N.N. Priorov Journal of Traumatology and OrthopedicsN.N. Priorov Journal of Traumatology and OrthopedicsВестник травматологии и ортопедии им. Н.Н. Приорова0869-86782658-6738Eco-Vector8274910.17816/vto82749SCIENTIFIC REVIEWSНаучные обзорыReview ArticleTraditional and modern approaches to the choice of implants in the treatment of fresh acetabulum fractures (literature review)Традиционные и современные подходы к выбору имплантов в лечении свежих переломов вертлужной впадины (обзор литературы)https://orcid.org/0000-0003-1435-8743KolesnikAlexander IvanovichКолесникАлександр Иванович
Russian Federation

MD, PhD, Dr. Sci. (Med.), professor, traumatologist-orthopedist

д-р мед. наук, профессор, врач – травматолог-ортопед

ko-lesnik@mail.ruhttps://orcid.org/0000-0003-3341-7446DonchenkoSergey V.ДонченкоСергей Викторович
Russian Federation

MD, PhD, Cand. Sci. (Med.), traumatologist-orthopedist

канд. мед. наук, врач – травматолог-ортопед

Don_03@mail.ruhttps://orcid.org/0000-0001-8219-5582SolodilovIvan M.СолодиловИван Михайлович
Russian Federation

MD, traumatologist-orthopedist

врач – травматолог-ортопед

Ivan_s_007@mail.ruhttps://orcid.org/0000-0002-5821-6774IvanovDmitriy A.ИвановДмитрий Александрович
Russian Federation

MD, traumatologist-orthopedist

врач – травматолог-ортопед

Ivanovda2001@mail.ruhttps://orcid.org/0000-0003-3668-2376SurikovVladislav V.СуриковВладислав Владимирович
Russian Federation

postgraduate student, traumatologist-orthopedist

аспирант, врач – травматолог-ортопед

Airbag366@yandex.ruhttps://orcid.org/0000-0002-4580-5502YarmamedovDmitry M.ЯрмамедовДмитрий Муталифович
Russian Federation

assistant, ophthalmologist

ассистент, врач-офтальмолог

yarmamedov@mail.ruFederal Scientific and Clinical Center of Radiology and OncologyФедеральный научно-клинический центр радиологии и онкологииBotkin City Clinical HospitalГородская клиническая больница им. С.П. БоткинаKursk City Clinical Hospital No. 4Курская городская клиническая больница № 4Lytkarino City HospitalЛыткаринская городская больницаRussian Medical Academy of Continuing Postgraduate EducationРоссийская медицинская академия непрерывного постдипломного образованияKursk State Medical UniversityКурский государственный медицинский университет110320221512202128439470710202120012022Copyright ©; 2021, Eco-VectorCopyright ©; 2021, ООО "Эко-Вектор"2021Eco-VectorООО "Эко-Вектор"https://journals.eco-vector.com/0869-8678/article/view/82749

One of the modern approaches aimed at improving the results of treatment of acetabulum fractures (AF) is the development of new fixators for columns and fragments of explosives. The frequency of AF fractures is from 2 to 22% of all pelvic injuries. The main cause of this injury is road accidents. In the treatment of AF fractures, open reposition and internal fixation with the use of various types of fixators, including plates made using additive technologies, are widely used. A fairly wide range of used and developed retainer designs is noted, from standard pelvic reconstructive plates, cables, wires, to modern plate designs. There is a clear trend of specialists in the widespread use of additive technologies that provide the manufacture of individual implants for the treatment of complex fractures of the AF. Analysis of the sources used has shown that reconstructive pelvic plates and cannulated screws are currently the unsurpassed leader in fixing columns and fragments of AF. More and more additive technologies are being introduced into the development and manufacture of individual plates and other fixing structures.

Одним из современных подходов в улучшении результатов лечения переломом вертлужной впадины (ВВ) является разработка новых фиксаторов колонн и отломков ВВ. Частота переломов ВВ составляет от 2 до 22% от всех повреждений таза. Основная причина данной травмы — дорожно-транспортные происшествия. При лечении переломов ВВ широкое распространение получили открытая репозиция и внутренняя фиксация с применением различных вариантов фиксаторов, в том числе пластин, изготовленных по аддитивным технологиям. Существует достаточно широкий спектр применяемых и разрабатываемых конструкций фиксаторов, от стандартных тазовых реконструктивных пластин, кабелей, проволок до современных конструкций пластин. Специалисты четко ориентированы на широкое применение аддитивных технологий, обеспечивающих изготовление индивидуальных имплантов для лечения сложных переломов ВВ.

Анализ использованных источников показал, что в настоящее время непревзойденным лидером в фиксации колонн и отломков ВВ являются реконструктивные тазовые пластины и канюлированные шурупы. Все шире в разработку и изготовление индивидуальных пластин и других фиксирующих конструкций внедряются аддитивные технологии.

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