeaiiy o i?aeoe/io iaaeeoeeio.

Ai?iaaoe?y ?iaioe. Iniiai? iiieiaeaiiy aeena?oaoe?? aeiiia?aeaeenue ?
iaaiai?thaaeenue ia: iaoeiai-i?aeoe/ieo eiioa?aioe?yo “No/ani? i?iaeaie
? aeinyaiaiiy a o??o?a?? ? noi?aeieo aaeocyo iaaeeoeeie” (*a?i?aoe?,
1994 ?.); i?aenoieiaeo eiioa?aioe?yo ni?a?ia?oiee?a *a?i?aaoeueeiai
iaaee/iiai ?inoeoooo (1994-1995 ?.?.); can?aeaii? iaoeiaiai oiaa?enoaa
o?aaiaoieia?a-i?oiiaae?a *a?i?aaoeueei? iaeano? (1995 ?.); O?? c’?cae?
o?aaiaoieia?a-i?oiiaae?a Oe?a?ie (Ee?a, 1996 ?.); ia ni?eueiiio
can?aeaii? iaoeiai? eii?n??, eaoaae?e o?aaiaoieia?? oa i?oiiaae?? c
eo?nii iae?io??o?a??, iaeaniiai iaoeiaiai oiaa?enoaa
i?oiiaae?a-o?aaiaoieia?a (13 a?oaeiy 1996 ?ieo); ia 78-?e i?aenoieia?e
eiioa?aioe?? i?ioani?nueei-aeeeaaeaoeueeiai neeaaeo Aoeiaeinueei?
aea?aeaaii? iaaee/ii? aeaaeai?? (3 eenoiiaaea 1997 ?ieo).

Ioae?eaoe??. Ii oai? aeena?oaoe?? iioae?eiaaii 7 iaoeiaeo ?ia?o (3
noaoo? o ni?aaaoi?noa?) a oiio /ene? 4 — a aeo?iaeao, 2 -a iaoa??aeao
c’?caeo o?aaiaoieia?a-i?oiiaae?a Oe?a?ie, 1 — o ca??ieeo iaoeiaeo
i?aoeue.

Ai?iaaaeaeaiiy ?acoeueoao?a aeine?aeaeaiiy o i?aeoeeo. ?acoeueoaoe
aeine?aeaeaiiy aeei?enoiaothoueny a ee?i?/i?e i?aeoeoe? o?aaiaoieia?/ieo
a?aeae?eaiue iaeanii? oa ?aeiiieo e?ea?aiue, i?nueei? e?ea?i? ?1
i.*a?i?aoe?, oai?aoe/i? oa i?aeoe/i? ?ic?iaee ii aeena?oaoe??
aeei?enoiaothoueny a eaeoe?yo ? i?aeoe/ieo caiyooyo c? nooaeaioaie,
noai?aeeiaoi?aie oa ?ioa?iaie ia eaoaae?? o?aaiaoieia??, i?oiiaae?? oa
iae?io??o?a?? Aoeiaeinueei? aea?aeaaii? iaaee/ii? aeaaeai??.

No?oeoo?a oa ianya aeena?oaoe??. Aeena?oaoe?y (151 noi??iie
iaoeiiieniiai oaenoo) neeaaea?oueny ?c anooio, 5 ?icae?e?a, aeniiae?a,
nieneo aeei?enoaieo aeaea?ae, aeiaeaoeo, ?ethno?iaaia 52 iaethieaie oa
16 oaaeeoeyie. Nienie e?oa?aoo?e i?noeoue 181 aeaea?ae, a o./. 146
a?o/eciyieo oa e?a?i NIAe ? 35 ?iicaiieo aaoi??a.

CI?NO ?IAIOE

Iaoa??ae oa iaoiaee aeine?aeaeaiiy. A iniia? ?iaioe eaaeeoue aiae?c
ooieoe?iiaeueiiai e?eoaaiiy 191 oai?iai c iane?aeeaie ia?aeii?a
ae?ao?c?a noaaiiai? oa aaeeeiaii?eeiai? e?noie, yeei aeeiiaii 204
iia?aoe?? aeieoth/iai ?io?aiaaeoey?iiai iaoaei-iie?ia?iiai inoaineioaco
(158 /ieia?e?a ? 33 ae?iie), a?eii a?ae 15 aei 85 ?ie?a. O 13 iaoe??io?a
iia?aoeai? ao?o/aiiy aeeiiai? ia aeaio naaiaioao. Iaea?eueoa e?euee?noue
o?aai aoea iia’ycaia c aoee/iei o?aaiaoeciii: 130 (68%) aeiaaee?a, c
yeeo 120 (62,8%) aeiaaee?a — oea o?aaie iia’ycai? c o?ainii?oieie
caniaaie (c?oeiaiiy aaoiiia?e?a, ia?caee o?ainii?oieo cania?a ia
i?oioiaea, iioioeeeeaoi? o?aaie). Iia?aoeai? ao?o/aiiy cae?enithaaeenue
c i?eaiaeo iane?aee?a ineieeiaeo oa aaaaoiineieeiaeo ia?aeii?a — 102
(50%) aeiaaeee, eineo oa aaeioiiiae?aieo — 54 (26,5%), iiia?a/ieo — 45
(22%) ? o 3 (1,5%) aeiaaeeao c i?eaiaeo iiaea?eieo ia?aeii?a.

Aeey e?eoaaiiy oai?eo aoee aeei?enoai? aea? iiaeae? eiii?an?eieo
iaoaei-iie?ia?ieo o?enaoi??a (EIIO-2,EIIO-3), cai?iiiiiaaieo i?ioani?ii
?.I.?oaeaieeii (aao.na?ae. ?806014, 1981 ?; aao.na?ae. ?946531, 1982 ?.)
aeey noaoe/iiai oa aeeiai?/iiai aa??aio?a inoaineioaco, aaeineiiaeaia
iaoiaeeea A?III aeey e?eoaaiiy iane?aee?a ia?aeii?a ae?ao?c?a aeiaaeo
e?noie, a oaeiae, cai?iiiiiaaia iaoiaeeea eiiieaeniiai
?aaa?e?oaoe?eii-aoaiiiai e?eoaaiiy oai?eo c iane?aeeaie ia?aeii?a
aeiaaeo e?noie a oiiaao A?III.

Aeey aea/aiiy aoaeoeaiino? ooieoe?iiaeueiiai e?eoaaiiy oai?eo a oiiaao
A?III ie??i ee?i?/ieo iaoiae?a aeine?aeaeaiiy i?iaiaeeeenue aeeiai?/i?
?aioaaiieia?/i? aeine?aeaeaiiy, ye? aeaaaee ciiao noaeeoe i?i ia?aa?a
i?ioean?a ?aia?aoeaii? ?aaaia?aoe?? oa aaeaeaaoi?noue ooieoe?iiaeueiiai
iaaaioaaeaiiy ia e?ioe?aeo. ?aioaaiieia?/i? aeine?aeaeaiiy i?iaiaeeeenue
i?e iinooieaii? iaoe??io?a a ee?i?eo, i?ney iia?aoeaiiai ao?o/aiiy, i?ae
/an ?aaa?e?oaoe?eiiai e?eoaaiiy oa iiaiiai a?aeiiaeaiiy ii??iino?
e?ioe?aee.

A?aeaeaeai? ?acoeueoaoe ooieoe?iiaeueiiai e?eoaaiiy ioe?ithaaeenue
ca?aeii noaiaea?o?a ioe?iee yeino? e?eoaaiiy iioeiaeaeaiue oa
caoai?thaaiue i?aai?a ?ooo oa iii?e, caoaa?aeaeaieo iaeacii I?i?noa?noaa
ioi?iie caei?ia’y Oe?a?ie a?ae 30.03.94 ?44.

?ACOEUeOAOE AeINE?AeAEAIIss

A i?ioean? ?iaioe ianoaaeaii 191 oai?eo c iane?aeeaie ia?aeii?a
ae?ao?c?a noaaiiai? oa aaeeeiaii?eeiai? e?noie, ye? iinooieee a iaoo
ee?i?eo a ??ci? no?iee i?ney o?aaie, a oaeiae i?ney e?eoaaiiy a ?ioeo
e?eoaaeueieo caeeaaeao c canoinoaaiiyi ye eiina?aaoeaieo, oae ?
iia?aoeaieo iaoiae?a e?eoaaiiy.

A caeaaeiino? a?ae ee?i?/ieo, ?aioaaiieia?/ieo, a oaeiae /aniaeo
oa?aeoa?enoee (aeaai?noue aeieeiaiiy o?aaie) ? i?eeiath/e aei oaaae
ia?aa?a i?ioeano ?aia?aoeaii? ?aaaia?aoe?? an? oai?? aoee ?icae?eai? ia
4 iniiai? ee?i?ei-?aioaaiieia?/i? a?oie (oaae.1).

186 (91,2%) oai?eo aei iinooieaiiy a eeiiieo eieoaaeenue eiina?aaoeaiei
iaoiaeii: neaeaoia aeoyaaiiy (162), aiiniaa iii-aieicaoeiy — (5),
neaeaoia aeoyaaiiy c iiaeaeueoith ?iia?e?caoei?th aiiniaith iia’yceith —
(19). O 2 oai?eo aoei caeieniaii caaeeaiee inoaineioac, o 3 —
iicaaiaieuaaee. 13 iaoei?ioia eieoaaeenue c aeei?enoaiiyi ye
eiina?aaoeaieo, oae i iia?aoeaieo iaoiaeia eieoaaiiy.

O 56,4% oai?eo iici? iia?aoeaia ao?o/aiiy aoei iaoiiaeaia iiia?aaeiii
aaconiioiei eieoaaiiyi a iioeo eieoaaeueieo caeeaaeao, ii?aeiaiiyi
ia?aeiiia c iioeiaeaeaiiyi i?aaiia /a?aaii? oa a?oaeii? ii?iaeiei,
/a?aiii-iiceiaith o?aa-iith — 8,9% oai?eo, ui iio?aaoaaei iiia?aaeiueiai
iia?aoeaiiai ao?o/aiiy ca aeeoo?aeie iieacaiiyie, a oaeiae iayaiinoth
?iciiiaiioieo oneeaaeiaiue (10,9%), yei aeieeaee a i?ioeani
eiina?aaoeaiiai eioaaiiy ia?aeiiia (iiaaiiiiy, iioa?eo iiiea?aeo,
aeeiaieueiee aeaei?ie oiui). A 24,6% aeiaaee?a oei/aniaei
i?ioeiieacaiiyi aei iia?aoeaiiai ao?o/aiiy aoee aeeaiei inaaeiaiiy oei?e
a aeieyioei iioeiaeaeaiiai naaiaioo, caai?iiy yeeo iio?aaoaaei o?eaaeiai
/ano.

Oaaeeoey 1

?iciiae?e oai?eo ii ee?i?/ieo a?oiao

A?oie niinoa?aaeaiue E?euee?noue

oai?eo E?euee?noue

aeiaaee?a

aan % aan %

Canoa?iei ia?aeiie (aiae 3 oeaeiia aei 2 iin c iiiaioo o?aaie) 146 76,4
159 77,9

Iac?iuaii ia?aeiie (aiae 3 aei 5,5 iin) 16 8,4 16 7,8

Iani?aaaeii noaeiae oa eicoeiai aeaoaeoe (aiae 5 iin aei 3 ?ieia) 19
10,0 19 9,4

Iai?aaeeueii c?iuaii ia?aeiie (aiae 2,5 iin aei 3 ?ie?a) 10 5,2 10 4,9

A n ue i a i 191 100,0 204 100,0

I?e iia?aoeaiiio e?eoaaii? iane?aee?a ia?aeii?a noaaiiai? oa
aaeeeiaii?eeiai? e?noie canoiniaoaaeenue aeaa ee?i?ei-a?iiaoai?/i?
aa??aioe aeieoth/iai ?io?aiaaeoey?iiai iaoaei-iie?ia?iiai inoaineioaco:
eiii?an?eiee aeeiai?/iee oa eiii?an?eiee noaoe/iee inoaineioac.

Aea?? aa??aioo inoaineioaco caeaaeaa a?ae oa?aeoa?o ia?aeiio, oaoi?/ieo
iniaeeainoae iia?aoeaiiai ao?o/aiiy, a oaeiae oeo a?iiaoai?/ieo oiia
ooieoe?iioaaiiy nenoaie “e?noea-aaeioe-o?enaoi?” a i?neyiia?aoe?eiiio
ia??iae?.

Aeey aeeiai?/iiai aa??aioo A?III aeei?enoiaoaaee o?enaoi? EIIO-3: i?e
iiia?a/i?e oa einiiiia?a/i?e ieiuei? ceaio ia i?ioyc? ae?ao?co e?noee.
Oeae aa??aio A?III ia?aaeaa/aa iaeiiiiiaioio i?aea?aeeaieiao eiii?an?th
i?ae /an iia?aoe??. Aeieoaaiiy o?enaoi?a cae?enithaaeinue 1-2 aaeioaie o
aeenoaeueiiio a?aeeaieo.

Ca oiia eini? oa aaeioiiiae?aii? ieiueie ceaio, iniaeeai ia ??ai?
?icoe?aiiy e?noeiaiiiceiai? ii?iaeieie, i?e aaaaoiineieeiaeo ia?aeiiao,
i?e inaaaeia?o?icao ia ??ai? ?icoe?aiiy e?noeiaiiiceiai? ii?iaeieie
cae?enithaaany noaoe/iee aa??aio aeieoth/iai inoaineioaco EIIO-2. Oeae
aeae inoaineioaco ia?aaeaa/a? i?e a?aeiia?aeieo iieacaiiyo iiia?a/io
eiii?an?th a?aeeaie?a.

O 176 (86,3%) aeiaaeeao cae?eniaii aeeiai?/iee aa??aio aeieoth/iai
?io?aiaaeoey?iiai iaoaei-iie?ia?iiai inoaineioaco, ? o?eueee o 28
(13,7%) — noaoe/iee.

I?e a?aenooiino? ?aioaaiieia?/ieo iciae ?aia?aoeaii? ?aaaia?aoe??
e?noeiai? oeaieie a ae?eyioe? ia?aeiio cae?enithaaee inoai-ia??inoaeueio
aeaei?oeeaoe?th (IIAe) aai a?eueio e?noeiao aooiieanoeeo. A oaae. 2
iiaeai? iniiai? iaoiaee, ye? iie?auoaaee i?ioeane ?aia?aoeaii?
?aaaia?aoe?? e?noeiai? oeaieie a oiiaao A?III.

Iae/ano?oa canoiniaoaaeanue IIAe (114 (55,9%) — aeiaaee?a), a a 5 (1,0%)
aeiaaeeao, i?e cai?uaii? e?noeiaeo aeaoaeo?a, canoiniaaia a?eueia
e?noeiaa ieanoeea aooio?ainieaioaoii ?c e?eea eeoaiai? e?noee. IIAe
aaeeeiaii?eeiai? e?noee c inoaioii??th iaeiaii?eeiai? aoea aeeiiaia
oai?ei c iai?aaeeueii c?iuaieie ia?aeiiaie (/aoaa?oa ee?i?/ia a?oia) oa
oai?ei c iac?iuaieie ia?aeiiaie aaeeeiaii?eeiaeo e?noie (ae?oaa ee?i?/ia
a?oia) ? neeaea 2,5% a?ae caaaeueii? e?eueeino? oai?eo.

O oai?eo c canoa??eeie iioeiaeaeaiiyie noaaiiai? oa aaeeeiaii?eeiai?
e?noie IIAe cae?enithaaee eeoa o oeo aeiaaeeao, eiee ee?i?/ii oa
?aioaaiieia?/ii ia aoei aeyaeaii iciae ?aaaia?aoe?? e?noeiai? oeaieie
(49% aeiaaee?a). O 51% aeiaaee?a, aea niinoa??aaee iciaee ooai?aiiy
?aaaia?aoo, i?iaaaeaii inoaineioac a?aeeaie?a EIIO, a aeiaeaoeiaei
iaoiaeii noeioeyoe?? i?ioean?a ?aaaia?aoe?? e?noeiai? oeaieie o oe???
i?aea?oie oai?eo aoei i?ecia/aiiy ?aiiueiai ooieoe?iiaeueiiai
iaaaioaaeaiiy.

Oaaeeoey 2

Iaoiaee noeioeyoe?? ?aia?aoeaii? ?aaaia?aoe??

e?noeiai? oeaieie a ee?i?/ieo a?oiao oai?eo

Ee?i?/i? a?oie

oai?eo Iaoiaee noeioeyoe?? ?aia?aoeaii? ?aaaia?aoe??

inoai-ia??inoaeueia

aeaei?eoeaoe?y (IIAe) a?eueia e?noeiaa aooiieanoeea (EI) inoaioii?y
(IO) oa inoai-ia??inoaeueia

aeaei?oeeaoe?y (IIAe)

aan % aan % aan %

Ia?oa 78 49,0 1 0,6 — —

Ae?oaa 14 87,5 — — 2 12,5

O?aoy 19 100,0 4 21,1 — —

*aoaa?oa 3 30,0 — — 3 30,0

Anueiai 114 55,9 5 1,0 5 2,5

O oai?eo c iac?iuaieie ia?aeiiaie oa a?iio?io?/ieie inaaaeia?o?icaie
caaaeaee i?iaiaeeee IIAe.

O aeiaaeeao canoa??eeo aaaaoiineieeiaeo ia?aeii?a ?c cia/-iei ci?uaiiyi
a?aeeaie?a A?III canoiniaoaaee o ii?aeiaii? c ?aieaioaoe?eiith
aooiieanoeeith aaeeeeie e?noeiaeie ineieeaie, ca?eueiaieie c
?oaoeaai-ci?iaieo oeaiei.

I?ae /an A?III iai?aaeeueii c?iuaieo a?aeeaie?a noaaiiai? e?noee ia
??ai? eiia??ii? inoaioii?? aeae?eyee e?noeo ii oeio IIAe. I?e oeueiio
e?noeiaee iicieue ia aeaeaeyany, a aeei?enoiaoaaany a yeino?
e?noeiai-ieanoe/iiai iaoa??aeo.

I?e iai?aaeeueii c?iuaieo ia?aeiiao c eooiaith aeaoi?iaoe??th —
i?iaiaeeee oa?i??io inoaioii?th ia aa?oei? eooa aee?eaeaiiy a ii?aeiaii?
c IIAe. Oea aeaaaei ciiao caa?aaoe eiioaeo a?aeeaie?a i?ney a?aeiiaeaiiy
i?aaeeueii? in? e?ioe?aee.

sseui a?aeeaiee c?ineenue ?c ci?uaiiyi ii aeiaaeei?, oi ?o
?ic’?aeioaaee, noa?ath/enue a?aeiiaeoe aiaoii?th iioeiaeaeaiiai
naaiaioa. I?e iaiiaeeeaino? ni?anoaaeaiiy a?aeeiae?a — cae?enithaaee
e?a?ao ?acaeoe?th iaeiiai c e?ioe?a a?aeeaie?a c iine?aeoth/ith
aaeaioaoe??th ? o?enaoe??th EIIO.

Inoaineioac EIIO noai?th? aeinoaoi?e caian i?oeiino? a?aeeaie?a ? oei
naiei caaacia/o? iiaeeea?noue ?aiiueiai ooieoe?iiaeueiiai iaaaioaaeaiiy
ia e?ioe?aeo. C o?aooaaiiyi oeeo iiaeeeainoae, a oaeiae aacoth/enue ia
oai??? noaae?eiino? i?ioeano ?aia?aoeaii? ?aaaia?aoe?? e?noeiai?
oeaieie, aoea ?ic?iaeaia iaoiaeeea eiiieaeniiai ?aaa?e?oaoe?eii-aoaiiiai
e?eoaaiiy oai?eo a oiiaao A?III, a ?aaa?e?oaoe?eiee ia??iae aoa
?icae?eaiee ia 3 aoaie:

1 aoai — noaoe?iia?; 2 aoai — aiaoeaoi?ia e?eoaaiiy; 3 aoai —
naiaoi??e-i?io?eaeoi??e.

Ia 1 aoai?, yeee aeeth/aa ia??iae i?neyiia?aoe?eiiai niieith,
iia?e?caoe?eiee ia??iae oa ia??iae ooieoe?iiaeueiiai iaaaioaaeaiiy (OI),
iniaeeao oaaao i?eae?eyee ?aiiueiio OI ii ?ic?iaeai?e iaie iaoiaeeoe?,
ine?eueee ?aioaaiieia?/ia aea/aiiy caai?iiy ia?aeii?a a aeeiai?oe?
iieacaei, ui OI a oiiaao A?III ? iiooaeiei noeioeii oi?ioaaiiy
ia??inoaeueiiai iiciey ? eiinie?aeaoe?? a?aeeaie?a a iioeiaeuei? no?iee.

Iaie aoei cai?iiiiiaaii i?eioeeiiai iiaee i?aeo?ae aei i?ecia/aiiy
?aiiueiai OI. A eiai iniiao eyaee ia oei ia?aeiio ? a?aeiia?aeiee aeae
o?enaoi?a, a ieiua ii??iiai eiioaeoo a?aeeaie?a a i?noe? ia?aeiio aai
iac?iuaiiy. Oaeee i?aeo?ae iniaeeai aaaeeeaee i?e e?eoaaii? iac?iuaiue a
oiiaao A?III, ine?eueee i?aeo?aaiaioa?ia noeniaiiy ?aaaia?aoo a iiiaio
iaaaioaaeaiiy ? aeiaeaoeiaei aeaea?aeii o?c?ieia?/iiai iiae?aciaiiy, yea
aeeeeea? a?aeiia?aeio ?aaeoe?th c? noi?iie eiioaeooth/eo iiaa?oiiue
neioaciaaieo a?aeeaie?a.

?aii? OI ?aeiiaiaeoaaee i?e aeinoaoiueiio ii??iiio eiioaeoi (aieueoa 50%
iiia?a/iiai ia?a?ico einoee a iinoei ia?aeiio) iacaeaaeii a?ae oeio
ia?aeiio ? aeaeo A?III. ?aii? OI aoei i?ecia/aii o 194(95%) aeiaaeeao,
aea canoiniaoaaany ye aeeiai?/iee, oae ? noaoe/iee aa??aioe
inoaineioaco. Oai?ei ?aeiiaiaeoaaee oiaeeoe c aeiiiiiaith ieeeoeue,
i?enooiath/e ia iia?iaaio eiioeiaeo.

O 10(5%) aeiaaeeao, aea aoa canoiniaaiee noaoe/iee aa??aio inoaineioaco,
a ii??iee eiioaeo a?aeeaie?a a i?noe? ia?aeiio noaiiaea iaioa 50%
iiia?a/iiai ia?a??co e?noee, ?aii? OI ia i?ecia/aeinue. Aeey oe??? a?oie
oai?eo OI ?aeiiaiaeoaaee /a?ac 1,5 i?nyoey i?ney iia?aoe??, eiee
?aioaaiieia?/ii niinoa??aaee ooai?aiiy ?aaaia?aoo. Oeae oa?i?i (6
oeaei?a) aoa iaiao?aeiee aeey oi?ioaaiiy i?ia?ci?iiai iiciey. A
iiaeaeueoiio, OI caaacia/oaaei iiaeeea?noue no?oeoo?ai iiciey
iine?aeiaii aeeoa?aioe?thaaoenue a e?noeiao oeaieio.

A?aeiiaia e?eoaaiiy ia?aaeaa/aei oaeiae EOE, ?ciiao?e/ia iai?oaeaiiy
i’yc?a, iia?e?caoe?ei? iaoiaeeee iino?ciiao?e/ii? ?aeaenaoe??
iinoo?aeueieo i’yc?a ieaei?o e?ioe?aie ia an?o aoaiao ?aaa?e?oaoe?? ?
aoei iai?aaeaia ia a?aeiiaeaiiy neee i’yc?a, ii??iino? e?ioe?aee,
i?io?eaeoeeo oa onoiaiiy eiio?aeoo?.

Ca iaoeie aeaieie, ooieoe?iiaeueia e?eoaaiiy oai?eo a oiiaao A?III
aeaaaei ciiao a?aeiiaeoe ii??i?noue e?ioe?aee ia i?ioyc? 2-4 i?nyoe?a c
iiiaioo iia?aoeaiiai ao?o/aiiy.

Aiae?c ?aioaaiia?ai, io?eiaieo i?ney ?aioaaiianoaaeaiiy 161 oai?iai
aeicaieea aeyaeoe aeaa iniiai? oeie c?iuaiiy a oiiaao ooieoe?iiaeueiiai
e?eoaaiiy: ia?aeiia c?iuaiiy (61,5% aeiaaee?a) oa aoi?eiia c?iuaiiy.
I?e/iio, i?e aoi?eiiiio c?iuaii? niinoa??aaee 2 aa??aioe ooai?aiiy
e?noeiaiai iiciey:

aoi?eiia c?iuaiiy c ooai?aiiyi iiii?ii ae?aaeaiiai iiciey (20,5%
aeiaaee?a);

aoi?eiia c?iuaiiy c ooai?aiiyi ianeaiiai iiciey (18,0% aeiaaee?a).

I?e ia?aeiiiio c?iuaiii niinoa?iaaeinue aiaeiiaeaiiy oeieinoi einoee,
yea noi?iaiaeaeoaaeinue iacia/iith ia?iinoaeueiith ?aaeoei?th i ia
i?eaiaeeei aei caieueoaiiy aeiaiao?o einoee ia iin-oei ?? iioeiaeaeaiiy.
Oaeee oei c?iuaiiy niinoa??aaee o oeo aeiaaeeao, aea cae?eniaii A?III ?
ia i?iaiaeeeanue IIAe (oai?? ia?oi? ee?i?/ii? a?oie). Aiae?c
?aioaaiia?ai iieacaa, ui ia eiio?ao?aoe?th e?noeiaiai ?aaaia?aoa aieeaa?
oaeiae ieiua a?aeoa?oaaiiy ie?noy, i?e/iio, /ei a?eueoa aoei
a?aeoa?oaaiiy ie?noy i?ae /an iia?aoe??, oei a?eueoei aoa ?aaaia?ao.
Oiio, o oai?eo an?o ee?i?/ieo a?oi, aea aoea canoiniaaia IIAe, a
ia?aaaaeio a?eueo?noue oai?eo neeaee oai?? c iac?iuaieie ia?aeiiaie,
niinoa??aaee aoi?eiia c?iuaiiy c iioiauaiiyi einoee ia iinoei ia?aeiio,
yea ia ia?aaeuoaaei iieiaeie aeiaiao?o einoee.

I?e aoi?eiiiio c?iuaiii, c ooai?aiiyi ianeaiiai einoeiaiai iiciey,
niinoa??aaee iioiauaiiy einoee aieueoa iiae ia iieiaeio ?? aeiaiao?a.
Oaeee oei c?iuaiiy aoa iaoiiaeaiee IIAe oa aeieeiaiiyi neeiaiai
iai?oaeaiiy a ae?eyioe? ia?aeiio aai iac?iuaiiy i?ae /an OI ? ia
caeaaeaa a?ae oeio aea?aiiai o?enaoi?a oa aa??aioo inoaineioaco.

O an?o ee?i?/ieo a?oiao oai?eo niinoa??aaeinue a?aeiiaeaiiy ii??iino?
e?ioe?aee ua aei iiyae ?aioaaiieia?/ieo iciae c?iuaiiy, a oei c?iuaiiy
oa eiio?ao?aoe?y e?noeiaiai iiciey ia aieeaaee ia ooieoe?th e?ioe?aee.
Ioe?iea a?aeaeaeaieo ?acoeueoao?a i?iaiaeeeanue ca?aeii noaiaea?o?a
ioe?iee yeino? e?eoaaiiy iioeiaeaeaiue oa caoai?thaaiue i?aai?a ?ooo oa
iii?e, caoaa?aeaeaieo iaeacii I?i?noa?noaa ioi?iie caei?ia’y Oe?a?ie
a?ae 30.03.94. ?44. ?acoeueoaoe ioe?ithaaeenue ii o?ueioaaeuei?e
nenoai?: aeia?a, caaeia?eueii, iaca-aeia?eueii. O 147 (91,3%) oai?eo
io?eiai? aeia?? ?acoeueoaoe, o 10 (6,2%) — caaeia?euei?, o 4 (2,5%) —
iacaaeia?euei?, ye? aoee iaoiiaeai? aeieeiaiiyi inoaii??e?oo (oaae.3).

Oaaeeoey 3

A?aeaeaeai? ?acoeueoaoe e?eoaaiiy oai?eo

o ee?i?/ieo a?oiao

Ee?i?/i? a?oie oai?eo Ioe?iea ?acoeueoao?a e?eoaaiiy

Anueiai

aeia?? caaeia?euei? iacaaeia?euei?

aan % aan % aan %

Ia?oa 107 91,5 8 6,8 2 1,7 117

Ae?oaa 16 100 — — — — 16

O?aoy 16 88,9 1 5,5 1 5,5 18

*aoaa?oa 8 80,0 1 10,0 1 10,0 10

Anueiai 147 91,3 10 6,2 4 2,5 161

Oaeei /eiii, aea/aiiy ?acoeueoao?a e?eoaaiiy oai?eo c ??ciiiai?oieie
iane?aeeaie ia?aeii?a ae?ao?c?a aeiaaeo e?noie iieacaei, ui o an?o
aeiaaeeao ianooieei c?iuaiiy a?aeeaie?a. Noaoenoe/ia ia?iaea iaoa??ae?a
na?ae/eoue — aeaiee iaoiae e?eoaaiiy ? aoaeoeaiei ? aeicaiey? o 91,3%
io?eiaoe aeia?? aiaoii?/i? oa ooieoe?iiaeuei? ?acoeueoaoe.

A E N I I A E E

1. Canoinoaaiiy aeieoth/iai ?io?aiaaeoey?iiai iaoaei-iie?ia?iiai
inoaineioaco i?e e?eoaaii? oai?eo c iane?aeeaie ia?aeii?a ae?ao?c?a
noaaiiai? oa aaeeeiaii?eeiai? e?noie noai?th? iioeiaeuei? oiiae aeey
a?aeiiaiiai ooieoe?iiaeueiiai e?eoaaiiy.

2. Inoai-ia??inoaeueia aeaei?oeeaoe?y a oiiaao aeieoth/iai
?io?aiaaeoey?iiai inoaineioaco, iieacaia i?e iia?aoeaiiio e?eoaaii?
iac?iuaieo ia?aeii?a oa a?iio?io?/ieo inaaaeia?o?ic?a ae?ao?c?a
noaaiiai? oa aaeeeiaii?eeiai? e?noie.

3. Oai?ei c e?noeiaeie aeaoaeoaie iieacaii aeieoth/ee ?io?aiaaeoey?iee
inoaineioac o ii?aeiaii? c a?eueiith e?noeiaith aooiieanoeeith oa
inoai-ia??inoaeueiith aeaei?oeeaoe??th.

4. A oiiaao aeieoth/iai ?io?aiaaeoey?iiai iaoaei-iie?ia?iiai
inoaineioaco iieacaiiyi aei i?ecia/aiiy ?aiiueiai ooieoe?iiaeueiiai
iaaaioaaeaiiy ia e?ioe?aeo ? iayai?noue ii??iiai eiioaeoo a?aeeaie?a,
yeee noaiiaeoue a?eueoa 50% iiia?a/iiai ia?a??co e?noee.

5. I?e aeieoth/iio ?io?aiaaeoey?iiio iaoaei-iie?ia?iiio inoaineioac?
iane?aee?a ia?aeii?a ae?ao?c?a noaaiiai? oa aaeeeiaii?eeiai? e?noie
oi?io?oueny ia?aeiia (61,5%) aai aoi?eiia c?iuaiiy (38,5%) a?aeeaie?a. O
a?eueoino? (60,8%) aeiaaee?a ia?aeiia c?iuaiiy aeieeaei i?ney
inoaineioaco canoa??eeo ia?aeii?a, a aoi?eiia — o oai?eo i?ney
inoai-ia??inoaeueii? aeaei?oeeaoe??.

6. Canoinoaaiiy ?ic?iaeaii? iaie iaoiaeeee ooieoe?iiaeueiiai e?eoaaiiy
iane?aee?a ia?aeii?a ae?ao?c?a noaaiiai? oa aaeeeiaii?eeiai? e?noie a
oiiaao A?III aeicaieeei o 91,3% aeiaaee?a io?eiaoe aeia?? ?acoeueoaoe.

NIENIE I?AOeUe, IIOAE?EIAAIEO

CA OAIITH AeENA?OAOe??

1. Oee?eio ?.I. Iia?aoeaia e?eoaaiiy oai?eo c iane?aeeaie ae?ao?ca?ieo
ia?aeii?a noaaiiai? oa aaeeeiaii?eeiai? e?noie c canoinoaaiiyi
aeieoth/iai ?io?aiaaeoey?iiai iaoaei-iie?ia?iiai inoaineioaco //
I?oiiaaeey, o?aaiaoieiaey e i?ioace?iaaiea. — 1998.- ?2. — N. 56-59.

2. Oee?eio ?.I. Iniaeeaino? ?aaa?e?oaoe?eiiai e?eoaaiiy oai?eo c
iane?aeeaie ae?ao?ca?ieo ia?aeii?a noaaiiai? oa aaeeeiaii?eeiai? e?noie
a oiiaao aeieoth/iai ?io?aiaaeoey?iiai iaoaei-iie?ia?iiai inoaineioaco
// Aoeiaeinueeee iaaee/iee a?niee. — 1998. — Oii 2, ?1. — N. 82-85.

3. Oee?eio ?.I. Aieea ooieoe?iiaeueiiai iaaaioaaeaiiy ia i?ioean
?aia?aoeaii? ?aaaia?aoe?? e?noeiai? oeaieie a oiiaao aeieoth/iai
?io?aiaaeoey?iiai iaoaei-iie?ia?iiai inoaineioaco // Aaeeoeueeee
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4. Oee?eio ?.I. Canoinoaaiiy aeieoth/iai ?io?aiaaeoey?iiai
iaoaeiiie?ia?iiai inoaineioaco i?e e?eoaaii? oai?eo c iane?aeeaie
ia?aeii?a ae?ao?c?a noaaiiai? oa aaeeeiaii?eeiai? e?noie // A?niee
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5. ?oaeaiee ?.I., Aeoaeei A.?., Ieaenthe ?.N., C?i/aiei A.O., Aanthe
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iaoaei-iie?ia?iee inoaineioac o e?eoaaii? /enaeueieo ia?aeii?a ?
ii?aeiaieo iioeiaeaeaiue // O?? c’?cae o?aaiaoieia?a-i?oiiaae?a Oe?a?ie.
Iaoa??aee c’?caeo. — Ee?a. — 1996. — N. 79-80.

6. ?oaeaiee ?.I., Oee?eio ?.I., Ieaenthe ?.N., Aeoaeei A.?., Aanthe
A.E., C?i/aiei A.O., Aanueei I.A. Canoinoaaiiy aeieoth/iai
?io?aiaaeoey?iiai inoaineioaco i?e e?eoaaii? iane?aee?a ae?ao?ca?ieo
ia?aeii?a noaaiiai? oa aaeeeiaii?eeiai? e?noie // O?? c’?cae
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N. 80-81.

7. ?oaeaiee ?.I., Oee?eio ?.I. Iao aeina?ae canoinoaaiiy aeieoth/iai
?io?aiaaeoey?iiai iaoaei-iie?ia?iiai inoaineioaco i?e e?eoaaii?
iane?aee?a ae?ao?ca?ieo ia?aeii?a noaaiiai? oa aaeeeiaii?eeiai? e?noie
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AIIOAOe?ss

Oee?eio ?.I. Ooieoe?iiaeueia e?eoaaiiy iane?aee?a ia?aeii?a aeiaaeo
e?noie c canoinoaaiiyi aeieoth/iai ?io?aiaaeoey?iiai iaoaei-iie?ia?iiai
inoaineioaco. — ?oeiien.

Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe
ca niaoe?aeuei?noth — 14.01.21 — o?aaiaoieia?y oa
i?oiiaae?y.-Oe?a?inueeee iaoeiai-aeine?aeiee ?inoeooo o?aaiaoieia?? oa
i?oiiaae??, Ee?a, 1998.

Aeena?oaoe?th i?enay/aii ieoaiiyi aaeineiiaeaiiy ?io?aiaaeoey?iiai
noaa?eueii-ooieoe?iiaeueiiai inoaineioaco (ia i?eeeaae? canoinoaaiiy a
ee?i?/i?e i?aeoeoe? aeieoth/eo ?io?aiaaeoey?ieo iaoaei-iie?ia?ieo
o?enaoi??a i?e e?eoaaii? iane?aee?a ia?aeii?a ae?ao?c?a noaaiiai? oa
aaeeeiaii?eeiai? e?noie). A aeena?oaoe?? ?ic?iaeaii oaeoeeo e?eoaaiiy
oai?eo, yea a?oioo?oueny ia noaae?eiino? i?ioeano ?aia?aoeaii?
?aaaia?aoe??, aecia/ai? iniiai? iaoiaee, ye? iie?auothoue i?ioean
?aia?aoeaii? ?aaaia?aoe?? e?noeiai? oeaieie, cai?iiiiiaaii i?eioeeiiai
iiaee i?aeo?ae aei i?ecia/aiiy ?aiiueiai ooieoe?iiaeueiiai iaaaioaaeaiiy
a oiiaao aeieoth/iai ?io?aiaaeoey?iiai iaoaei-iie?ia?iiai inoaineioaco,
aea/ai? oeie iicieaooai?aiiy a oiiaao ooieoe?iiaeueiiai e?eoaaiiy oa
oaeoi?e, ye? aieeaathoue ia ieo, ?ic?iaeaia oa ai?iaaaeaeaia iaoiaeeea
eiiieaeniiai ?aaa?e?oaoe?eii-aoaiiiai e?eoaaiiy oai?eo.

Eeth/ia? neiaa: ooieoe?iiaeueia e?eoaaiiy, ?aia?aoeaia ?aaaia?aoe?y,
ooieoe?iiaeueia iaaaioaaeaiiy, aeieoth/ee ?io?aiaaeoey?iee
iaoaei-iie?ia?iee inoaineioac.

AIIIOAOeEss

Oee?eio E.I. Ooieoeeiiaeueiia ea/aiea iineaaenoaee ia?aeiiia aeeeiiuo
einoae n i?eiaiaieai aeiee?othuaai eio?aiaaeoey?iiai iaoaeei-iieeia?iiai
inoaineioaca. — ?oeiienue.

Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe
ii niaoeeaeueiinoe — 14.01.21 — o?aaiaoieiaey e i?oiiaaeey.-Oe?aeineee
iao/ii-enneaaeiaaoaeueneee einoeooo o?aaiaoieiaee e i?oiiaaeee, Eeaa,
1998.

Aeenna?oaoeey iinayuaia aii?inai oniaa?oainoaiaaiey eio?aiaaeoey?iiai
noaaeeueii-ooieoeeiiaeueiiai inoaineioaca (ia i?eia?a i?eiaiaiey a
eeeie/aneie i?aeoeea aeiee?othueo eio?aiaaeoey?iuo iaoaeei-iieeia?iuo
oeenaoi?ia i?e ea/aiee iineaaenoaee ia?aeiiia aeeaoecia aaae?aiiie e
aieueoaaa?oeiaie einoae). A aeenna?oaoeee ?ac?aaioaii oaeoeeo ea/aiey
aieueiuo, eioi?ay aace?oaony ia noaaeeeiinoe i?ioeanna ?aia?aoeaiie
?aaaia?aoeee, ii?aaeaeaiu iniiaiua iaoiaeu, eioi?ua oeo/oatho i?ioeann
?aaaia?aoeee einoiie oeaie, i?aaeeiaeai i?eioeeieaeueii iiaue iiaeoiae e
iacia/aieth ?aiiae ooieoeeiiaeueiie iaa?ocee a oneiaeyo aeiee?othuaai
eio?aiaaeoey?iiai iaoaeei-iieeia?iiai inoaineioaca, eco/aiu oeiu
iicieaia?aciaaiey a oneiaeyo ooieoeeiiaeueiiai ea/aiey e oaeoi?u,
eioi?ua aeeytho ia ieo, ?ac?aaioaia e aiaae?aia iaoiaeeea eiiieaeniiai
?aaaeeeoaoeeiiii-yoaiiiai ea/aiey aieueiuo.

Eeth/aaua neiaa: ooieoeeiiaeueiia ea/aiea, ?aia?aoeeiiiay ?aaaia?aoeey,
ooieoeeiiaeueiay iaa?ocea, aeiee?othuee eio?aiaaeoey?iue
iaoaeei-iieeia?iue inoaineioac.

SUMMARY

Tsyrkot I.M. Functional treatment of after-effects of long bones
fractures using blocked intramedullar metal-polymeric
osteosynthesis.-Manuscript.

The dissertation for the degree of Candidate of medical sciences on
speciality 14.01.21 -traumatology and orthopedics.-Ukrainian Research
Institute of Traumatology and Orthopedics. Kyiv, 1998.

The presented Dissertation deals with the problem of improvement of
intramedullar stable-functional osteosynthesis (illustrated by
introducing into clinical practice blocked intramedullar metal-polymeric
fixers for treatment of after-effects in case of diaphysis fractures of
the hip and tibia). In the dissertation the treatment tactics based on
the staged process of reparative regeneration has been worked out; the
basic methods making the proces of the bone tissue reparative
regeneration better are defined; a quite new approach to prescribing
patients a functional loading at the very initial stage of the disease
using blocked intramedullar metal-polymeric osteosynthesis is proposed;
types of callous-making under conditions of the functional treatment and
factors that influence upon them have been studied, a technique of
complex rehabilitation and staged treatment is worked out and
introduced.

Key words: functional treatment, reparative regeneration, functional
loading, blocked intramedullar metal-polymeric osteosynthesis.

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