RU2584558C1 - Method for applying tendon suture - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention relates to medicine, particularly to traumatology and orthopedics. Using needle up to 5 % of tendon fibre is taken at 2-3 cm from damaged end of tendon. Using thread tightening loop is made, through which through tendon needle with thread is diametrically introduced, piercing it on opposite side and forming second tightening loop, also covering up to 5 % of tendon fibre. Then thread is carried out diagonally inside shaft to opposite side of tendon towards cross-linkable end, pricked needle out and suturing tendon, lead it diagonally down inside shaft to lower end edge to form distal tightening support loop in 0.5 cm from damaged end of tendon, through which thread is brought inside shaft into injured tendon end. All manipulations are repeated with second end of thread on patellar on opposite side, and set out inside shaft from injured tendon ends corresponding suture ends are tied together by knots.

EFFECT: method makes it possible to fix and adapt damaged tendon ends, distribute of load on it between formed loops without fraying and deformation in area of tendon injury.

1 cl, 2 dwg

Description

The invention relates to medicine, namely to traumatology and orthopedics, and relates to methods for applying tendon sutures of various localization.

There is a method of applying a tendon suture according to Kuneo, which consists in holding the thread with two straight needles at the ends in the transverse direction through the tendon, departing 1.5-2 cm from its end, piercing the tendon obliquely with one and the other needle with crossing the thread in the thickness of the tendon, removing the ends of the thread through the end of the tendon, similarly holding the thread at the other end of the tendon and tying the ends of the threads with the formation of intra-trunk sutures / A.F. Krasnov, V.M. Arshin, V.V. Arshin. Traumatology. Directory. Rostov-on-Don, Phoenix Publishing House. - 1998 .-- 608 p. S. 252-254 /.

The disadvantage of this method is the deformation of the tendon, violation of the sliding tendon apparatus, violation of the intra-blood flow.

Closest to the proposed method is a method of applying a tendon suture / RF patent No. 2290886, publ. January 10, 2007 /, which consists in conducting the thread in the transverse direction and the formation of two diametrically located loops through which both ends of the thread are intra-barrel, the latter are brought closer to the end surface of the tendon, also two diametrically located loops are formed, and then both ends of the thread are inserted intra-barrel end surface of the tendon. All the above manipulations are repeated at the second end of the tendon, the two ends of the tendon are brought together and the threads fix the interstitial interrupted sutures between them.

The disadvantage of this method is the technical complexity of execution, violation of the sliding tendon, violation of the intra-blood flow, the possibility of the formation of a corrugating effect.

The objective of the invention is to increase the reliability, simplicity and quality of the tendon joint.

The essence of the invention lies in the fact that the method of applying a tendon suture involves gripping a needle with a thread, departing 2-3 cm from the damaged end of the tendon, up to 5% of the tendon fiber, forming a tightening loop with a thread through which a needle with a thread is diametrically passed through the tendon, puncturing it on the opposite side and forming a second tightening loop, also capturing up to 5% of the tendon fiber, then the thread is diagonally intra-barrel carried to the opposite side of the tendon towards the stitched end, the needles are punctured and stitching tendon are its diagonal vnutristvolno down to the lower end edge, forming a distal loop contracting support in 0.5 cm from the end of the damaged tendon through which thread vnutristvolno outputted into the damaged tendon end; all manipulations are repeated with the second end of the thread on the tendon from the opposite side, and the corresponding ends of the threads removed intrafuscularly from the damaged ends of the tendons are connected by nodes.

The invention is illustrated by graphic images: FIG. 1 - steps for performing a tendon suture, FIG. 2 - general view of the tendon suture.

The proposed method of applying a tendon suture is implemented as follows.

One of the known methods is preparing the ends of the damaged tendon for applying a tendon suture. Leaving 2-3 cm from the damaged end of the tendon (Fig. 1) and capturing with a needle with a thread up to 5% of the tendon fiber, form a tightening loop1 through which a needle and thread are diametrically passed through the tendon, puncturing it on the opposite side and forming a tightening loop 2 , also capturing up to 5% tendon fiber. Next, the thread is diagonally intra-barrel conducted on the opposite side of the tendon, towards the stitched end, a needle is punctured in place 3 and, stitching the tendon, it is diagonally downward intra-trunk to the lower end edge, forming a distal tightening support loop 4 0.5 cm from the damaged end of the tendon through which the thread is intra-barrel removed to the damaged end of the tendon. All manipulations are repeated with the second end of the thread on the tendon from the opposite side. Using the same technique, the other end of the tendon is sutured. The ends of the threads removed intra-stem from the damaged ends of the tendons are respectively connected to each other by a node 5 (Fig. 2).

The technical result of the use of the invention is to fix and adapt the damaged ends of the tendon and the distribution of the load on it between the formed loops without breaking and deformation in the area of the tendon injury.

Claims (1)

A method for applying a tendon suture, including grasping with a needle and thread, 2-3 cm away from the damaged end of the tendon, up to 5% of the tendon fiber, forming a tightening loop with a thread through which a needle and thread are diametrically passed through the tendon, puncturing it on the opposite side and forming a second the tightening loop, also capturing up to 5% of the tendon fiber, then the thread is diagonally intra-barrel carried out on the opposite side of the tendon towards the stitched end, the needle is punctured and, flashing the tendon, conduct its diagnosis tionally vnutristvolno down to the lower end edge, forming a distal loop contracting support in 0.5 cm from the end of the damaged tendon through which thread vnutristvolno outputted into the damaged tendon end; all manipulations are repeated with the second end of the thread on the tendon from the opposite side, and the corresponding ends of the threads removed intrafuscularly from the damaged ends of the tendons are connected by nodes.

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