SU1255115A1 - Method of exposing the roof of cotyloid cavity - Google Patents

Description

The invention relates to. to medicine, namely to the type of operative access to the hip joint.

The purpose of the invention is to reduce the trauma of the operation and increase the access area.

The method is carried out in the following sequence.

With the dissection of the soft tissues of the abdomen and the anterior surface of the thigh along the crest of the ilium, the aponeurosis of the external obliquus of the abdomen and the pupartum ligament is exposed. The external oblique muscle of the abdomen is dissected and the Capparate ligament is cut along the border of its external third and middle third along the Capparate ligament.

The outer oblique torso of the abdomen and its aponeurosis are displaced internally, the abdominal muscle and the transverse abdominal muscle, expose the iliac muscle, and displace it medially, thereby exposing the acetabulum.

Example. Injured N. - 48 years old was admitted with a diagnosis: acetabular roof fracture with displacement of bone fragments into the cavity

Compiled by P. Filippov Editor S. Patrusheva Tehred L. Serdyukova Proofreader I. Muska

Order 4737/3 Circulation 660 Subscription VNIIPI USSR State Committee

for inventions and discoveries 113035, Moscow, Zh-35, Raushsk nab., 4/5

Production and printing company, Uzhgorod, Projecto st., 4

2551152

pelvis. The patient is prepared for surgery. The course of surgery; a soft tissue incision was made along the iliac crest with the transition to the hip area, the external abdominal obliquus, its aponeurosis and pupartar ligament were exposed, the external braid muscle and its aponeurosis, and the pupartic ulcer were cut

To the border of the middle and outer thirds, the internal and transverse abdominal muscles are dissected and displaced medially, and the iliac muscle of the inner leg is displaced. The fragments of the crust and the acetabulum are exposed, repaired and fixed with screws. The surgical wound is sutured in layers, aseptic dressing is applied. After the operation, the patient underwent skeletal stretching for the tibial tuberculosis for one month with a weight of 3-5 kg. For 4 months, the patient did not load the limb on the side of the damage to the acetabular roof. After 5.5 months

25 from the day of injury the patient began work. Control radiographs of the acetabulum and the acetabulum show full consolidation of bone fragments.

Claims (1)

METHOD FOR DETERMINING THE SURFACE OF THE SURFACE OF THE SLEEP DEPTH by dissecting the soft tissues of the abdominal wall along the ilium wing, continuing along the pupar ligament, about. It is characterized by the fact that, in order to reduce the invasiveness of the operation and increase the access area, after mobilizing the outer middle third of the pupartic ligament, they cut it at the border of the external and middle third, as well as the internal and transverse abdominal muscles, expose the iliac muscle and displace it inside.