ÎÐÈÅÍÒÈÐÎÂÎ×ÍÛÅ ÑÐÅÄÍÈÅ ÑÐÎÊÈ ÈÌÌÎÁÈËÈÇÀÖÈÈ, ÐÅÀÁÈËÈÒÀÖÈÈ È ÍÅÒÐÓÄÎÑÏÎÑÎÁÍÎÑÒÈ
ÏÐÈ ÐÀÇËÈ×ÍÛÕ ÏÎÂÐÅÆÄÅÍÈßÕ
| Ëîêàëèçàöèÿ òðàâì è ñïîñîáû ëå÷åíèÿ |
Ñðîêè èììîáèëèçàöèè, íåäåëü |
Ñðîêè ðåàáèëèòàöèè, íåä. |
Ñðîêè íåòðóäîñïîñîáíîñòè, íåäåëü
|
| ïðè ïîñò. èììîá. |
ïðè ñú¸ìí. èììîá. |
îáùèé ñðîê |
íå ôèçè÷. òðóä |
ôèçè÷. òðóä |
| Ïîâðåæäåíèÿ ñóõîæèëèé |
| Íàäîñòíàÿ ìûøöà |
|
|
|
- |
- |
- |
| êîíñåðâàòèâíûé* |
4–5 |
2–3 |
6–8 |
4–5 |
6 |
8–10 |
| ïåðàòèâíûé |
6 |
2 |
8 |
2–4 |
8 |
10 |
| Äëèííàÿ ãîëîâêà äâóãëàâîé ìûøöû ïëå÷à |
- |
- |
- |
- |
- |
- |
| êîíñåðâàòèâíûé |
– |
– |
– |
– |
– |
– |
| îïåðàòèâíûé |
6 |
2 |
8 |
2–4 |
8 |
10 |
| Ðàçãèáàòåëü ïàëüöà êèñòè íà óðîâíå ïðîêñèìàëüíîãî ìåæôàëàíãîâîãî ñóñòàâà |
- |
- |
- |
- |
- |
- |
| êîíñåðâàòèâíûé |
6 |
– |
6 |
1–2 |
7 |
8 |
| îïåðàòèâíûé |
4 |
2 |
6 |
3–4 |
7 |
8 |
| Ðàçãèáàòåëü ïàëüöà êèñòè íà óðîâíå êîíöåâîé ôàëàíãè |
- |
- |
- |
- |
- |
- |
| êîíñåðâàòèâíûé |
6 |
– |
6 |
1–2 |
7 |
8 |
| îïåðàòèâíûé |
4 |
1–2 |
5–6 |
2–4 |
6 |
8 |
| Ñãèáàòåëü ïàëüöåâ êèñòè |
|
|
|
|
|
|
| êîíñåðâàòèâíûé |
– |
– |
– |
– |
– |
– |
| îïåðàòèâíûé |
3 |
3 |
6 |
2 |
6 |
8 |
| ×åòûð¸õãëàâàÿ ìûøöà áåäðà |
- |
- |
- |
- |
- |
- |
| êîíñåðâàòèâíûé |
4–5 |
2–3 |
6–8 |
6–8 |
10–12 |
12–14 |
| îïåðàòèâíûé |
6 |
2–3 |
6–9 |
6–10 |
10–12 |
12–14 |
| Àõèëëîâî ñóõîæèëèå |
- |
- |
- |
- |
- |
- |
| êîíñåðâàòèâíûé |
6 |
1–2 |
7–8 |
6–10 |
12 |
16 |
| îïåðàòèâíûé |
6–8 |
– |
6–8 |
6–10 |
12 |
16 |
| Ïîâðåæäåíèÿ ñâÿçîê |
| Áîêîâûå ïåðâîãî ïÿñòíî-ôàëàíãîâîãî ñóñòàâà |
- |
- |
- |
- |
- |
- |
| êîíñåðâàòèâíûé |
2 |
1–2 |
3–4 |
2–3 |
4 |
5 |
| îïåðàòèâíûé |
2 |
1–2 |
3–4 |
2–3 |
5 |
6 |
| Áîêîâûå ìåæôàëàíãîâûõ ñóñòàâîâ ïàëüöåâ êèñòè |
- |
- |
- |
- |
- |
- |
| êîíñåðâàòèâíûé |
2 |
1–2 |
3–4 |
2–3 |
4 |
5–6 |
| îïåðàòèâíûé |
- |
- |
- |
- |
- |
- |
| Ëó÷åçàïÿñòíûé ñóñòàâ |
- |
- |
- |
- |
- |
- |
| êîíñåðâàòèâíûé |
2 |
2 |
4 |
1–2 |
4 |
5 |
| îïåðàòèâíûé |
- |
- |
- |
- |
- |
- |
| Áîêîâûå êîëåííîãî ñóñòàâà |
- |
- |
- |
- |
- |
- |
| êîíñåðâàòèâíûé |
6 |
2 |
8 |
4–6 |
10 |
12 |
| îïåðàòèâíûé |
6 |
6 |
12 |
6–8 |
12 |
14 |
| Ïåðåäíÿÿ êðåñòîîáðàçíàÿ êîëåííîãî ñóñòàâà |
- |
- |
- |
- |
- |
- |
| êîíñåðâàòèâíûé |
8 |
4 |
12 |
6–8 |
14 |
16 |
| îïåðàòèâíûé |
6 |
4 |
10–12 |
7–9 |
14 |
16 |
| Çàäíÿÿ êðåñòîîáðàçíàÿ êîëåííîãî ñóñòàâà |
- |
- |
- |
- |
- |
- |
| êîíñåðâàòèâíûé |
8 |
4 |
12 |
6–8 |
14 |
16 |
| îïåðàòèâíûé |
6–7 |
6 |
12–13 |
8–12 |
14 |
16 |
| Äâå ñâÿçêè êîëåííîãî ñóñòàâà |
- |
- |
- |
- |
- |
- |
| êîíñåðâàòèâíûé |
6 |
6 |
12 |
8–10 |
14 |
16 |
| îïåðàòèâíûé |
|
|
|
|
|
|
| Ñâÿçêà íàäêîëåííèêà |
|
|
|
|
|
|
| êîíñåðâàòèâíûé |
3 |
3 |
6 |
3–5 |
6 |
8 |
| îïåðàòèâíûé |
6–8 |
3–4 |
9–12 |
6–10 |
12 |
16 |
| Ìåæáåðöîâûé ñèíäåñìîç (äèñòàëüíûé) |
|
|
|
|
|
|
| êîíñåðâàòèâíûé |
8 |
4 |
12 |
6–8 |
14 |
16 |
| îïåðàòèâíûé |
6 |
6 |
12 |
6–8 |
12 |
14 |
| Áîêîâûå ñâÿçêè ãîëåíîñòîïíîãî ñóñòàâà |
|
|
|
|
|
|
| êîíñåðâàòèâíûé |
6 |
1–2 |
7–8 |
2–4 |
8 |
10 |
| îïåðàòèâíûé |
6 |
6 |
12 |
4–8 |
12 |
14 |
| Íàäîñòèñòûå ïîçâîíî÷íèêà |
|
|
|
|
|
|
| êîíñåðâàòèâíûé |
4–6 |
– |
4–6 |
1–2 |
4 |
5–6 |
| îïåðàòèâíûé |
4 |
6–8 |
10–12 |
7–8 |
11 |
12 |
| Ìåæîñòèñòûå |
|
|
|
|
|
|
| êîíñåðâàòèâíûé |
4 |
4–6 |
8–10 |
8–10 |
12 |
14 |
| îïåðàòèâíûé |
4 |
4–6 |
8–10 |
8–10 |
12 |
14 |
| Âûâèõè |
| Êëþ÷èöà, àêðîìèàëüíûé êîíåö |
|
|
|
|
|
|
| êîíñåðâàòèâíûé |
– |
– |
6 |
1–2 |
7 |
8 |
| îïåðàòèâíûé |
4–6 |
– |
4–6 |
2 |
6 |
8 |
| Êëþ÷èöà, ñòåðíàëüíûé êîíåö |
|
|
|
|
|
|
| êîíñåðâàòèâíûé |
4 |
– |
4 |
1–2 |
5 |
6 |
| îïåðàòèâíûé |
3–4 |
– |
3–4 |
2–3 |
5 |
6 |
| 쑌֔ |
3–4 |
– |
3–4 |
1–2 |
4 |
6 |
| Ïðåäïëå÷üå |
2 |
2–3 |
4–5 |
4–6 |
6 |
8 |
| Ãîëîâêà ëó÷åâîé êîñòè |
2–3 |
1–2 |
3–4 |
2–3 |
4 |
6 |
| Êèñòü |
4 |
2–3 |
6–7 |
3–4 |
7 |
8 |
| Ïîëóëóííàÿ êîñòü êèñòè |
3 |
1–2 |
4–5 |
2–3 |
5 |
6 |
| Ëàäüåâèäíàÿ êîñòü êèñòè |
3 |
3 |
6 |
3–5 |
6 |
8 |
| Ïåðâûé ïàëåö êèñòè |
3 |
– |
3 |
1–2 |
4 |
6 |
| Ïåðâàÿ ïÿñòíàÿ êîñòü |
4 |
– |
4 |
1–2 |
5 |
6 |
| Ïàëüöû êèñòè, ôàëàíãè |
2 |
1 |
3 |
2–4 |
4 |
6 |
| Áåäðî |
4 |
8–10, êîñòûëè |
12–14 |
10–12 |
14 |
16 |
| Ãîëåíü |
8–10 |
3–4 |
10–14 |
6–8 |
14 |
16 |
| Íàäêîëåííèê |
4 |
2 |
6 |
1–2 |
7 |
8 |
| Ñòîïà |
|
|
|
|
|
|
| Òàðàííàÿ êîñòü |
8 |
12 |
20 |
12–16 |
20 |
24 |
| Â ñóñòàâå Øîïàðà |
8 |
1–2 |
9–10 |
4 |
12 |
12 |
| Â ñóñòàâå Ëèñôðàíêà |
8 |
1–2 |
9–10 |
4 |
12 |
12 |
| Ïàëüöû ñòîïû |
2 |
– |
2 |
1–2 |
3 |
4 |
| Ïîçâîíî÷íèê, øåéíûé îòäåë |
8 |
4 |
12 |
4–8 |
12 |
14–16 |
| Ïåðåëîìû |
| Êëþ÷èöà |
|
|
|
|
|
|
| êîíñåðâàòèâíûé |
4–6 |
– |
4–6 |
2 |
6 |
8 |
| îïåðàòèâíûé |
4–6 |
– |
4–6 |
2 |
6 |
8 |
| Ëîïàòêà |
|
|
|
|
|
|
| òåëî, óãëû |
3–4 |
– |
3–4 |
1–2 |
4 |
6 |
| àêðîìèàëüíûé è êëþâîâèäíûé îòðîñòêè |
|
|
|
|
|
|
| øåéêà |
4–6 |
1–2 |
5–8 |
2–4 |
6–8 |
8–10 |
| иáðà |
|
|
|
|
|
|
| îäíî |
3 |
– |
3 |
1–2 |
3 |
4 |
| íåñêîëüêî |
5–6 |
– |
5–6 |
2–3 |
6 |
8 |
| Ãðóäèíà |
2–3, ïîêîé |
– |
2–3 |
2–3 |
4 |
6 |
| 쑌֔ |
|
|
|
|
|
|
| Ãîëîâêà, àíàòîìè÷åñêàÿ øåéêà |
|
|
|
|
|
|
| êîíñåðâàòèâíûé |
|
|
|
|
|
|
| • áåç ñìåùåíèÿ |
3–5 |
1–2 |
4–7 |
3–5 |
6 |
8 |
| • ñî ñìåùåíèåì |
6–8 |
2–3 |
8–10 |
2–4 |
8 |
10 |
| îïåðàòèâíûé |
6 |
– |
6 |
2–4 |
8 |
10 |
| Õèðóðãè÷åñêàÿ øåéêà |
|
|
|
|
|
|
| êîíñåðâàòèâíûé |
|
|
|
|
|
|
| • áåç ñìåùåíèÿ |
êîñûíêà ôóíêöèî-íàëüíûé ìåòîä |
|
|
|
6 |
8 |
| • ñî ñìåùåíèåì |
5–6 |
1–2 |
6–8 |
1–4 |
7 |
10 |
| îïåðàòèâíûé |
5 |
1–2 |
6–7 |
2–5 |
7 |
9 |
| Áóãîðêè (áîëüøîé è ìàëûé) |
|
|
|
|
|
|
| êîíñåðâàòèâíûé |
|
|
|
|
|
|
| • áåç ñìåùåíèÿ |
3–4 |
– |
3–4 |
2–3 |
5 |
6 |
| • ñî ñìåùåíèåì |
6–8 |
– |
6–8 |
2–4 |
8 |
10 |
| îïåðàòèâíûé |
6 |
– |
6 |
2–4 |
8 |
10 |
| Äèàôèç |
|
|
|
|
|
|
| êîíñåðâàòèâíûé: |
6–8 |
2–3 |
8–11 |
3–5 |
9 |
11 |
| • áåç ñìåùåíèÿ |
8–10 |
4 |
12–14 |
4–6 |
12 |
14 |
| • ñî ñìåùåíèåì |
|
|
|
|
|
|
| îïåðàòèâíûé |
8 |
1–2 |
9–10 |
4–6 |
12 |
14 |
| Íàäìûùåëêîâûå |
|
|
|
|
|
|
| êîíñåðâàòèâíûé: |
3–4 |
2–3 |
5–7 |
3–5 |
6 |
8 |
| • áåç ñìåùåíèÿ |
6–8 |
3–4 |
9–12 |
4–6 |
10 |
12 |
| • ñî ñìåùåíèåì |
|
|
|
|
|
|
| îïåðàòèâíûé |
6 |
2–3 |
8–9 |
4–6 |
10 |
12 |
| Ìûùåëîê ïëå÷à |
|
|
|
|
|
|
| Âíóòðåííèé íàäìûùåëîê |
|
|
|
|
|
|
| êîíñåðâàòèâíûé |
3 |
1–2 |
4–5 |
3–5 |
6 |
8 |
| îïåðàòèâíûé |
3 |
2–3 |
5–6 |
3–5 |
6 |
8 |
| Íàðóæíûé íàäìûùåëîê |
|
|
|
|
|
|
| êîíñåðâàòèâíûé |
3 |
1–2 |
4–5 |
2–3 |
5 |
6 |
| îïåðàòèâíûé |
3 |
1–2 |
4–5 |
2–3 |
5 |
6 |
| Ãîëîâ÷àòîå âîçâûøåíèå è áëîê |
|
|
|
|
|
|
| êîíñåðâàòèâíûé: |
2–3 |
4 |
6–7 |
6–10 |
8 |
12 |
| • áåç ñìåùåíèÿ |
3–5 |
4 |
7–9 |
9–13 |
12 |
16 |
| • ñî ñìåùåíèåì |
|
|
|
|
|
|
| îïåðàòèâíûé |
3 |
4 |
7 |
7–9 |
10 |
12 |
| Ó- è Ò-îáðàçíûå ïåðåëîìû |
|
|
|
|
|
|
| êîíñåðâàòèâíûé: |
4–6 |
2–3 |
6–9 |
4–6 |
8 |
10 |
| • áåç ñìåùåíèÿ |
5–6 |
3–4 |
8–10 |
5–7 |
10 |
12 |
| • ñî ñìåùåíèåì |
|
|
|
|
|
|
| îïåðàòèâíûé |
3 |
4 |
7 |
7–9 |
10 |
12 |
| Ëîêòåâàÿ êîñòü |
|
|
|
|
|
|
| Ëîêòåâîé îòðîñòîê |
|
|
|
|
|
|
| êîíñåðâàòèâíûé: |
3–4 |
1–2 |
4–5 |
3–5 |
6 |
8 |
| • áåç ñìåùåíèÿ |
4–6 |
1–2 |
5–8 |
4–6 |
8 |
10 |
| • ñî ñìåùåíèåì |
|
|
|
|
|
|
| îïåðàòèâíûé |
4–6 |
1–2 |
5–8 |
4–6 |
8 |
10 |
| Âåíå÷íûé îòðîñòîê |
|
|
|
|
|
|
| áåç ñìåùåíèÿ |
1,5–2 |
1–2 |
2,5–4 |
2,5–3,5 |
4 |
5 |
| ñî ñìåùåíèåì |
2–3 |
2–3 |
4–6 |
4–6 |
6 |
8 |
| îïåðàòèâíûé |
2–3 |
2–3 |
4–6 |
4–6 |
6 |
8 |
| Äèàôèç |
|
|
|
|
|
|
| êîíñåðâàòèâíûé |
|
|
|
|
|
|
| • áåç ñìåùåíèÿ |
8–10 |
– |
8–10 |
2–4 |
10 |
12 |
| • ñî ñìåùåíèåì |
10–12 |
– |
10–12 |
2–4 |
12 |
14 |
| îïåðàòèâíûé |
10–12 |
– |
10–12 |
2–4 |
12 |
14 |
| Ãîëîâêà |
|
|
|
|
|
|
| êîíñåðâàòèâíûé |
2 |
2 |
4 |
1–2 |
5 |
6 |
| îïåðàòèâíûé |
4 |
– |
4 |
1–2 |
5 |
6 |
| Øèëîâèäíûé îòðîñòîê |
2 |
– |
2 |
1 |
2 |
3 |
| Ëó÷åâàÿ êîñòü |
|
|
|
|
|
|
| Ãîëîâêà |
|
|
|
|
|
|
| êîíñåðâàòèâíûé |
|
|
|
|
|
|
| • áåç ñìåùåíèÿ |
2–3 |
– |
2–3 |
2–5 |
4 |
7 |
| • ñî ñìåùåíèåì |
4–5 |
– |
4–5 |
2–4 |
6 |
8 |
| îïåðàòèâíûé |
4–5 |
– |
4–5 |
2–4 |
6 |
8 |
| Äèàôèç |
|
|
|
|
|
|
| êîíñåðâàòèâíûé |
|
|
|
|
|
|
| • áåç ñìåùåíèÿ |
7–8 |
– |
7–8 |
2–3 |
9 |
10 |
| • ñî ñìåùåíèåì |
8–10 |
– |
8–10 |
2–4 |
10 |
12 |
| îïåðàòèâíûé |
8–10 |
– |
8–10 |
2–4 |
10 |
12 |
| Òèïè÷íîå ìåñòî |
|
|
|
|
|
|
| • áåç ñìåùåíèÿ |
3–4 |
1–2 |
4–5 |
1–2 |
4 |
5 |
| • ñî ñìåùåíèåì |
4–6 |
2 |
6–8 |
2–4 |
6 |
8 |
| Ïðåäïëå÷üå |
|
|
|
|
|
|
| Îáå êîñòè |
|
|
|
|
|
|
| êîíñåðâàòèâíûé |
|
|
|
|
|
|
| • áåç ñìåùåíèÿ |
8–10 |
1–2 |
9–12 |
2–4 |
10 |
12 |
| • ñî ñìåùåíèåì |
10–12 |
2–4 |
12–16 |
2–6 |
12 |
16 |
| îïåðàòèâíûé |
10 |
1–2 |
11–12 |
2–6 |
12 |
16 |
| Ïåðåëîìîâûâèõ Ìîíòåäæà |
|
|
|
|
|
|
| êîíñåðâàòèâíûé |
6–8 |
4–6 |
10–12 |
6–8 |
12 |
16 |
| îïåðàòèâíûé |
6 |
4–6 |
10–12 |
6–8 |
12 |
14 |
| Ïåðåëîìîâûâèõ Ãàëåàööè |
|
|
|
|
|
|
| êîíñåðâàòèâíûé |
6 |
4–6 |
10–12 |
5–7 |
11 |
13 |
| îïåðàòèâíûé |
6 |
4–6 |
10–12 |
4–6 |
11 |
13 |
| Êèñòü |
|
|
|
|
|
|
| Çàïÿñòüå |
|
|
|
|
|
|
| Ëàäüåâèäíàÿ êîñòü |
|
|
|
|
|
|
| êîíñåðâàòèâíûé |
|
|
|
|
|
|
| • áåç ñìåùåíèÿ |
8–10 |
– |
8–10 |
2–4 |
1–2 |
12 |
| • ñî ñìåùåíèåì |
16–20 |
– |
16–20 |
2–6 |
18 |
24 |
| îïåðàòèâíûé |
10–12 |
– |
10–12 |
6–14 |
16 |
24 |
| Ïîëóëóííàÿ êîñòü |
|
|
|
|
|
|
| êîíñåðâàòèâíûé |
8–10 |
4 |
12–14 |
4–8 |
12 |
16 |
| îïåðàòèâíûé |
8–10 |
4 |
12–14 |
4–8 |
12 |
16 |
| Îñòàëüíûå êîñòè çàïÿñòüÿ |
|
|
|
|
|
|
| êîíñåðâàòèâíûé |
5-Jun |
2-Mar |
7-Sep |
3-May |
8 |
10 |
| îïåðàòèâíûé |
6 |
2 |
8 |
2-Apr |
8 |
10 |
| Ïÿñòü |
|
|
|
|
|
|
| Ïåðåëîìîâûâèõ Áåíåòòà |
|
|
|
|
|
|
| êîíñåðâàòèâíûé |
4–6 |
2 |
6–8 |
2–4 |
6 |
8 |
| îïåðàòèâíûé |
4–6 |
2 |
6–8 |
2–4 |
6 |
8 |
| Ïåðâàÿ ïÿñòíàÿ êîñòü |
|
|
|
|
|
|
| êîíñåðâàòèâíûé |
4–6 |
– |
4–6 |
2–4 |
6 |
8 |
| îïåðàòèâíûé |
4 |
– |
4–6 |
2–4 |
6 |
8 |
| II–V ïÿñòíûå êîñòè |
|
|
|
|
|
|
| êîíñåðâàòèâíûé |
|
|
|
|
|
|
| • îäèíî÷íûå |
4 |
– |
4 |
1–2 |
5 |
6 |
| • ìíîæåñòâåííûå |
4–5 |
2–3 |
6–8 |
4–6 |
6 |
8 |
| îïåðàòèâíûé |
3–4 |
– |
3–4 |
1–3 |
4 |
6 |
| Ôàëàíãè |
|
|
|
|
|
|
| êîíñåðâàòèâíûé |
|
|
|
|
|
|
| • áåç ñìåùåíèÿ |
2–3 |
– |
2–3 |
1–2 |
3 |
4 |
| • ñî ñìåùåíèåì |
3–4 |
1–2** |
4–6 |
1–3 |
4 |
6 |
| îïåðàòèâíûé |
2–3 |
2–3** |
4–6 |
2–4 |
8 |
8 |
| Ñåñàìîâèäíûå êîñòè |
|
|
|
|
|
|
| êîíñåðâàòèâíûé |
2–3 |
1 |
3–4 |
1–2 |
3 |
5 |
| îïåðàòèâíûé |
1 |
– |
1 |
1–2 |
2 |
3 |
| Ï î ç â î í î ÷ í è ê |
|
|
|
|
|
|
| Òåëî ïîçâîíêà |
|
|
|
|
|
|
| Øåéíûé îòäåë |
6 |
2–4 |
8–12 |
|
12–16 |
16–24 |
| Ãðóäíîé îòäåë |
8 |
ôóíêö. ìåòîä |
|
8–40 |
20–24 |
40–48 |
| Ïîÿñíè÷íûé îòäåë |
8 |
|
|
8–40 |
20–24 |
40–48 |
| Êðåñòåö |
6–8 |
– |
6–8 |
2–6 |
8 |
12 |
| Êîï÷èê |
2–3 |
– |
2–3 |
1–2 |
3 |
4 |
| Îòðîñòêè ïîçâîíêà |
|
|
|
|
|
|
| Ïîïåðå÷íûé |
2 |
– |
2 |
1–4 |
3 |
6 |
| Îñòèñòûé |
2 |
– |
2 |
1–4 |
3 |
6 |
| Äóæêà ïîçâîíêà |
6 |
6*** |
12–16 |
4–12 |
16 |
20 |
| Òàç |
|
|
|
|
|
|
| Ïåðâàÿ ãðóïïà |
|
|
|
|
|
|
| êîíñåðâàòèâíûé |
4 |
– |
4 |
2–4 |
6 |
8 |
| îïåðàòèâíûé |
4 |
– |
4 |
2–4 |
6 |
8 |
| Âòîðàÿ ãðóïïà |
|
|
|
|
|
|
| êîíñåðâàòèâíûé |
6 |
– |
6 |
1–2 |
7 |
8 |
| îïåðàòèâíûé |
6 |
– |
6 |
1–2 |
7 |
8 |
| Òðåòüÿ ãðóïïà |
|
|
|
|
|
|
| • ðàçðûâ ëîííîãî ñî÷ëåíåíèÿ |
|
|
|
|
|
|
| – êîíñåðâàòèâíûé |
8 |
– |
8 |
2–4 |
10 |
12 |
| – îïåðàòèâíûé |
8 |
– |
8 |
2–4 |
10 |
12 |
| • òèïà «áàáî÷êè» |
|
|
|
|
|
|
| – êîíñåðâàòèâíûé |
8–10 |
– |
8–10 |
2–4 |
10 |
12 |
| – îïåðàòèâíûé |
8 |
– |
8 |
2–4 |
10 |
12 |
| • îäíîñòîðîííèé âåðòèêàëüíûé ïåðåëîì |
|
|
|
|
|
|
| – êîíñåðâàòèâíûé |
10 |
– |
10 |
4–10 |
14 |
20 |
| – îïåðàòèâíûé |
10 |
– |
10 |
4–10 |
14 |
20 |
| • äâóñòîðîííèé âåðòèêàëüíûé ïåðåëîì |
|
|
|
|
|
|
| – êîíñåðâàòèâíûé |
10 |
– |
10 |
6–10 |
16 |
20 |
| – îïåðàòèâíûé |
10 |
– |
10 |
6–10 |
16 |
20 |
| ×åòâ¸ðòàÿ ãðóïïà |
|
|
|
|
|
|
| • êðûøà âåðòëóæíîé âïàäèíû |
|
|
|
|
|
|
| – êîíñåðâàòèâíûé |
6–8 |
|
6–8 |
2–6 |
8 |
12 |
| – îïåðàòèâíûé |
6 |
1–4**** |
6–10 |
4–6 |
10 |
12 |
| • äíî âåðòëóæíîé âïàäèíû |
|
|
|
|
|
|
| – êîíñåðâàòèâíûé |
5–8 |
1–2**** |
6–10 |
7–11 |
12 |
16 |
| – îïåðàòèâíûé |
5–8 |
1–2**** |
6–10 |
7–11 |
12 |
16 |
| • öåíòðàëüíûé âûâèõ |
|
|
|
|
|
|
| – êîíñåðâàòèâíûé |
10 |
6–14**** |
16–24 |
4–12 |
20 |
28 è áîëüøå |
| – îïåðàòèâíûé |
6 |
18**** |
24 |
8 |
24 |
32 |
| Áåäðî |
|
|
|
|
|
|
| Ìåäèàëüíûå ïåðåëîìû |
|
|
|
|
|
|
| Ãîëîâêà |
6 |
6–8**** |
12–14 |
6–8 |
16 |
16–20 |
| Øåéêà (âàëüãóñíûå) |
|
|
|
|
|
|
| • êîíñåðâàòèâíûé |
12 |
12 |
24 |
4–8 |
28 |
32 |
| • îïåðàòèâíûé |
4 |
20**** |
24 |
24–28 |
28 |
32 |
| Øåéêà (âàðóñíûå) |
|
|
|
|
|
|
| • êîíñåðâàòèâíûé |
– |
– |
– |
– |
– |
– |
| • îïåðàòèâíûé |
4 |
20**** |
24 |
28–44 |
32–40 |
40–48 |
| Ëàòåðàëüíûå ïåðåëîìû |
|
|
|
|
|
|
| ×ðåçâåðòåëüíûå, ìåæâåðòåëüíûå |
|
|
|
|
|
|
| • êîíñåðâàòèâíûé |
12 |
– |
12 |
4–8 |
16 |
16–20 |
| • îïåðàòèâíûé |
12 |
– |
12 |
4–8 |
16 |
16–20 |
| Áîëüøîé âåðòåë |
3–4 |
– |
3–4 |
1–2 |
4 |
5 |
| Ìàëûé âåðòåë |
3–4 |
– |
3–4 |
1–2 |
4 |
5 |
| Äèàôèç |
|
– |
|
|
|
|
| êîíñåðâàòèâíûé |
10–12 |
– |
10–12 |
4–8 |
14 |
16–18 |
| îïåðàòèâíûé |
12 |
– |
12 |
4–8 |
16 |
18–20 |
| Ìûùåëêè |
|
|
|
|
|
|
| Îäèí ìûùåëîê |
|
|
|
|
|
|
| • êîíñåðâàòèâíûé |
4 |
10 |
14–16 |
6–10 |
18 |
20 |
| • îïåðàòèâíûé |
4 |
10 |
14–16 |
6–10 |
18 |
20 |
| Äâà ìûùåëêà (Ó- è Ò-îáðàçíûå ïåðåëîìû) |
|
|
|
|
|
|
| • êîíñåðâàòèâíûé |
|
|
|
|
|
|
| – áåç ñìåùåíèÿ |
6 |
8–10 |
14–16 |
8–12 |
16 |
20 |
| – ñî ñìåùåíèåì |
8 |
8–10 |
16 |
10–12 |
20 |
24 |
| • îïåðàòèâíûé |
4 |
8–10 |
16 |
14–16 |
20 |
24 |
| Íàäêîëåííèê |
|
|
|
|
|
|
| • êîíñåðâàòèâíûé |
4 |
– |
4 |
1–2 |
5 |
6 |
| • îïåðàòèâíûé |
6 |
– |
6 |
2–4 |
8 |
10 |
| îñòåîñèíòåç |
– |
|
|
|
|
|
| – óäàëåíèå íàäêîëåííèêà |
2 |
– |
4 |
2–3 |
4 |
5 |
| Ãîëåíü |
|
|
|
|
|
|
| Îáå êîñòè |
|
|
|
|
|
|
| • êîíñåðâàòèâíûé |
12 |
4 |
16 |
4–6 |
16 |
18 |
| • îïåðàòèâíûé |
12 |
4 |
16 |
4–6 |
16 |
18 |
| Áîëüøåáåðöîâàÿ êîñòü |
|
|
|
|
|
|
| Ìûùåëîê |
|
|
|
|
|
|
| • êîíñåðâàòèâíûé |
|
|
|
|
|
|
| – áåç ñìåùåíèÿ |
4 |
8 |
12 |
10–16 |
14 |
20 |
| – ñî ñìåùåíèåì |
6 |
8 |
14–16 |
10–16 |
16 |
20 |
| • îïåðàòèâíûé |
4 |
8 |
12 |
10–16 |
14 |
20 |
| Ó- è Ò-îáðàçíûå ïåðåëîìû ìûùåëêîâ |
|
|
|
|
|
|
| • êîíñåðâàòèâíûé |
8 |
6 |
14–16 |
8–12 |
16 |
22 |
| • îïåðàòèâíûé |
6 |
8–10 |
16 |
10–14 |
16 |
22 |
| Äèàôèç, âåðõíÿÿ è ñðåäíÿÿ òðåòè |
|
|
|
|
|
|
| • êîíñåðâàòèâíûé |
12 |
2–4 |
14–16 |
2–4 |
14 |
18 |
| • îïåðàòèâíûé |
12 |
2–4 |
14–16 |
2–4 |
14 |
18 |
| Äèàôèç, íèæíÿÿ òðåòü |
|
|
|
|
|
|
| • êîíñåðâàòèâíûé |
14–16 |
2–4 |
16–18 |
2–10 |
16 |
24 |
| • îïåðàòèâíûé |
14–16 |
2–4 |
16–18 |
2–10 |
16 |
24 |
| Ìåäèàëüíàÿ ëîäûæêà |
|
|
|
|
|
|
| • êîíñåðâàòèâíûé |
|
|
|
|
|
|
| – áåç ñìåùåíèÿ |
5–6 |
2 |
7–8***** |
2–3 |
7 |
8 |
| – ñî ñìåùåíèåì |
6–8 |
2 |
8–10***** |
2–4 |
8 |
10 |
| • îïåðàòèâíûé |
6–8 |
2 |
8–10***** |
2–4 |
8 |
10 |
| Ïåðåäíèé èëè çàäíèé êðàé áîëüøåáåðöîâîé êîñòè |
|
|
|
|
|
|
| • êîíñåðâàòèâíûé |
4–6 |
2–3 |
6–8 |
3–4 |
7 |
8 |
| • îïåðàòèâíûé |
4–6 |
2–3 |
6–8 |
3–4 |
7 |
8 |
| Ìàëîáåðöîâàÿ êîñòü |
|
|
|
|
|
|
| Äèàôèç |
|
|
|
|
|
|
| • êîíñåðâàòèâíûé |
3 |
1 |
4 |
1–2 |
4 |
5 |
| • îïåðàòèâíûé |
3 |
1 |
4 |
1–2 |
4 |
5 |
| Íàðóæíàÿ ëîäûæêà |
|
|
|
|
|
|
| • êîíñåðâàòèâíûé |
3–4 |
2 |
6 |
2 |
6 |
7 |
| • îïåðàòèâíûé |
5–6 |
2 |
7 |
2 |
7 |
8 |
| Äâóõëîäûæå÷íûå ïåðåëîìû |
|
|
|
|
|
|
| Âàðóñíûå (òèïà Ìàëüãåíÿ) |
|
|
|
|
|
|
| • êîíñåðâàòèâíûé |
|
|
|
|
|
|
| – áåç ñìåùåíèÿ |
8 |
2 |
10 |
3 |
9 |
11 |
| – ñî ñìåùåíèåì |
8–10 |
2–3 |
10–12 |
4–6 |
12 |
16 |
| • îïåðàòèâíûé |
8–10 |
2–3 |
10–12 |
4–6 |
12 |
16 |
| Âàëüãóñíûå (òèïà Äþïþèòðåíà) |
|
|
|
|
|
|
| • êîíñåðâàòèâíûé |
|
|
|
|
|
|
| – áåç ñìåùåíèÿ |
8 |
3–4 |
10–12 |
2–4 |
10 |
12 |
| – ñî ñìåùåíèåì |
8–12 |
– |
8–12 |
4–8 |
12 |
16 |
| • îïåðàòèâíûé |
8 |
3–4 |
10–12 |
4–8 |
12 |
16 |
| Òð¸õëîäûæå÷íûé ïåðåëîì (òèïà Ïîòòà, Äåñòî) |
|
|
|
|
|
|
| • êîíñåðâàòèâíûé |
|
|
|
|
|
|
| – áåç ñìåùåíèÿ |
10–12 |
– |
10–12 |
4–6 |
14 |
16 |
| – ñî ñìåùåíèåì |
12 |
4–6 |
16 |
4–6 |
16 |
18 |
| • îïåðàòèâíûé |
12 |
4–6 |
16 |
4–6 |
16 |
18 |
| Ñòîïà |
|
|
|
|
|
|
| Ïÿòî÷íàÿ êîñòü |
|
|
|
|
|
|
| • êîíñåðâàòèâíûé |
|
|
|
|
|
|
| – áåç ñìåùåíèÿ |
8 |
2–4 |
11–12 |
4–8 |
12 |
16 |
| – ñî ñìåùåíèåì |
12 |
3–4 |
15–16 |
8–12 |
20 |
24 |
| • îïåðàòèâíûé |
12 |
3–4 |
15–16 |
8–12 |
20 |
24 |
| Òàðàííàÿ êîñòü |
|
|
|
|
|
|
| • êîíñåðâàòèâíûé |
|
|
|
|
|
|
| – áåç ñìåùåíèÿ |
8–10 |
4 |
12–14 |
4–6 |
12 |
14 |
| – ñî ñìåùåíèåì |
12–14 |
4 |
16–20 |
4–8 |
16 |
20 |
| • îïåðàòèâíûé |
12–14 |
4 |
16–20 |
4–8 |
16 |
20 |
| Ëàäüåâèäíàÿ, êóáîâèäíàÿ, êëèíîâèäíàÿ êîñòè |
|
|
|
|
|
|
| • êîíñåðâàòèâíûé |
|
|
|
|
|
|
| – áåç ñìåùåíèÿ |
4–6 |
2–3 |
6–9 |
3–4 |
7 |
8 |
| – ñî ñìåùåíèåì |
6–8 |
3–4 |
9–12 |
2–6 |
8 |
10–12 |
| • îïåðàòèâíûé |
6 |
3–4 |
9–10 |
2–6 |
8 |
10–12 |
| Ïëþñíåâûå êîñòè |
|
|
|
|
|
|
| • êîíñåðâàòèâíûé |
|
|
|
|
|
|
| – îäíà êîñòü |
6 |
2 |
8 |
1–2 |
7 |
8 |
| – íåñêîëüêî êîñòåé |
|
|
|
|
|
|
| à) áåç ñìåùåíèÿ |
8 |
2 |
10 |
1–2 |
9 |
10 |
| á) ñî ñìåùåíèåì |
8 |
2 |
10 |
2–4 |
10 |
12 |
| • îïåðàòèâíûé |
8 |
2 |
10 |
1–2 |
9 |
10 |
| Ôàëàíãè |
|
|
|
|
|
|
| • Îñíîâíàÿ I ïàëüöà ïàëüöà |
3 |
– |
3 |
1 |
3 |
4 |
| • Ôàëàíãè II–V ïàëüöåâ |
|
|
|
|
|
|
| – îäèíî÷íûå |
2–3 |
– |
2–3 |
2–4 |
4 |
6 |
| – ìíîæåñòâåííûå |
3–4 |
– |
3–4 |
1–3 |
4 |
6 |
| *Êîíñåðâàòèâíûå ñïîñîáû ïðèìåíÿþò ïðåèìóùåñòâåííî ïðè ÷àñòè÷íûõ ïîâðåæäåíèÿõ. **Íî÷íûå ëîíãåòû. ***Êîðñåò. ****Ñú¸ìíóþ èììîáèëèçàöèþ çàìåíÿåò îòñóòñòâèå íàãðóçêè íà êîíå÷íîñòü — õîäüáà íà êîñòûëÿõ. *****Íî÷íàÿ ëîíãåòà |