RU2139690C1 - Method of application of tendon suture - Google Patents

Method of application of tendon suture Download PDF

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Publication number
RU2139690C1
RU2139690C1 RU96105655A RU96105655A RU2139690C1 RU 2139690 C1 RU2139690 C1 RU 2139690C1 RU 96105655 A RU96105655 A RU 96105655A RU 96105655 A RU96105655 A RU 96105655A RU 2139690 C1 RU2139690 C1 RU 2139690C1
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tendon
suture
thread
sides
loop
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RU96105655A
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Russian (ru)
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RU96105655A (en
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С.М. Плетиков
А.И. Свиридов
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Плетиков Сергей Михайлович
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Abstract

FIELD: medicine, traumatology. SUBSTANCE: after conduction of thread through tendon in lateral direction, applied to both sides is lateral edge loop-like suture, then, thread is conducted through loop of said suture, longitudinally, intratruncally up to outlet in endon end. Sutured in the same manner is the second part, and threads are between ends of affected tendon to ensure needed strength of suture and to prevent tissues separation and corrugation of tendon, and to preserve good sliding. EFFECT: higher efficiency.

Description

Изобретение относится к медицине, травматологии. The invention relates to medicine, traumatology.

Прототипом является шов сухожилий, предложенный Розовым. The prototype is a tendon suture proposed by Pink. В этом случае нить проводят через сухожилие в поперечном направлении, затем из дополнительных вколов оба конца нити проводят параллельно волокнам сухожилия к срезу. In this case the thread is passed through the tendon in the transverse direction, then from the other puncture both ends of the filament fibers of the tendon is carried out parallel to the outlet. После аналогичного проведения другой нити через второй отрезок сухожилия нити завязывают / Травматология и ортопедия. After a similar conducting another thread through the second segment of the tendon strands knotted / Traumatology and Orthopedics. /Под ред. / Ed. Г.С.Юмашева. G.S.Yumasheva. М.: Медицина, 1990 г., стр. 109/ M .: Medicine, 1990, p. 109 /
Этот шов не выдерживает большой нагрузки и легко прорезывается, разволокняет сухожилие, гофрирует его, что создает препятствие для скольжения в сухожильном канале, вследствие чего происходит образование рубцов, контрактур. This seam can not withstand high loads and easily cut through, razvoloknyaet tendon corrugate it, which creates an obstacle for sliding in tendon channel, whereby the formation of scar contractures.

Целью изобретения является повышение прочности шва, устранение возможности образования рубцов и контрактур. The aim of the invention is to improve seam strength, eliminate the possibility of scarring and contracture.

Указанная цель достигается тем, что после проведения нити через сухожилие в поперечном направлении с обеих сторон накладывается поперечный краевой петлеобразный шов, затем через петлю этого шва продольно внутриствольно проводится, нить до выхода в торце сухожилия, также прошивается второй отрезок сухожилия и нити завязываются между концами поврежденного сухожилия. This object is achieved in that after the thread through the tendon laterally from both sides of superimposed transverse edge folded seam, then through this seam loop longitudinally vnutristvolno conducted, the filament to exit in the end face tendon also stitched second leg tendons and threads are fastened between the ends of the damaged tendon.

Пример. Example. Больной Шепелев Г.Б., 19 лет, история болезни N 1384 по стационару дневного пребывания 2-й гор. Sick Shepelev G., 19 years old, the history of the disease in 1384 at N hospital day stay 2nd Mountains. больницы г. Воронежа, поступил 29.III.1995 г. с диагнозом резаная рана 5 пальца левой кисти на уровне основной фаланги с повреждением сухожилий сгибателей. Hospital in the city of Voronezh, was admitted with a diagnosis of 29.III.1995 incised wound of the left hand fingers 5 at the level of proximal phalanx with damage to the flexor tendons. Больной порезал палец стеклом за два часа до поступления. Sick glass cut his finger in two hours before admission.

По скорой помощи произведен шов сухожилия глубокого сгибателя 5 пальца левой кисти. According to the ambulance carried the deep flexor tendon suture 5 left hand finger.

После проведения нити через сухожилие в поперечном направлении с обеих сторон наложен поперечный краевой петлеобразный шов, затем через петлю этого шва продольно внутриствольно проведена нить до выхода в торце сухожилия, также прошит второй отрезок сухожилия и нити завязаны между концами поврежденного сухожилия. After the thread through the tendon laterally from both sides of superimposed transverse edge folded seam, then through the loop of suture thread held longitudinally vnutristvolno the exit end in the tendon as the segment of the second stitched strand tendon and tied between the ends of the damaged tendon. Наложена активно-пассивная иммобилизация по Клейнерту. Superimposed active-passive immobilization of Kleinert. Разрешено активное разгибание с пассивным сгибанием сразу после операции. Allowed active passive flexion extension immediately after surgery. Швы сняты на 10-й день. Sutures are removed on the 10th day. Заживление первичное. Wound primary. К 10-му дню в условиях иммобилизации активно-пассивые движения проводились полном объеме. By the 10 th day in the conditions of immobilization of active-bottoming movement held its entirety. К 28 дню функциональное ведение по Клейнерту закончено, разрешены активные движения в оперированном пальце. By day 28, the functional management of Kleinert completed, allowed active motion in the operated finger. Объем движений во всех суставах восстановлен полностью. Range of motion in all joints fully restored. Через 30 дней после операции больной приступил к работе. 30 days after surgery the patient went to work.

Положительный эффект сухожильного шва заключается в следующем. The positive effect of the tendon suture is as follows. Предложенный шов повышенной прочности, т. к. нагрузка распределяется между тремя парами узлов - двумя на протяжении с обеих сторон от повреждения /при затягивании петлеобразных швов/ и одной парой между концами сухожилия. .. The proposed high strength seam that is to the load is distributed between the three pairs of nodes - two for both sides of the damage / during tightening of loop stitches / and one pair between the ends of the tendon. Это позволяет сразу после операции начинать активно-пассивное восстановление функции, препятствует образованию рубцов. This allows you to immediately after the operation start active-passive recovery function, prevents the formation of scars. Шов не разволокняет сухожилия, не прорезывается, т. к. поперечная нить фиксирована петлеобразными швами на протяжении, не гофрирует сухожилие, не деформирует его, что достигается фиксацией на трех уровнях и позволяет сохранять хорошее скольжение в сухожильном влагалище. The seam not razvoloknyaet tendon not erupt, t. K. A transverse thread fixed looping sutures over without crimp tendon does not deform it, which is achieved by fixing at three levels and allows to keep a good sliding of the tendon sheath. Техника наложения шва проста. Suture technique is simple.

Таким образом регенерация сухожилия и восстановление функции пальцев происходит одновременно. Thus the regeneration of tendons and finger function recovery occurs simultaneously. К моменту прекращения активно-пассивной иммобилизации по Клейнерту функция пальцев полностью восстанавливается / к 30 дню после операции/, что позволяет сократить сроки лечения на 30 - 40% по сравнению со среднестатистическими. At the time of termination of active-passive immobilization of the fingers Kleinert function fully restored / by the 30th day after the operation /, thereby reducing treatment time by 30 - 40% compared with the average.

Claims (1)

  1. Способ наложения сухожильного шва, заключающийся в проведении нити в поперечном направлении с последующим проведением нити с обеих сторон параллельно волокнам сухожилия по направлению к срезу и фиксации узлами между отрезками поверхностного сухожилия, отличающийся тем, что после проведения нити в поперечном направлении с обеих сторон накладывают поперечный краевой петлеобразный шов, с проведением затем нити через петлю шва продольно внутриствольно с обеих сторон до выхода в торце сухожилия. Method overlay tendon suture, comprising conducting filaments in the transverse direction, followed by the yarn on both sides parallel fibers tendon toward the slice and fixing nodes between the segments of the surface tendon, characterized in that after the thread transversely from both sides of superimposed transverse edge folded seam, and then carrying out a thread through the suture loop vnutristvolno longitudinally on both sides to release in the end of the tendon.
RU96105655A 1996-03-25 1996-03-25 Method of application of tendon suture RU2139690C1 (en)

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Cited By (27)

* Cited by examiner, † Cited by third party
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US7806908B2 (en) 1993-05-03 2010-10-05 Quill Medical, Inc. Barbed tissue connector
US7857829B2 (en) 2001-06-29 2010-12-28 Quill Medical, Inc. Suture method
US7913365B2 (en) 2001-08-31 2011-03-29 Quill Medical, Inc. Method of forming barbs on a suture and apparatus for performing same
US8032996B2 (en) 2003-05-13 2011-10-11 Quill Medical, Inc. Apparatus for forming barbs on a suture
US8083770B2 (en) 2002-08-09 2011-12-27 Quill Medical, Inc. Suture anchor and method
RU2458650C1 (en) * 2011-06-09 2012-08-20 Государственное образовательное учреждение высшего профессионального образования "Российский государственный медицинский университет Федерального агентства по здравоохранению и социальному развитию" (ГОУ ВПО РГМУ Росздрава) Method of treating injury of tendon of deep finger flexor in i zone
US8615856B1 (en) 2008-01-30 2013-12-31 Ethicon, Inc. Apparatus and method for forming self-retaining sutures
US8641732B1 (en) 2008-02-26 2014-02-04 Ethicon, Inc. Self-retaining suture with variable dimension filament and method
US8721681B2 (en) 2002-09-30 2014-05-13 Ethicon, Inc. Barbed suture in combination with surgical needle
US8721664B2 (en) 2004-05-14 2014-05-13 Ethicon, Inc. Suture methods and devices
US8734485B2 (en) 2002-09-30 2014-05-27 Ethicon, Inc. Sutures with barbs that overlap and cover projections
US8771313B2 (en) 2007-12-19 2014-07-08 Ethicon, Inc. Self-retaining sutures with heat-contact mediated retainers
US8777987B2 (en) 2007-09-27 2014-07-15 Ethicon, Inc. Self-retaining sutures including tissue retainers having improved strength
US8793863B2 (en) 2007-04-13 2014-08-05 Ethicon, Inc. Method and apparatus for forming retainers on a suture
US8875607B2 (en) 2008-01-30 2014-11-04 Ethicon, Inc. Apparatus and method for forming self-retaining sutures
US8876865B2 (en) 2008-04-15 2014-11-04 Ethicon, Inc. Self-retaining sutures with bi-directional retainers or uni-directional retainers
US8916077B1 (en) 2007-12-19 2014-12-23 Ethicon, Inc. Self-retaining sutures with retainers formed from molten material
RU2536555C1 (en) * 2013-06-18 2014-12-27 Федеральное государственное бюджетное учреждение "Научный центр реконструктивной и восстановительной хирургии" Сибирского отделения Российской академии медицинских наук (ФГБУ "НЦРВХ" СО РАМН) Method for applying tendon sutures on finger flexors
US8932328B2 (en) 2008-11-03 2015-01-13 Ethicon, Inc. Length of self-retaining suture and method and device for using the same
US8961560B2 (en) 2008-05-16 2015-02-24 Ethicon, Inc. Bidirectional self-retaining sutures with laser-marked and/or non-laser marked indicia and methods
USRE45426E1 (en) 1997-05-21 2015-03-17 Ethicon, Inc. Surgical methods using one-way suture
US9044225B1 (en) 2007-12-20 2015-06-02 Ethicon, Inc. Composite self-retaining sutures and method
US9125647B2 (en) 2008-02-21 2015-09-08 Ethicon, Inc. Method and apparatus for elevating retainers on self-retaining sutures
US9248580B2 (en) 2002-09-30 2016-02-02 Ethicon, Inc. Barb configurations for barbed sutures
US9675341B2 (en) 2010-11-09 2017-06-13 Ethicon Inc. Emergency self-retaining sutures and packaging
US9955962B2 (en) 2010-06-11 2018-05-01 Ethicon, Inc. Suture delivery tools for endoscopic and robot-assisted surgery and methods
US10188384B2 (en) 2011-06-06 2019-01-29 Ethicon, Inc. Methods and devices for soft palate tissue elevation procedures

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* Cited by examiner, † Cited by third party
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Cited By (50)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7806908B2 (en) 1993-05-03 2010-10-05 Quill Medical, Inc. Barbed tissue connector
US8246652B2 (en) 1993-05-03 2012-08-21 Ethicon, Inc. Suture with a pointed end and an anchor end and with equally spaced yieldable tissue grasping barbs located at successive axial locations
USRE45426E1 (en) 1997-05-21 2015-03-17 Ethicon, Inc. Surgical methods using one-way suture
US8764776B2 (en) 2001-06-29 2014-07-01 Ethicon, Inc. Anastomosis method using self-retaining sutures
US8747437B2 (en) 2001-06-29 2014-06-10 Ethicon, Inc. Continuous stitch wound closure utilizing one-way suture
US8764796B2 (en) 2001-06-29 2014-07-01 Ethicon, Inc. Suture method
US8777989B2 (en) 2001-06-29 2014-07-15 Ethicon, Inc. Subcutaneous sinusoidal wound closure utilizing one-way suture
US7857829B2 (en) 2001-06-29 2010-12-28 Quill Medical, Inc. Suture method
US8777988B2 (en) 2001-06-29 2014-07-15 Ethicon, Inc. Methods for using self-retaining sutures in endoscopic procedures
US8028388B2 (en) 2001-08-31 2011-10-04 Quill Medical, Inc. System for cutting a suture to create tissue retainers of a desired shape and size
US8015678B2 (en) 2001-08-31 2011-09-13 Quill Medical, Inc. Method for cutting a suture to create tissue retainers of a desired shape and size
US7913365B2 (en) 2001-08-31 2011-03-29 Quill Medical, Inc. Method of forming barbs on a suture and apparatus for performing same
US8028387B2 (en) 2001-08-31 2011-10-04 Quill Medical, Inc. System for supporting and cutting suture thread to create tissue retainers thereon
US8020263B2 (en) 2001-08-31 2011-09-20 Quill Medical, Inc. Automated system for cutting tissue retainers on a suture
US8011072B2 (en) 2001-08-31 2011-09-06 Quill Medical, Inc. Method for variable-angle cutting of a suture to create tissue retainers of a desired shape and size
US7996967B2 (en) 2001-08-31 2011-08-16 Quill Medical, Inc. System for variable-angle cutting of a suture to create tissue retainers of a desired shape and size
US7996968B2 (en) 2001-08-31 2011-08-16 Quill Medical, Inc. Automated method for cutting tissue retainers on a suture
US8926659B2 (en) 2001-08-31 2015-01-06 Ethicon, Inc. Barbed suture created having barbs defined by variable-angle cut
US8679158B2 (en) 2002-08-09 2014-03-25 Ethicon, Inc. Multiple suture thread configuration with an intermediate connector
US8652170B2 (en) 2002-08-09 2014-02-18 Ethicon, Inc. Double ended barbed suture with an intermediate body
US8690914B2 (en) 2002-08-09 2014-04-08 Ethicon, Inc. Suture with an intermediate barbed body
US8734486B2 (en) 2002-08-09 2014-05-27 Ethicon, Inc. Multiple suture thread configuration with an intermediate connector
US8083770B2 (en) 2002-08-09 2011-12-27 Quill Medical, Inc. Suture anchor and method
US8821540B2 (en) 2002-09-30 2014-09-02 Ethicon, Inc. Self-retaining sutures having effective holding strength and tensile strength
US8852232B2 (en) 2002-09-30 2014-10-07 Ethicon, Inc. Self-retaining sutures having effective holding strength and tensile strength
US9248580B2 (en) 2002-09-30 2016-02-02 Ethicon, Inc. Barb configurations for barbed sutures
US8795332B2 (en) 2002-09-30 2014-08-05 Ethicon, Inc. Barbed sutures
US8734485B2 (en) 2002-09-30 2014-05-27 Ethicon, Inc. Sutures with barbs that overlap and cover projections
US8721681B2 (en) 2002-09-30 2014-05-13 Ethicon, Inc. Barbed suture in combination with surgical needle
US8032996B2 (en) 2003-05-13 2011-10-11 Quill Medical, Inc. Apparatus for forming barbs on a suture
US8721664B2 (en) 2004-05-14 2014-05-13 Ethicon, Inc. Suture methods and devices
US8793863B2 (en) 2007-04-13 2014-08-05 Ethicon, Inc. Method and apparatus for forming retainers on a suture
US8915943B2 (en) 2007-04-13 2014-12-23 Ethicon, Inc. Self-retaining systems for surgical procedures
US8777987B2 (en) 2007-09-27 2014-07-15 Ethicon, Inc. Self-retaining sutures including tissue retainers having improved strength
US9498893B2 (en) 2007-09-27 2016-11-22 Ethicon, Inc. Self-retaining sutures including tissue retainers having improved strength
US8771313B2 (en) 2007-12-19 2014-07-08 Ethicon, Inc. Self-retaining sutures with heat-contact mediated retainers
US8916077B1 (en) 2007-12-19 2014-12-23 Ethicon, Inc. Self-retaining sutures with retainers formed from molten material
US9044225B1 (en) 2007-12-20 2015-06-02 Ethicon, Inc. Composite self-retaining sutures and method
US8875607B2 (en) 2008-01-30 2014-11-04 Ethicon, Inc. Apparatus and method for forming self-retaining sutures
US8615856B1 (en) 2008-01-30 2013-12-31 Ethicon, Inc. Apparatus and method for forming self-retaining sutures
US9125647B2 (en) 2008-02-21 2015-09-08 Ethicon, Inc. Method and apparatus for elevating retainers on self-retaining sutures
US8641732B1 (en) 2008-02-26 2014-02-04 Ethicon, Inc. Self-retaining suture with variable dimension filament and method
US8876865B2 (en) 2008-04-15 2014-11-04 Ethicon, Inc. Self-retaining sutures with bi-directional retainers or uni-directional retainers
US8961560B2 (en) 2008-05-16 2015-02-24 Ethicon, Inc. Bidirectional self-retaining sutures with laser-marked and/or non-laser marked indicia and methods
US8932328B2 (en) 2008-11-03 2015-01-13 Ethicon, Inc. Length of self-retaining suture and method and device for using the same
US9955962B2 (en) 2010-06-11 2018-05-01 Ethicon, Inc. Suture delivery tools for endoscopic and robot-assisted surgery and methods
US9675341B2 (en) 2010-11-09 2017-06-13 Ethicon Inc. Emergency self-retaining sutures and packaging
US10188384B2 (en) 2011-06-06 2019-01-29 Ethicon, Inc. Methods and devices for soft palate tissue elevation procedures
RU2458650C1 (en) * 2011-06-09 2012-08-20 Государственное образовательное учреждение высшего профессионального образования "Российский государственный медицинский университет Федерального агентства по здравоохранению и социальному развитию" (ГОУ ВПО РГМУ Росздрава) Method of treating injury of tendon of deep finger flexor in i zone
RU2536555C1 (en) * 2013-06-18 2014-12-27 Федеральное государственное бюджетное учреждение "Научный центр реконструктивной и восстановительной хирургии" Сибирского отделения Российской академии медицинских наук (ФГБУ "НЦРВХ" СО РАМН) Method for applying tendon sutures on finger flexors

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