SU1039485A1 - Method of operation treatment of deforming arthrosis of knee joint - Google Patents

Abstract

METHOD FOR SURGICAL TREATMENT arthrosis deformans KNEE by high osteotomy leg bones, their shortening, correcting the tibia axis and the displacement of the distal fragment of the tibia anteriorly, characterized in that in order to provide a durable fixation of bone fragments at the distal and proximal fragments of the tibia is formed Chippers, with the help of which the bone fragments are fixed in a predetermined position. (L

Description

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This invention relates to medicine, namely to traumatology and orthopedics.

There is a method of surgical treatment of deforming arthrosis of the knee joint by high osteotomy of the tibia and displacement of the distal fragment anteriorly 1.

The disadvantage of this method is the risk of displacement of fragments and their non-elimination.

There is a method of surgical treatment of deforming arthrosis of the knee joint by high osteotomy of the tibia, followed by repositioning of the distal bone fragment anteriorly and osteosynthesis using a compression distractor apparatus 2.

The disadvantage of this method is the possibility of displacing the bone fragments after the operation.

The aim of the invention is to provide a firm fixation of the bone fragments after osteotomy.

The goal is achieved by the method of surgical treatment of deforming arthrosis of the knee joint by high osteotomy of the shin bones, shortening them, correcting the axis of the shin and displacing the distal fragment of the tibia anteriorly, fix the fragments of the tibial bone in the distal and proximal fragments of the tibial bone. preset position.

The method is carried out as follows.

The tibial bone is dissected in the area of micelles in the transverse plane below the articular cartilage. Transverse transversely m: lobinger bone on the border of the upper and middle third. Both bones are shortened by an amount from 0.8 to 1.0 cm, depending on the degree of tension of the muscles surrounding the knee joint. On the front surface of the tibia, a front spike is cut out, on the back surface

back pinch The tibial fragments are juxtaposed, the distal fragment is shifted anteriorly by 1.5 cm, the anterior pinch is inserted into the distal fragment, the posterior fragment is inserted into the proximal fragment.

Example. Patient K-, 45 years old, was admitted due to deforming gonarthrosis. The operation was performed - a high transmixed osteotomy and tibia. At the same time, on the proximal bone fragment, a pinch is formed at the front, and at the distal bone, at the back. The distal fragment is displaced anteriorly, after which the anterior pinch is embedded in the distal fragment, and the posterior one is proximal. Mutual fixation of bone fragments was achieved. Vneshn plaster immobilization - for 2 months. At present, the patient is walking, does not present any complaints, movement in the knee joint is in full.

Q The proposed method allows to prevent the displacement of bone fragments after surgery.

Claims (1)

METHOD FOR OPERATIVE TREATMENT OF KNEE JOINT DEFORMING ARTHROSIS by high osteotomy of the tibia bones, their shortening, correction of the tibial axis and displacement of the distal tibia anteriorly, characterized in that, in order to ensure strong fixation of the bone fragments, on the distal and proximal bone with which bone fragments are fixed in a given position. SU „1039485