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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">nmp</journal-id><journal-title-group><journal-title xml:lang="ru">Журнал им. Н.В. Склифосовского «Неотложная медицинская помощь»</journal-title><trans-title-group xml:lang="en"><trans-title>Russian Sklifosovsky Journal "Emergency Medical Care"</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2223-9022</issn><issn pub-type="epub">2541-8017</issn><publisher><publisher-name>“N.V. Sklifosovsky Research Institute for Emergency Medicine”</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.23934/22239022-2022-11-4-655-667</article-id><article-id custom-type="elpub" pub-id-type="custom">nmp-1522</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>ОБЗОР ЛИТЕРАТУРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group></article-categories><title-group><article-title>Лечение повреждения ахиллова сухожилия. История и современное состояние проблемы</article-title><trans-title-group xml:lang="en"><trans-title>Achilles Tendon Injury Treatment: the History and Current State of the Art</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8616-920X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Файн</surname><given-names>А. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Fain</surname><given-names>A. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Файн Алексей Максимович, доктор медицинских наук, профессор, заведующий отделением неотложной травматологии опорно-двигательного аппарата</p><p>129090, Москва, Б. Сухаревская пл., д. 3</p></bio><bio xml:lang="en"><p>Alexey M. Fain, Doctor of Medical Sciences, Professor, Head, Department of Emergency Traumatology of the Musculoskeletal System</p><p>3 Bolshaya Sukharevskaya Sq., Moscow, 129090</p></bio><email xlink:type="simple">finn.loko@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/0000-0003-3175-7578</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Власов</surname><given-names>А. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Vlasov</surname><given-names>A. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Власов Алексей Петрович, научный сотрудник отделения неотложной травматологии опорно-двигательного аппарата</p><p>129090, Москва, Б. Сухаревская пл., д. 3</p></bio><bio xml:lang="en"><p>Aleksey P. Vlasov, Researcher, Department of Emergency Traumatology of the Musculoskeletal System</p><p>3 Bolshaya Sukharevskaya Sq., Moscow, 129090</p></bio><email xlink:type="simple">vlasowolga@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/0000-0001-6383-8781</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Акимов</surname><given-names>Р. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Akimov</surname><given-names>R. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Акимов Руслан Нурланович, научный сотрудник отделения неотложной травматологии опорно-двигательного аппарата</p><p>129090, Москва, Б. Сухаревская пл., д. 3</p></bio><bio xml:lang="en"><p>Ruslan N. Akimov, Researcher, Department of Emergency Traumatology of the Musculoskeletal System</p><p>3 Bolshaya Sukharevskaya Sq., Moscow, 129090</p></bio><email xlink:type="simple">akimovruslan@ya.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/0000-0002-5187-0669</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кисель</surname><given-names>Д. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kisel</surname><given-names>D. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кисель Дмитрий Александрович, научный сотрудник отделения неотложной травматологии опорно-двигательного аппарата</p><p>129090, Москва, Б. Сухаревская пл., д. 3</p></bio><bio xml:lang="en"><p>Dmitry A. Kisel, Researcher, Department of Emergency Traumatology of the Musculoskeletal System</p><p>3 Bolshaya Sukharevskaya Sq., Moscow, 129090</p></bio><email xlink:type="simple">dkis@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/0000-0002-5428-6329</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лазарев</surname><given-names>М. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Lazarev</surname><given-names>M. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Лазарев Михаил Петрович, научный сотрудник отделения неотложной травматологии опорно-двигательного аппарата</p><p>129090, Москва, Б. Сухаревская пл., д. 3</p></bio><bio xml:lang="en"><p>Mikhail P. Lazarev, Researcher, Department of Emergency Traumatology of the Musculoskeletal System</p><p>3 Bolshaya Sukharevskaya Sq., Moscow, 129090</p></bio><email xlink:type="simple">lazarevmp@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6894-1427</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мигулева</surname><given-names>И. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Miguleva</surname><given-names>I. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Мигулева Ирина Юрьевна, доктор медицинских наук, ведущий научный сотрудник отделения неотложной травматологии опорно-двигательного аппарата</p><p>129090, Москва, Б. Сухаревская пл., д. 3</p></bio><bio xml:lang="en"><p>Irina Yu. Miguleva, Doctor of Medical Sciences, Leading Researcher, Department of Emergency Traumatology of the Musculoskeletal System</p><p>3 Bolshaya Sukharevskaya Sq., Moscow, 129090</p></bio><email xlink:type="simple">imiguleva@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/0000-0002-1538-0515</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Светлов</surname><given-names>К. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Svetlov</surname><given-names>K. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Светлов Кирилл Всеволодович, кандидат медицинских наук, ведущий научный сотрудник отделения неотложной травматологии опорно-двигательного аппарата</p><p>129090, Москва, Б. Сухаревская пл., д. 3</p></bio><bio xml:lang="en"><p>Kirill V. Svetlov, Candidate of Medical Sciences, Leading Researcher, Department of Emergency Traumatology of the Musculoskeletal System</p><p>3 Bolshaya Sukharevskaya Sq., Moscow, 129090</p></bio><email xlink:type="simple">svetloffkirill@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">ГБУЗ «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского ДЗМ»<country>Россия</country></aff><aff xml:lang="en">N.V. Sklifosovsky Research Institute for Emergency Medicine<country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>03</day><month>02</month><year>2023</year></pub-date><volume>11</volume><issue>4</issue><fpage>655</fpage><lpage>667</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Файн А.М., Власов А.П., Акимов Р.Н., Кисель Д.А., Лазарев М.П., Мигулева И.Ю., Светлов К.В., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Файн А.М., Власов А.П., Акимов Р.Н., Кисель Д.А., Лазарев М.П., Мигулева И.Ю., Светлов К.В.</copyright-holder><copyright-holder xml:lang="en">Fain A.M., Vlasov A.P., Akimov R.N., Kisel D.A., Lazarev M.P., Miguleva I.Y., Svetlov K.V.</copyright-holder><license 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://www.jnmp.ru/jour/article/view/1522">https://www.jnmp.ru/jour/article/view/1522</self-uri><abstract><p>АКТУАЛЬНОСТЬ Общая частота разрыва ахиллова сухожилия растет в последнее десятилетия из-за старения населения, растущей распространенности ожирения и увеличения участия в спорте. Разрывы ахиллова сухожилия относятся к часто встречающимся травмам опорно-двигательного аппарата и, по данным разных авторов, составляют 47% от всех разрывов сухожилий и мышц человека, около 18 случаев на 100 тысяч населения в год. Несмотря на обилие в хирургии различных вариантов сухожильного шва, широкий выбор шовного материала и использование прецизионной техники в реконструкции сухожилий, предложенные способы макроскопической реконструкции сухожильного аппарата не решают проблему несостоятельности сухожильного шва.</p><p>ЗАКЛЮЧЕНИЕ Несмотря на обилие предложенных доступов к ахиллову сухожилию, до сих пор не разработан оптимальный для всех видов повреждений. В настоящее время нет четких рекомендаций по выбору определенного метода лечения разрыва ахиллова сухожилия.</p></abstract><trans-abstract xml:lang="en"><p>RELEVANCE The overall incidence of Achilles tendon rupture has been increasing in recent decades due to population aging, the growing prevalence of obesity and increased participation in sports. Achilles tendon ruptures are common injuries of the musculoskeletal system, and according to various authors, they account for 47% of all ruptures of human tendons and muscles, about 18 cases per 100 thousand people per year. Despite the abundance of various options of tendon suture in surgery, a wide choice of suture material and the use of precision techniques in tendon reconstruction, the proposed methods of macroscopic reconstruction of the tendon apparatus do not solve the problem of tendon suture failure.</p><p>CONCLUSION Despite the abundance of proposed accesses to the Achilles tendon, the optimal one for all types of injuries has not yet been developed. Currently, there are no clear recommendations for choosing a specific method of treating an Achilles tendon rupture.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>ахиллово сухожилие</kwd><kwd>пластика ахиллова сухожилия</kwd><kwd>реконструкция ахиллова сухожилия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>achilles tendon</kwd><kwd>achilles tendon plastic surgery</kwd><kwd>achilles tendon reconstruction</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">Klenerman L. The early history of tendo achillis and its rupture. J Bone Joint Surg Br. 2007;89(4):545–547. PMID: 17463129 https://doi.org/10.1302/0301-620X.89B4.18978</mixed-citation><mixed-citation xml:lang="en">Klenerman L. The early history of tendo achillis and its rupture. J Bone Joint Surg Br. 2007;89(4):545–547. 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