RU2099018C1 - Method for treating kneecap dislocation - Google Patents
Method for treating kneecap dislocation Download PDFInfo
- Publication number
- RU2099018C1 RU2099018C1 RU93057806A RU93057806A RU2099018C1 RU 2099018 C1 RU2099018 C1 RU 2099018C1 RU 93057806 A RU93057806 A RU 93057806A RU 93057806 A RU93057806 A RU 93057806A RU 2099018 C1 RU2099018 C1 RU 2099018C1
- Authority
- RU
- Russia
- Prior art keywords
- dislocation
- patella
- ligament
- treating
- patellar
- Prior art date
Links
- 238000000034 method Methods 0.000 title claims abstract description 11
- 210000004417 patella Anatomy 0.000 title claims description 9
- 210000003041 ligament Anatomy 0.000 claims abstract description 5
- 210000002303 tibia Anatomy 0.000 claims abstract description 3
- 239000002775 capsule Substances 0.000 claims description 4
- 210000003314 quadriceps muscle Anatomy 0.000 claims description 3
- 210000004872 soft tissue Anatomy 0.000 claims description 3
- 208000007534 Patellar Dislocation Diseases 0.000 claims description 2
- 210000003195 fascia Anatomy 0.000 claims description 2
- 210000003205 muscle Anatomy 0.000 claims description 2
- 210000000426 patellar ligament Anatomy 0.000 claims 1
- 230000002739 subcortical effect Effects 0.000 claims 1
- 239000003814 drug Substances 0.000 abstract description 2
- 230000000694 effects Effects 0.000 abstract 1
- 230000001483 mobilizing effect Effects 0.000 abstract 1
- 239000000126 substance Substances 0.000 abstract 1
- 230000000399 orthopedic effect Effects 0.000 description 3
- 210000000629 knee joint Anatomy 0.000 description 2
- 239000011505 plaster Substances 0.000 description 2
- 235000004237 Crocus Nutrition 0.000 description 1
- 241000596148 Crocus Species 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 230000002159 abnormal effect Effects 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 239000000835 fiber Substances 0.000 description 1
- 230000002650 habitual effect Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 210000000281 joint capsule Anatomy 0.000 description 1
- 206010033675 panniculitis Diseases 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 210000004304 subcutaneous tissue Anatomy 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 210000000689 upper leg Anatomy 0.000 description 1
Landscapes
- Prostheses (AREA)
Abstract
Description
Способ относится к медицине, а именно к травматологии и ортопедии, и может применяться при травмах коленного сустава. The method relates to medicine, namely to traumatology and orthopedics, and can be used for injuries of the knee joint.
Известен способ лечения вывиха надколенника по Фриндлянду. Предусматривается коррекция ненормального положения прямой мышцы бедра (И.А.Мовшович, Оперативная ортопедия, М. 1983, с.233). There is a method of treating dislocation of the patella according to Frindland. The correction of the abnormal position of the rectus femoris is provided (I. A. Movshovich, Operative Orthopedics, M. 1983, p.233).
Однако по этому способу фиксация смещения надколенника производится за мягкие ткани, что не предотвращает возможность вывиха. However, by this method, the fixation of the displacement of the patella is made by soft tissue, which does not prevent the possibility of dislocation.
Применяется также способ оперативного лечения вывиха надколенника - операция Крошуса. Но по этому способу вся операция выполняется на мягких тканях и может вызвать повторный вывих (И.А.Мовшович, Оперативная ортопедия. М. 1983, 232). Это прототип. A method of surgical treatment of patellar dislocation is also used - Crocus operation. But by this method, the entire operation is performed on soft tissues and can cause repeated dislocation (I. A. Movshovich, Operative Orthopedics. M. 1983, 232). This is a prototype.
Для того, чтобы избежать этого и предлагается данный способ. In order to avoid this, this method is proposed.
Способ осуществляется следующим образом. По передней поверхности коленного сустава делается разрез до бугристости большеберцовой кости. Кожа и подкожная клетчатка отделяются от капсулы сустава с обеих сторон надколенника. Рассекается фасция и капсула вдоль прямой мышцы бедра до основания собственной связки с обеих сторон. The method is as follows. An incision is made along the front surface of the knee joint to the tibial tuberosity. The skin and subcutaneous tissue are separated from the joint capsule on both sides of the patella. The fascia and capsule are dissected along the rectus femoris muscle to the base of their own ligament on both sides.
Под собственную связку проводится трансплантат, ушивается "на себя", натягивается и фиксируется субкортикально на внутреннем мышелке большеберцовой кости. Under his own ligament, a transplant is performed, sutured “on himself”, stretched and fixed subcortically on the inner tibia.
Кнутри от надколенника капсула ушивается натяжением и созданием дубликатуры. Inside the patella, the capsule is sutured by pulling and creating a duplicate.
Операция завершается наложением швов на клетчатку и кожу. Иммобилизация гипсовыми лонгетами до верхней трети бедра в положении сгибания в суставе 155-160o до 3 недель.The operation ends with suturing the fiber and skin. Immobilization of plaster casts to the upper third of the thigh in the position of flexion in the joint 155-160 o up to 3 weeks.
Пример. Б-ая Позднина О.И. и.б. 3290, поступила 17.05.96 г. с диагнозом привычный вывих правого надколенника. Страдает заболеванием около 10 лет. 27.05.96 г. операция устранения привычного вывиха надколенника по методике, описанной автором. Послеоперационный период гладкий. Выписана в удовлетворительном состоянии в гипсовом лонгете с разрешением ходьбы на костылях. Example. B. Pozdnina O.I. and.b. 3290, was received 05.17.96, with a diagnosis of habitual dislocation of the right patella. He suffers from the disease for about 10 years. 05/27/96, the operation to eliminate the usual dislocation of the patella according to the method described by the author. The postoperative period is smooth. Discharged in satisfactory condition in a plaster cast with permission to walk on crutches.
Claims (1)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| RU93057806A RU2099018C1 (en) | 1993-12-28 | 1993-12-28 | Method for treating kneecap dislocation |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| RU93057806A RU2099018C1 (en) | 1993-12-28 | 1993-12-28 | Method for treating kneecap dislocation |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| RU93057806A RU93057806A (en) | 1996-11-10 |
| RU2099018C1 true RU2099018C1 (en) | 1997-12-20 |
Family
ID=20150951
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| RU93057806A RU2099018C1 (en) | 1993-12-28 | 1993-12-28 | Method for treating kneecap dislocation |
Country Status (1)
| Country | Link |
|---|---|
| RU (1) | RU2099018C1 (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| RU2443394C1 (en) * | 2010-10-25 | 2012-02-27 | Дмитрий Александрович Новиков | Method of treating slipping patella |
| RU2446762C1 (en) * | 2010-08-03 | 2012-04-10 | Федеральное Государственное Учреждение "Научно-Исследовательский Детский Ортопедический Институт Имени Г.И. Турнера Федерального Агентства По Высокотехнологичной Медицинской Помощи" | Method of eliminating patella dislocation in children |
-
1993
- 1993-12-28 RU RU93057806A patent/RU2099018C1/en active
Non-Patent Citations (1)
| Title |
|---|
| Мовшович И.А. Оперативная ортопедия. - М.: Медицина, 1983, с.232. * |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| RU2446762C1 (en) * | 2010-08-03 | 2012-04-10 | Федеральное Государственное Учреждение "Научно-Исследовательский Детский Ортопедический Институт Имени Г.И. Турнера Федерального Агентства По Высокотехнологичной Медицинской Помощи" | Method of eliminating patella dislocation in children |
| RU2443394C1 (en) * | 2010-10-25 | 2012-02-27 | Дмитрий Александрович Новиков | Method of treating slipping patella |
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