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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">vmireaviz</journal-id><journal-title-group><journal-title xml:lang="ru">Вестник медицинского института «РЕАВИЗ». Реабилитация, Врач и Здоровье</journal-title><trans-title-group xml:lang="en"><trans-title>Bulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH)</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2226-762X</issn><issn pub-type="epub">2782-1579</issn><publisher><publisher-name>РЕАВИЗ</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.20340/vmi-rvz.2024.5.CASE.1</article-id><article-id custom-type="elpub" pub-id-type="custom">vmireaviz-1047</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Клинический случай</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>Clinical case</subject></subj-group></article-categories><title-group><article-title>Применение разработанного комбинированного фиксатора при оскольчатом переломе проксимального отдела локтевой кости. Клинический случай</article-title><trans-title-group xml:lang="en"><trans-title>The use of the developed combined fixator for comminuted fracture of the olecranon. Clinical case</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0007-9905-455X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Евдокимов</surname><given-names>Р. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Evdokimov</surname><given-names>R. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Евдокимов Руслан Сергеевич, аспирант, Российский университет дружбы народов; врач отделения травматологии и ортопедии, Клиническая больница имени В.В. Виноградова</p><p>ул. Миклухо-Маклая, д. 6, г. Москва, 117198, </p><p>ул. Bавилова, 61, г. Москва, 117292</p></bio><bio xml:lang="en"><p>Ruslan S. Evdokimov, Postgraduate student, Peoples' Friendship University of Russia; physician, Department of Traumatology and Orthopedics, V.V. Vinogradov Clinical Hospital</p><p>6 Miklukho-Maklaya str., Moscow, 117198, </p><p>61 Vavilov St., Moscow, 117292</p></bio><email xlink:type="simple">89160792036@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0959-2316</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ивашкин</surname><given-names>А. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Ivashkin</surname><given-names>A. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ивашкин Александр Николаевич, д-р мед. наук, профессор кафедры травматологии и ортопедии, Российский университет дружбы народов; врач отделения травматологии и ортопедии, Клиническая больница имени В.В. Виноградова</p><p>ул. Миклухо-Маклая, д. 6, г. Москва, 117198, </p><p>ул. Bавилова, 61, г. Москва, 117292</p></bio><bio xml:lang="en"><p>Aleksandr N. Ivashkin, Dr. Sci. (Med.), Professor of the Department of Traumatology and Orthopedics, Peoples' Friendship University of Russia; Physician of the Department of Traumatology and Orthopedics, V.V. Vinogradov Clinical Hospital</p><p>6 Miklukho-Maklaya str., Moscow, 117198, </p><p>61 Vavilov St., Moscow, 117292</p></bio><email xlink:type="simple">doctor-alik@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0003-2695-6828</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ивков</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Ivkov</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ивков Алексей Витальевич, канд. мед. наук, доцент кафедры травматологии и ортопедии, Российский национальный исследовательский медицинский университет им. Н.И. Пирогова; врач отделения травматологии и ортопедии, Клиническая больница имени В.В. Виноградова</p><p>ул. Bавилова, 61, г. Москва, 117292,</p><p>ул. Островитянова д. 1, г. Москва, 117997</p></bio><bio xml:lang="en"><p>Aleksey V. Ivkov, Cand. Sci. (Med.), Associate Professor, Department of Traumatology and Orthopedics, Russian National Research Medical University named after N.I. Pirogov; Physician, Department of Traumatology and Orthopedics, Clinical Hospital named after V.V. Vinogradov</p><p>61 Vavilov St., Moscow, 117292,</p><p>1 Ostrovityanova str., Moscow, 117997</p></bio><email xlink:type="simple">drdefiler@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Российский университет дружбы народов; Клиническая больница имени В.В. Виноградова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Peoples' Friendship University of Russia;&#13;
Vinogradov Clinical Hospital</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Клиническая больница имени В.В. Виноградова; Российский национальный исследовательский медицинский университет им. Н.И. Пирогова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Vinogradov Clinical Hospital;&#13;
N.I. Pirogov Russian National Research Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>08</day><month>09</month><year>2024</year></pub-date><volume>14</volume><issue>5</issue><fpage>89</fpage><lpage>93</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Евдокимов Р.С., Ивашкин А.Н., Ивков А.В., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Евдокимов Р.С., Ивашкин А.Н., Ивков А.В.</copyright-holder><copyright-holder xml:lang="en">Evdokimov R.S., Ivashkin A.N., Ivkov A.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://vestnik.reaviz.ru/jour/article/view/1047">https://vestnik.reaviz.ru/jour/article/view/1047</self-uri><abstract><p>Актуальность. В современной травматологии наиболее распространёнными методами оперативного лечения переломов локтевого отростка являются остеосинтез пластиной и остеосинтез спицами и проволокой по Weber, однако имеется ряд переломов, при которых ни один из данных методов не является оптимальным. В данном клиническом случае мы рассматриваем пациента с оскольчатым переломом локтевого отростка и использованием разработанного металлофиксатора для его лечения. Целью данного наблюдения является улучшение исходов лечения пациентов с данным типом переломов. Описание клинического случая. В представленном клиническом случае мы рассматриваем пациента 49 лет с оскольчатым перелом локтевого отростка, полученным в результате падения. После стандартного рентгенологического обследования и подготовки пациенту был выполнен остеосинтез левого локтевого отростка интрамедуллярным штифтом с метафизарной накладкой. На первые сутки после выполнения остеосинтеза была разрешена лечебная физкультура. За время наблюдения, в течение 12 месяцев, пациент показывал хорошие и отличные результаты по данным клинико-инструментального контроля. Заключение. По результатам 12 месяцев наблюдения можно заявить, что предложенный металлофиксатор продемонстрировал хороший результат, пациент полностью вернулся к повседневной жизни и не испытывает каких-либо затруднений при занятии спортом. С учётом малой толщины метафизарной накладки, всего 2 мм, пациент не испытывает дискомфорт при нагрузке на область оперативного вмешательства. Применение данного импланта расширяет оперативные возможности современного травматолога, а также имеет ряд преимуществ по сравнению с другими имплантами, такие как уменьшение размеров операционного доступа, более ранние сроки начала активной разработки движений в локтевом суставе.</p></abstract><trans-abstract xml:lang="en"><sec><title>Relevance</title><p>Relevance. In modern traumatology, the most common methods of surgical treatment of fractures of the ulnar process are osteosynthesis with platinum and osteosynthesis with spokes and wire according to Weber, however, there are fractures in which none of these methods is optimal. In this clinical case, we consider a patient with a comminuted fracture of the ulnar process and the use of a developed metal fixator in order to improve the treatment outcomes of patients with this type of fracture.</p><p>Clinical Case Description. In the presented clinical case, we consider a 49-year-old patient with a comminuted fracture of the ulnar process resulting from a fall. After a standard X-ray examination and preparation. The patient underwent osteosynthesis of the left olecranon with an intramedullary pin with a metaphysical pad. Physical therapy was allowed on the first day after osteosynthesis. During the follow-up, for 12 months, the patient showed good and excellent results according to the clinical and instrumental control data.</p></sec><sec><title>Conclusion</title><p>Conclusion. According to the results of 12 months of follow-up, it can be stated that the proposed metal fixator performed well, the patient completely returned to everyday life and does not experience any difficulties when playing sports. Taking into account the small thickness of the metaphysical adjustment, only 2 mm, the patient does not experience discomfort when loading the area of surgery. The use of this implant expands the operational capabilities of a modern traumatologist, and also has a number of advantages compared to other implants, such as reducing the size of surgical access, early timing of the start of active development of movements in the elbow joint.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>локтевой отросток</kwd><kwd>остеосинтез</kwd><kwd>оскольчатый перелом локтевого отростка</kwd><kwd>интрамедуллярный штифт с метафизарной накладкой</kwd></kwd-group><kwd-group xml:lang="en"><kwd>olecranon</kwd><kwd>osteosynthesis</kwd><kwd>comminuted fracture of the olecranon</kwd><kwd>intramedullary pin with metaphysical plate</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Wiegand L, Bernstein J, Ahn J. Fractures in Brief: Olecranon Fractures. 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