RU38103U1 - DEVICE FOR APPLICATION OF FINAL GYpsum Dressings - Google Patents

Description

DEVICE FOR FINISHING FINISHED PLASTERS

The utility model relates to medical equipment, namely to medical devices.

Despite the further improvement of treatment methods in traumatology and orthopedics, the plaster technique has not lost its significance today. Thus, gypsum immobilization in fractures, dislocations, wounds of limbs and their segments, congenital and acquired deformities and diseases of the organs of the musculoskeletal system. We still firmly hold the lead among other means of external fixation, and often do not have a reasonable alternative. Gypsum dressings, tutors and bones can be both an independent and the main means of treating injuries and diseases of the musculoskeletal system, as well as preliminary, accompanying and completing other, including surgical methods of treatment (osteosiitis of bone fractures, arthrodesis, corrective osteotomy, lavsanO, myo-, teno-, arthro-, dermato-plastic, etc.).

The priority attitude of doctors to gypsum dressings among all means of external immobilization is due to a number of positive properties inherent in gypsum: it evenly and tightly adheres to the body, quickly hardens, and is easily removed. A properly applied gypsum dressing holds well-matched bone fragments and provides immobilization of injured limb. Hygroscopicity and porosity of gypsum gives the possibility of good aeration of the skin underneath it, minimizing the development of diaper rash on it.

Object: utility model

Author: Huseynov Asadula Huseynovich

MKI 7: A 61 V 17/34

dressings

immobilized region viniA segment of the limb dictates the need to leave a window above it, providing access to the wound during dressings (figure 1). As a prototype of the proposed device, we took a gauze lining for gypsum to protect advancing soft tissues when cutting a window when applying fenestrated gypsum dressings, described in the textbook on traumatology and orthopedics edited by H.A. Musalatov, G.S. Yumashev, L.L. Silina fdr. (1995). Before applying a plaster cast, a cotton-gauze pad is left in place of the intended window. The window is usually cut with a gypsum knife or a scalpel in the process of setting gypsum, - on a wet bandage, when it still lends itself to the cutting action of the tool. However, the fact that the lining does not provide sufficient protection and under it is a living body - the skin of the patient, the window cutting procedure becomes a dangerous probability of iatrogenic wounds. On the other hand, in order to prevent the latter, the doctor often becomes overly cautious and constrained in his actions, involuntarily delaying the manipulation. At the same time, cutting gypsum is even more difficult due to the fact that gypsum freezes before the formation of a window on it is completed. In addition, to make his movements less dangerous, the doctor does not position the scalpel’s abdomen perpendicular to the surface of the plaster cast, but somewhat obliquely - at an angle of 45-60 degrees (Fig. 2). The difference between the external and internal dimensions of the window reduces the strength and aesthetics of the gypsum dressing, makes the edges of the window ragged, and the length of the cut gypsum and, accordingly, the amount of work for the doctor is one and a half to two times more. Thus, the prototype and. Has the following disadvantages:

1) Unreliability of protection of underlying soft tissues, leaving the danger of iatrogenic wounds; hardening rwnca;

3) The flat edges of the window with the difference between its outer and inner / tm size, which, on the one hand, is unaesthetic and results in loosening of the window edge, and, on the other hand, reduces the strength of the plaster cast.

To increase the efficiency and reduce the duration of the work of a doctor cutting a window in a plaster cast, to ensure the safety of the patient's KOJKH and to increase the quality, mechanical strength and greater aesthetics of the finished plaster cast, a protector device is proposed, consisting of strips of cardboard crawling onto each other in the form of tiles, plastic or other flat and dense material. The degree of coverage of each previous strip of the next is from 1/3 to 2/3. One of the most preferred materials for the manufacture of the device is an X-ray film combining high strength with a small thickness of 0.05 cm. The strips are fixed with adhesive tape or narrow tape, one or two strips held above them on one or both sides (Fig. H) The previous designation of creeping cardboard strips on each other is twofold. First, so that after cutting out the window, it was easier to remove the protector from it in parts. Secondly, the degree of creep of the strips can be used to adjust the thickness, which means the degree of reliability of the defender. The area of the defender - to exclude the exit of the cut line of the gypsum beyond the marked frames, should prevail by 1/5 -1/3 over the size of the proposed window (Fig. 4}.

The advantages of the proposed utility model are as follows:

1) Providing reliable protection of the skin from the possibility of iatrogenic wounds;

2) The ability to maintain strength and ensure the aesthetics of the gypsum dressing due to the coincidence of the internal and external dimensions of the window (Fig. 5) with a fearless perpendicular arrangement of the scalpel abdomen to the plane of the cut gypsum;

-33} The possibility of faster execution1 for manipulating window cutting with non-extinction1U it beyond the time of setting gypsum;

4) Ease of removal from the window of the defender in parts - when removing the adhesive plaster or tape and the bands making up the device;

5) Lightness, efficiency and ease of manufacture and use of the protector.

The following observation is given as an example of the application of the proposed utility model.

Patient Y., 53 years old, was admitted to the Republican Orthopedic and Traumatology Center of the city of Makhachkala 02.16.01. with a diagnosis of open oblique overflow.m (grade B according to the classification of A.V. Kaplan and O.N. Markova) of the lower third of the left leg with displacement of fragments. From the anamnesis: 40 minutes before fasting. Fell down from the stepladder.

An emergency operation was performed: primary surgical treatment of the wound, primary repositional osteosynthesis of the lower third of the tibia of the left tibia with three Kirschner spokes, bent and left subcutaneously. Plaster cast imposed. After 4 days, after the edema subsided in the lower third of the lower leg, the longet was replaced with a fenced plaster cast.

.The latter was superimposed as follows. Given the size of the wound, - 7 S.pl.

- 6 strips, 10 cm long and 3 wide, were cut from an X-ray film

see. The stripes are folded in a tiled manner so that each subsequent 2 cm covers the previous one. They were fixed by themselves with an adhesive tape, 1.5 cm wide. In this case, a quadrangular protector was obtained, having a length of 10 cm, a width of 6 cm and a thickness of 0.15 cm (3 layers of x-ray film). The protector is laid over the wound

and a plaster cast. Prior to hardening of gypsum with a scalpel, an oblong window was cut above the wound, 8 cm long and 4 cm wide.

An aseptic dressing was placed on the surgical wound. The latter healed first; sutures were removed on the 11th day. The patient received intramuscular injections of gentailycin 80 mg 2 times a day for 8 days from the date of admission. Discharged for outpatient treatment 2.03.01g. After 2 months, the patient stepped on her left leg, and after another 1.5 months - she left the coot. The plaster cast was removed on 05/28/01. Satisfactory fracture consolidation was clinically and radiologically indicated. After icypca rehabilitation treatment (massage, .mechanotherapy), movements in adjacent joints have fully recovered. The function of the left lower limb is complete. Removal of metal structures (3 Kirschner spokes) is planned as planned when it is convenient for the patient (it is recommended not to fall off for a long time). The result of the treatment is regarded by us as good.

Thus, the proposed device for optimizing the application of a gypsum dressing is efficient, simple and economical. Its use allows faster and safer to impose a durable and aesthetically pleasing, finished gypsum dressing, which allows you to count on the introduction of herbal, mathematical and orthopedic practice and its belonging to utility models.

Claims (1)

A device for applying fenestrated gypsum dressings, consisting of identical strips fixed to each other, each of which covers the previous one by 1 / 2-2 / 3 of its width, made of dense and flat material, the area of which is 1 / 5-1 / 3 more the area of the “window” cut out on the plaster cast.