RU73603U1 - DEVICE IN THE FORM OF SPACING PANTS FOR BREAST CHILDREN - Google Patents

Abstract

The utility model relates to medicine, namely to orthopedics, non-surgical methods of treatment and can be used to treat hip dysplasia in children aged one to four months, accompanied by a pathological change in muscle tone (tone disorder syndrome). The task to be solved by the claimed utility model is to improve the quality of treatment of TPA in children with the syndrome of tone disorders by minimizing complications in the form of dystrophic processes in the proximal femur, as well as creating convenience when using the proposed device. The device contains (figure 1, 2) equipped with fixing straps 1 pattern 2, on the inner surface 3 of the front 4 and rear 5 parts of which there is a set 6 located in the center of the pattern 2 and consisting of four pockets 7 for removable inserts (not shown). And on the front part 4, there are curly cuts for the hips 8. On the outer surface 9 of the rear part 5 of the pattern 2, two sets 11 are located symmetrically relative to the longitudinal axis 10 of the device, containing three pockets 12. On the back part 5 of the pattern 2, curly cuts are made for the buttocks 13. The technical result consists in stimulating reparative processes in the hip joint by providing centering of the femoral head in the acetabulum by restoring the functional state of the muscles surrounding the hip sous tav. 1 n.p. f-ly, 13 wp crystals, 2 pic.

Description

The utility model relates to medicine, namely to orthopedics, non-surgical methods of treatment and can be used to treat hip dysplasia in children aged one to four months, accompanied by a pathological change in muscle tone (tone disorder syndrome).

Known soft strut for centering the femoral head in the acetabulum with hip dysplasia, as well as to eliminate contracture of the adductor muscles of the thigh when repositioning congenital dislocation of the thigh in children aged one to twelve months. The spacer is made of medical oilcloth and consists of a belt, straps, straps thrown over the shoulders, and soft wedges-cuffs. The belt is detachable and is connected using loops and buttons. Wedges are attached to the belt back and front separately from each other, and the spacer consists of front and rear parts. Two side straps are fixedly attached to the front of the belt at an angle of 60 °, and between them is the central strap at an angle of 90 °. From the short transverse transitional strap at an angle of 70 °, short upper straps with loops for connecting to the rear straps, on which the movable strap and buttons are located, extend upward. The back straps are strengthened by triangles and fixedly connected to the back of the belt, from which two cuffs extend downward at an angle of 70 °, sealed in the central part and having a reinforcing “patch” along the medial edge, and three straps with button loops at the front edge for attaching to buttons belts at different distances from the center. Cuffs are lengthened using inserts (RF patent No. 2256429, class A61A 5/01, 5/04. Publish. July 20, 2005 Bull. No. 20).

However, this spacer does not provide the necessary range of motion in the hip joint for tonus disorders.

Stirrups are also known for the treatment of children with hip dysplasia (TPD), including thigh straps, a brace, a belt and shoulders. The belt is made with the possibility of fastening, and the spacer is interchangeable. The belt, shoulders and shoulder straps for hips consist of two layers of braid. Moreover, in the area of the shoulders and shoulder straps for the hips, a non-creasing film is laid. In this case, the thigh straps at one end are tightly sewn to the belt from the back and are made with the possibility of passing through the popliteal fossae and fastening to the belt in front. At the free ends of the thigh straps there are two pockets for placing spacers in them and two frames for changing the working length of the thigh straps (RF patent No. 2285508, class A61A 5/01. Publ. 20.10.2006 Bull. No. 29 )

But this device also restricts movement in the hip joints due to the rigid spacers located between the knee joints, and does not take into account changes in muscle tone in the syndrome of tonus disorders.

Closest to the proposed utility model in its technical essence is a device made in the form of spacer pants and containing a pattern expanding towards the middle, elastic in the longitudinal direction, having front and rear parts and equipped with fixing straps. On the inner surface of the rear part there are pockets for removable liners, and on the front part there are curly cuts for the hips. In this case, the device is equipped with upper straps for correcting pelvic skew (certificate of the Russian Federation No. 4465, class A61A 5/37. Publish. July 16, 1997 Bul. No. 7).

The known device provides a torso position in which its asymmetric position is leveled. However, thigh dilution is achieved at the same time and, moreover, the pattern is rigid in bending in the transverse direction, which also does not allow taking into account the state of muscle tone and creates conditions for muscle imbalance.

The task to be solved by the claimed utility model is to improve the quality of treatment of TPA in children with the syndrome of tone disorders by minimizing complications in the form of dystrophic processes in the proximal femur, as well as creating convenience when using the proposed device.

The problem is solved in that in a device made in the form of spacer pants and containing expanding to the middle part, elastic in the longitudinal direction and equipped with fixing straps, a pattern on the inner surface of the back of which pockets for removable inserts are placed, and curly cuts are made on the front part for hips, additionally introduced sets of pockets of various sizes, placed on the outer surface of the back and on the inner surface of the front of the pattern, while on the back The patterns are made with cutouts for the buttocks, and the pattern is made elastic and in the transverse direction. Moreover, on the outer surface of the back of the pattern there are two sets of pockets located symmetrically relative to its longitudinal axis. And each set contains several pockets of equal length. The length of the pockets is equal to the distance from the curly neckline for the thigh to the curly neckline for the buttock. The width of the set of pockets is equal to the distance from the longitudinal axis of the pattern to the line connecting the curly neckline for the buttock with the curly neckline for the hips, and decreases from the periphery to the longitudinal axis of the device.

And on the inner surface of the front and rear parts of the pattern is one set containing several pockets located in the center of the pattern and equal in length. The length of the pockets is equal to the distance from the curly cutout for the buttocks to the upper edge of the front of the pattern. The width of the pockets increases from the longitudinal axis of the pattern device to the periphery.

The additional introduction of sets of different sizes of pockets provides, together with the corresponding liners, the most favorable

for the development of components of the hip joint, the position of the hips (adduction, abduction) in children with the syndrome of tone disorders due to centering of the femoral head in the cavity.

And the execution on the back of the pattern of curly cuts for the buttocks contributes to the optimal position of the device on the child.

Performing the same pattern, elastic and in the transverse direction, prevents the conditions that are dangerous for blood circulation (bending, squeezing, spasm) created at the moment of hip removal, which is the prevention of dystrophic changes in the proximal femur.

The placement on the outer surface of the back of the pattern of two sets of pockets located symmetrically relative to the longitudinal axis of the device, provides an individual position of each joint.

And the presence of several pockets in each set, located on the outer surface of the back of the pattern, prevents, due to the liners, excessive dilution of the hips.

The length of the pockets located on the outer surface of the back of the pattern, equal to the distance from the curly neckline for the hips to the curly neckline for the buttock, contributes to the optimal position of the device on the child.

And the width of the set of pockets placed on the outer surface of the back of the pattern, equal to the distance from the longitudinal axis of the pattern to the line passing between the curly neckline for the buttocks and the curly neckline for the hips, also contributes to the optimal position of the device on the child.

And the equality in length of the pockets placed on the outer surface of the back of the pattern provides the convenience of using the device and optimal conditions for centering the femoral head in the depression of the hip joint.

Decrease in the width of the pockets placed on the outer surface of the back of the pattern, in the direction from the periphery to the longitudinal axis

(for example, 1 cm.), contributes to the gradual reduction of the thigh in children with a change in muscle tone according to the hypotonic type.

The location on the inner surface of the front and rear parts of the pattern of one set, consisting of several pockets for removable inserts, provides gentle abduction of the hips.

And the length of the pockets placed on the inner surface of the front and back of the pattern, equal to the distance from the curly cutout for the buttocks to the upper edge of the front of the pattern, contributes to the convenience and creation of comfortable conditions for the child.

Equality along the length of the pockets placed on the inner surface of the front and rear parts of the pattern provides the convenience of using the device.

The additional introduction of a set of different sizes of pockets placed on the inner surface of the front and back parts and increasing (for example, 1 cm) in width in the direction from the longitudinal axis of the pattern to the periphery contributes to the gentle elimination of adductive contracture in the hip joint in children with high muscle tone.

The location of the pockets located on the inner side of the front and rear parts of the pattern in its center leads to the optimal position of the device on the child.

The technical result consists in stimulating reparative processes in the hip joint by providing centering of the femoral head in the acetabulum by restoring the functional state of the muscles surrounding the hip joint.

Figure 1 shows the outer surface of the pattern of the device, and figure 2 - the inner surface of the pattern of the device.

The device contains (figure 1, 2) equipped with fixing straps 1 pattern 2, on the inner surface 3 of the front 4 and rear 5 parts of which is placed a set 6 located in the center of the pattern 2 and consisting

of four pockets 7 for interchangeable liners (not shown). And on the front part 4, there are curly cuts for the hips 8. On the outer surface 9 of the rear part 5 of the pattern 2, two sets 11 are located symmetrically relative to the longitudinal axis 10 of the device, containing three pockets 12. On the back part 5 of the pattern 2, curly cuts are made for buttocks 13.

A device in the form of spacers for infants is used as follows.

Have the device an outer surface 9 on the changing table.

They lay the child on the device so that his buttocks coincide with the curly cutouts 13 of the pattern 2 for the buttocks. The legs of the child are bred and, skipping the front part 4 of the pattern 2 between the legs of the child, fix it with straps 1.

In the treatment of hip dysplasia in children, accompanied by hypertonic tone syndrome, sets of 11 pockets 12 located on the back 5 of the outer surface 9 of pattern 2 are not used, but a set of 6 pockets 7 located on the front 4 and back 5 of the inside surface 3 of the pattern 2. During the treatment, the size of the liners is gradually changed from the minimum size to the maximum for relaxation of the adducting muscle groups of the thigh. An x-ray study is performed. With centralization of the femoral head in the acetabulum, the achieved position of the hips is left.

In the treatment of hip dysplasia in children, accompanied by a change in muscle tone according to the hypotonic type, pockets 12 located on the outer surface 9 of the rear part 5 of pattern 2 are filled with appropriate inserts. At the same time, the size of the insert in pocket 7 of set 6 located on the inner surface 3 front 4 and rear 5 parts of pattern 2, corresponds to the minimum level

breeding hips. Perform an x-ray examination of the hip joints in order to control the relationship of the components in the joint. If necessary (for example, in the absence of centering of the head in the acetabulum), the correction of the relationship in the joint is achieved by filling the inserts of the corresponding pockets 7 and / or 12. Treatment with the device is carried out until a positive result is achieved.

Clinical example 1.

Patient P., 2 months old, was admitted to treatment at the Saratov Regional Children's Clinical Hospital with a diagnosis of Hip Dysplasia. Encephalopathy, a symptom of tonus disorders. History: childbirth in the pelvic presentation, trauma to the cervical spine. On examination: asymmetry of the gluteal-femoral folds, hypertonicity of the muscles of the lower extremities, a sharp restriction of the breeding of the hips, excessive external rotation on both sides. On the sonogram of the hip joints: the ratio of the components in the hip joints is not broken, the acetabulum is convex in shape on both sides, the edge is dysplastic, the nuclei of ossification of the cartilaginous femoral head are absent.

Treatment with the inventive device was recommended. During the treatment, in order to spare the hips, the earbuds were changed in the pockets 7 of set 6, located on the inner surface 3 of the front 4 and back 5 parts of pattern 2. The treatment was combined with therapeutic exercises, massage, thermal procedures aimed at relaxing the leading muscle groups, improving blood circulation and stimulation of reparative processes in the tissues of the joint. After 2 weeks of treatment, the child noted a decrease in pathological hypertonicity and a decrease in adductor contracture in the hip joint. And after 2 months on the control sonogram and x-ray of the hip joints, the development of joint components was noted. The result of the treatment is rated as good.

Clinical example 2.

Patient G., 3 months old, was admitted for treatment to the state healthcare institution “Saratov Regional Children's Clinical Hospital” with a diagnosis of Hip Dysplasia. Encephalopathy, a symptom of tonus disorders. History: childbirth in the pelvic presentation, trauma to the cervical spine. On examination: asymmetry of the buttock-femoral folds, hypotension of the muscles of the lower extremities, excessive dilution of the hips, their excessive external and internal rotation on both sides. On the x-ray of the hip joints: the slanting of the "roof" of the acetabulum, the absence of centers of ossification of the cartilaginous femoral head, violation of the Shenton line on both sides.

Treatment with the inventive device was recommended. During treatment, in order to center the head in the acetabulum, the pockets 12 located on the outer surface 9 of the rear part 5 of the pattern 2 were filled with the corresponding inserts. At the same time, the size of the insert in pocket 7 of the set 6 located on the inner surface 3 of the front 4 and the back 5 parts of pattern 2, corresponded to the level of minimal dilution of the hips. This relatively ensured the balance between muscle antagonists. The treatment was combined with medical gymnastics, massage, thermal procedures aimed at improving blood circulation and stimulating reparative processes. An X-ray examination of the hip joints was performed in order to control the relationship of the components in the joint. If necessary (for example, in the absence of centering of the head in the acetabulum), the correction of the relationship in the joint was achieved by filling the pockets with the inserts. After 3 months, an x-ray (sonogram) indicates the development of all components of the hip joint. The result of the treatment is rated as good.

Claims (14)

1. The device, made in the form of spacer pants and containing expanding towards the middle part, elastic in the longitudinal direction and equipped with fixing straps, a pattern on the inner surface of the back of which there are pockets for removable inserts, and on the front part there are shaped cutouts for the hips, characterized in that it additionally introduced sets of different sizes of pockets located on the outer surface of the back and on the inner surface of the front and back of the pattern, while on the back STI pattern formed shaped cutouts for the buttocks, and the pattern is made elastic in the transverse direction. 2. The device according to claim 1, characterized in that on the outer surface of the back of the pattern are two sets of pockets. 3. The device according to claim 2, characterized in that the sets of pockets are located symmetrically relative to its longitudinal axis. 4. The device according to claim 2, characterized in that each set contains at least three pockets. 5. The device according to claim 4, characterized in that the length of the pockets is equal to the distance from the curly neckline for the thigh to the curly neckline for the buttock. 6. The device according to claim 4, characterized in that the pockets are equal in length. 7. The device according to claim 4, characterized in that the width of the set of pockets is equal to the distance from the longitudinal axis of the pattern to the line passing between the curly neckline for the buttocks and the curly neckline for the hips. 8. The device according to claim 4, characterized in that the width of the pockets decreases in the direction from the periphery to the longitudinal axis. 9. The device according to claim 1, characterized in that on the inner surface of the front and rear parts of the pattern is one set of pockets. 10. The device according to claim 9, characterized in that the set of pockets is located in the center of the pattern. 11. The device according to claim 9, characterized in that the set contains at least four pockets. 12. The device according to claim 11, characterized in that the length of the pockets is equal to the distance from the curly cutout for the buttocks to the upper edge of the front of the pattern. 13. The device according to claim 11, characterized in that the pockets are equal in length. 14. The device according to claim 11, characterized in that the width of the pockets increases in the direction from the longitudinal axis of the pattern to the periphery.