卷 2, 编号 2 (2014)

Untreated deep dermal burns in children are the cause of long-term treatment and severe cicatricial deformities, resulting in poor cosmetic results and greatly impairing functional outcome. The problem of optimizing the results and timing of treatment of deep burns in children in recent years has become particularly urgent. We observed 1853 children with III-A degree burns. Some of the children's burns healed spontaneously, which led to the development of scar deformities during the first six months after injury. Risk factors for their development, depending on the patient's age and location of the lesion, are pointed out. Other children underwent early tangential excision of eschar. The analysis of the treatment results showed that the use of early surgery in children with deep dermal burns can reduce treatment time, as well as significantly to improve the cosmetic and functional outcomes of trauma.

Thoracoabdominal trauma with injury to the great vessels is a pressing issue of urgent surgery. This paper presents the observation of the child's treatment with thoracoabdominal trauma with Thoracoabdominal trauma with injury to the great vessels is a pressing issue of urgent surgery. This paper presents the observation of the child's treatment with thoracoabdominal trauma with damage of the great vessels: clinical features, diagnosis and treatment.

In this paper we evaluated the results of rehabilitation treatment in 55 children aged from 1 to 6 years after the following surgical treatment: pollicization of the second finger and microsurgical autografting of the second toe in the position of the thumb. A comparative analysis of standard techniques of rehabilitation treatment and the technique developed at the department was carried out. Application of individual-oriented approach depending on the functionality of the hand provided better results in rehabilitation. In the main subgroup of children after the operation of the second finger pollicization, excellent results were obtained in 11 patients (50 %), good - 9 patients (40.9 %), satisfactory - 2 patients (9.1 %). In the control subgroup, excellent results were obtained in 5 patients (20.83 %), good - in 9 (37.5 %), satisfactory - in 8 (33.33 %), poor - in 2 (8.33 %). In the group of children who underwent free autografting of toes, in the main subgroup the excellent results were obtained in 3 patients (60 %), good - in 2 patients (40 %). In the control subgroup good results were obtained in 3 patients (75 %), satisfactory - in 1(25 %). Also we revealed a correlation between the timing of the appearance of bilateral grip and functional ability of the hand in older age.

Hip dislocation is common in patients with arthrogryposis and is observed in 13.5-58 % of cases. Currently, there is no conventional treatment strategy of this pathology. The review analyzes the data of the national and international literature on the etiopathogenesis, clinical picture and classifications, surgical and conservative treatment of this pathology.

Hip instability is a common condition in patients with cerebral palsy. Its development leads to severe degenerative changes in the joint, accompanied with rapidly progressive contractures, pain, deformities of the adjacent segments and decreased limb support ability. One of the characteristic features of this disease is the development of osteochondral defect in the external part of the femoral head epiphysis. We report two clinical cases of successful two-stage surgical correction of joint elements aimed at moving the defect in the joint area, which is not loaded by the arch socket.