SU1058558A1 - Method of treatment of bone deffects - Google Patents

Abstract

METHOD OF TREATING BONE DEFECTS by replacing them with free bone grafts, characterized in that, in order to accelerate revascularization and graft restructuring in the treatment of clavicle defects, the graft is enveloped with trapezoid muscle and pectoralis major muscle.

Description

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

There is a known method of replacing bone defects by replacing them with free-bone autografts (jlj.

The disadvantage of the method is the long-term revascularization and reconstruction of the free bone graft.

The purpose of the invention is the acceleration of revascularization and restructuring of the free bone graft in the treatment of clavicle defects.

This goal is achieved by the fact that, according to the method of treating bone defects by replacing them with free bone grafts, the latter is wrapped in a muscle case of trapezoidal fibers and pectoralis major muscle.

The method is carried out as follows.

In the position of the patient on his back with a cushion along the spine from C to Th - 8, an incision is made along the collarbone. Sharply and stupidly expose the ends of the clavicle, mobilize, refresh their ends and process them in the form. Ate 1 1x cones, excised scar tissue between the remains of the clavicle to the neurovascular bundle. The latter is covered with muscle fibers taken from the pectoralis major and trapezius muscles. Take subperiosteal two transplants of staff from 9 and 10 ribs to the right

up to 6-8 cm on the front axillary line. Their ends are split to a depth of 2-2.5 cm along the plane of the rib. The clavicle ends are inserted into the grafts. Through channels are made through channels through the ends of the autopsy of the implants and the ends of the clavicle at the place of their contacts. Two nylon threads and the joints of the grafts are connected with the ends of the clavicle through the holes and twisted around the seams.

The front wall of the muscular sheath is formed from a part of the separated fibers of the large thoracic and trapezoidal crushed over the formed keys5. Wounds sewn up in layers. An octagonal mnagus is placed on the patient, and then (after removing the stitching), a plaster bandage with a wooden cross on the back.

Fixation in a gypsum belt for up to 6 weeks, after which exercise therapy, massage.

PRI me R. Patient F., 7 years old, 5 enrolled with congenital defects of both clavicles. Operation 15.01.81, according to the authors' method. Immobilization with gypsum for 1.5 months. In b months after surgery, both newly formed clavicles are radiologically determined, and the graft adaptation is good. The function of the upper limbs is normal.

The proposed method allows for the acceleration of revascularization and reconstruction of a free bone graft.

Claims (1)

METHOD FOR TREATING BONE DEFECTS by replacing them with free bone grafts, characterized in that, in order to accelerate revascularization and rearrangement of the grafts in the treatment of clavicle defects, the graft is wrapped in a muscle case of trapezius and pectoralis major muscle fibers. Joint venture 00 joint venture Joint venture