SU1503774A1 - Method of treatment of deforming artrosis of the knife joint - Google Patents
Method of treatment of deforming artrosis of the knife joint Download PDFInfo
- Publication number
- SU1503774A1 SU1503774A1 SU864143137A SU4143137A SU1503774A1 SU 1503774 A1 SU1503774 A1 SU 1503774A1 SU 864143137 A SU864143137 A SU 864143137A SU 4143137 A SU4143137 A SU 4143137A SU 1503774 A1 SU1503774 A1 SU 1503774A1
- Authority
- SU
- USSR - Soviet Union
- Prior art keywords
- osteotomy
- treatment
- deforming
- artrosis
- knife joint
- Prior art date
Links
- 238000000034 method Methods 0.000 title claims 2
- 239000012634 fragment Substances 0.000 claims abstract description 7
- 210000003414 extremity Anatomy 0.000 claims abstract description 5
- 210000002303 tibia Anatomy 0.000 claims abstract 2
- 210000000629 knee joint Anatomy 0.000 claims description 2
- 208000003947 Knee Osteoarthritis Diseases 0.000 claims 1
- 238000004904 shortening Methods 0.000 claims 1
- 201000008482 osteoarthritis Diseases 0.000 abstract description 3
- 210000003127 knee Anatomy 0.000 abstract description 2
- 238000005553 drilling Methods 0.000 abstract 1
- 239000003814 drug Substances 0.000 abstract 1
- 230000000399 orthopedic effect Effects 0.000 abstract 1
- 210000000988 bone and bone Anatomy 0.000 description 6
- 208000006820 Arthralgia Diseases 0.000 description 1
- MNNAZMRVPBGURT-UHFFFAOYSA-N Medinin Natural products CC1(COC2OC(CO)C(OC3OC(CO)C(O)C(O)C3O)C(O)C2O)CCCC4(C)C(CCC5=CC(=O)OC5)C(=C)CCC14 MNNAZMRVPBGURT-UHFFFAOYSA-N 0.000 description 1
- 208000006735 Periostitis Diseases 0.000 description 1
- 241000469816 Varus Species 0.000 description 1
- 230000006978 adaptation Effects 0.000 description 1
- 230000037005 anaesthesia Effects 0.000 description 1
- 210000001185 bone marrow Anatomy 0.000 description 1
- 210000004439 collateral ligament Anatomy 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 230000008030 elimination Effects 0.000 description 1
- 238000003379 elimination reaction Methods 0.000 description 1
- 229910052602 gypsum Inorganic materials 0.000 description 1
- 239000010440 gypsum Substances 0.000 description 1
- 210000003041 ligament Anatomy 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 210000003460 periosteum Anatomy 0.000 description 1
- 210000000689 upper leg Anatomy 0.000 description 1
- 230000002792 vascular Effects 0.000 description 1
Landscapes
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
Abstract
Изобретение относитс к медицине, а именно к ортопедии в лечении деформирующего артроза коленного сустава. С целью сохранени длины конечности остоеотомию большеберцовой кости производ т под тупым углом, открытым кпереди, заднюю сторону его формируют сверлением одноразмерных отверстий, смещают дистальный фрагмент кпереди с последующей фиксацией.This invention relates to medicine, in particular to orthopedics in the treatment of knee arthrosis deformans. In order to preserve the length of the limb, the osteotomy of the tibia is performed at an obtuse angle open to the front, the back side is formed by drilling one-dimensional holes, the distal fragment is displaced anteriorly, followed by fixation.
Description
Изоб)етение ()тноситс к мединине, а именно к орг(Я1едии и тpdвм тoлoгии в лечении деформирующего артроза коленногм сустава.The image () is attributed to medinin, namely to the org (H1H and tpdvm tologii in the treatment of deforming arthrosis of the knee joint.
Цель изобретени предупреждениеThe purpose of the invention is a warning
укорочени конечности.shorten limbs.
Снособ осунгествл ют следующим образом .The way of perpetration is as follows.
Одним из известны.х доступов обнажают область надмышелка болынеберцовой кости. Рассекают ионеречны.м углообразным разрезом и отдел ют надкостницу. Пр мым или угловым долотом намечают .тинию осте(.)то- мии нод углом 135°. Свер.том соответствующего диаметра в зависимости от величины необходимого с.менич1и с{ рагментов, как правиле.) 8 мм, по задней линии остеотомии (})ормируют р д одноразмерных сонрикасаю- ши.хс сквозны.х отверстий тоннелей. Пр - м)1м до.тотом или нилой Джигли нересекают кость но нередней линии остеотомии. Цере- сечение кости осущесгв.т етс вынге места прикреплени собственной св зки надко.тен- ника 3 и ниже боковой св зки. Разобгцив фрагменты, дистальный фрагмент смещают Kiiepe.ui до плотного зацеплени костей в области отверстий - кана.тов. Цосле ушивани раны конечность фиксируют гипсовоOne of the known accesses exposes the region of the argynus of the tibial bone. Dissect the ionreins. An angular incision and separate the periosteum. A straight or angled chisel marks the blue line (.) Of the node volume with an angle of 135 °. With the appropriate diameter, depending on the size of the required replacement with {as the rule.) 8 mm, along the back line of the osteotomy (}) form a series of one-dimensional sonrikas-shih.hs through tunnel holes. Pr - m) 1m before .tot or niley Djigly do not cut the bone but not the average line of osteotomy. The bone intersection is carried out by removing the point of attachment of the ligament of the supercoat 3 and below the lateral ligament. Having unraveled the fragments, the distal fragment displaces Kiiepe.ui until the bones are tightly hooked in the area of the holes - channels. Tsosle wound closure limb fix gypsum
пов зкой или аппаратом внеоча1овой фиксации на 4- -5 неде.ть, затем назначают .те- чебную гимнастику, массаж мыпш бедра и голени. Чем ближе к горизонтали передн плоскость остеотомии, те.м меньик- yKojio- чение конечности.with a dressing device or extracural fixation device for 4-5 minutes, then designate a gymnastics, massage of the thigh and lower leg. The closer to the horizontal is the anterior osteotomy plane, ie, the tempered limb.
Пример. Больной Г. ностуни.т в отде.те- ние с диагнозом: Деформирующий артроз правого коленного и пателлофемора.тьнсл о суставов, варусна деформаци . Цроизведе- на операци . Цод перидуральной анестезией обнажены мышелю бо.тьшеберцово кости двум поперечными разрезами. С медиальной стороны намечена лини угловой остеотомии под углом 135. Сверлом (диаметром 8 мм) по задней линии остеотомии сфо П1иро- вано 4 одноразмерных соприкасаюн1ихс сквозны.х отве)стий - туннелей во фрон1а. ной плоскости. Цр мым долотом пересечена кость по передней линии остеотомии. 1 аз- общенные фрагменты фиксированы аннара- го.м Цлизарова, произведено устранение ва- русной деформации. В последующие дни произведено постепенное смешение диста.ть- ного фрагмента кпереди (вентрализаин ). На грамме через 3 неде.ти определ етс хороша адаптаци и сращение 4 рагментон.Example. Patient G. nostuni.t. in the department with a diagnosis of deforming arthrosis of the right knee and patellophorus. Joint pain, varus deformity. Manufactured. The peridural anesthesia center is exposed to the muscle of the bone marrow bone in two transverse cuts. Angular osteotomy is indicated on the medial side at an angle of 135. A 4-dimensional contiguous junction of the front-facing tunnels is measured by a drill (8 mm in diameter) along the posterior osteotomy line. Noah plane. The bone is crossed by the anterior line of the osteotomy. 1, the generalized fragments were fixed by Annarago. Zizarov, the elimination of vascular deformity was performed. In the following days, a distant fragment anteriorly (ventralizain) was gradually mixed. On the gram after 3 weeks, a good adaptation and adhesion of 4 ragmenton is determined.
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Claims (1)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| SU864143137A SU1503774A1 (en) | 1986-09-16 | 1986-09-16 | Method of treatment of deforming artrosis of the knife joint |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| SU864143137A SU1503774A1 (en) | 1986-09-16 | 1986-09-16 | Method of treatment of deforming artrosis of the knife joint |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| SU1503774A1 true SU1503774A1 (en) | 1989-08-30 |
Family
ID=21265993
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| SU864143137A SU1503774A1 (en) | 1986-09-16 | 1986-09-16 | Method of treatment of deforming artrosis of the knife joint |
Country Status (1)
| Country | Link |
|---|---|
| SU (1) | SU1503774A1 (en) |
-
1986
- 1986-09-16 SU SU864143137A patent/SU1503774A1/en active
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