RU1810049C - Congenital hip dislocation treatment method - Google Patents

Abstract

The invention relates to medicine, namely to orthopedics. The goal is the prevention of coxarthrosis. Essence: open the joint cavity, form two flaps on the feeding legs from the own capsule of the joint, envelop the femoral head with one flap, and the bottom of the acetabulum with the other.

Description

The invention relates to medicine, namely to orthopedics and traumatology,

The purpose of the invention is the prevention of coxarthrosis.

The invention is carried out as follows.

After opening soft tissues and exposing the proximal femur, the apex of the greater trochanter with the annual muscles attached to it is beaten off and the joint capsule is sharply and bluntly on all sides from adjacent tissues.

Then, the upper lateral hemisphere of the articular cavity is cut off from the point of attachment to the upper edge of the acetabulum, dissected on both sides of the sides and recline. The lower hemisphere of the joint capsule is mobilized and cut off at the point of attachment to the lower surface of the femoral neck. The soft tissue growths are removed from the cavity, and if necessary, deepen it. The upper hemisphere (flap) of the joint capsule on the wide feeding leg envelops the femoral head and hem at the base of the neck, and the bottom of the acetabulum is lined with the lower hemisphere (rag) of the capsule on the wide feeding leg and hemmed at the upper edge of the acetabulum. Then the head is pushed into the cavity. The apex of the greater trochanter, together with the annual muscle attached to it, is fixed on its bed. The wound is sutured in layers and tightened for 3 weeks with a one and a half hip bandage with fixation of the operated limb. Then the dressing is turned into a gypsum digger, X-ray control is performed and the development of movements in the operated joint begins. Joint function is restored within 3–4 weeks after the initiation of rehabilitation treatment.

Example. Sick D., 10 years old, diagnosis: congenital dislocation of the left thigh.

A cut from the anteroposterior spine to the greater trochanter and further down along the thigh is dissected in layers, skin, subcutaneous tissue and wide fixation of the thigh. The chisel cut off the apex of the greater trochanter together with the annual muscles attached to it, taken to zero forceps and made upward. The capsule is eaten from all sides

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divided from adjacent tissues. Then the upper flap is cut out, it is cut off from the upper front-back sections of the cavity, the femoral head is wrapped in it and the free edges of the flap are connected by sutures. The lower flap is cut off from the lower-anterior-posterior sections of the neck and is lined with a cavity. In this case, the flap is hemmed to the anterior-upper-posterior edge of the cavity. The head is set into the cavity, the skewer is hemmed to its original place. The limbs were given a functionally advantageous position and a plaster cast was applied for 3 weeks. After that, X-ray control was performed and the development of movements in the operated joint was started. After 3 weeks, joint function restored

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completely. On the roentgenogram, 3.5 months after surgery, the joint gap is wide, the joint is stabilized, the function is fully restored.

Formula of the invention A method for treating congenital dislocation of the hip by arthrotomy of the hip joint, forming a flap on the feeding leg from its own capsule of the joint, wrapping the femoral head, characterized in that, in order to prevent coxarthrosis, they additionally form a second flap, mobilizing the lower hemisphere of the joint capsule and compartment at the place of its attachment to the lower surface of the femoral neck, and cover the acetabulum with it.