SU1146025A1 - Method of restoring supporting ability of lower extremity in case of congenital hip dislocation - Google Patents
Method of restoring supporting ability of lower extremity in case of congenital hip dislocation Download PDFInfo
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- SU1146025A1 SU1146025A1 SU833618633A SU3618633A SU1146025A1 SU 1146025 A1 SU1146025 A1 SU 1146025A1 SU 833618633 A SU833618633 A SU 833618633A SU 3618633 A SU3618633 A SU 3618633A SU 1146025 A1 SU1146025 A1 SU 1146025A1
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- femur
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- restoring
- congenital hip
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Abstract
СПОСОБ ВОССТАНОВЛЕНИЯ ОПОРОСПОСОБНОСТИ НИЖНЕЙ КОНЕЧНОСТИ ПРИ ВРОЖДЕННОМ ВЫВИХЕ БЕДРА путем остеотомии бедренной кости, наложени компрессионно-дистракционного аппарата последующего удлинени бедра, отличающийс тем, что, с целью снижени травматичности операции, от внутреннего отдела -подвертельной области отсекают кортикальную пластинку, перемещают ее до упора к седалищной кости дозированным выкручиванием удлиненного шурупа через прокол в бедренной кости.THE METHOD OF RESTORING THE LEVEL OF THE LOWER LIMB IN THE CONGENITAL DISCIPLES OF THE HIP by osteotomy of the femur, by applying a compression and distraction apparatus of the subsequent extension of the hip, which is in that the internal areas of the area of the region will have this area. bones dosed out twisting the elongated screw through a puncture in the femur.
Description
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Изобретение относитс к медицине, а именно к хирургическим способам восстановлени опороспособности нижней конечности при врожденном вывихе бедра.This invention relates to medicine, in particular to surgical methods for restoring the support ability of a lower limb in patients with congenital dislocation of the hip.
Целью изобретени вл етс снижение травматичности операции.The aim of the invention is to reduce the morbidity of the operation.
Способ осуществл ют следующим образом .The method is carried out as follows.
По наружной поверхности верхней трети бедра производ т продольный разрез кожи. Послойно рассекают ткани до бедренной кости, поднадкостнично обнажают участок бедренной кости по ее наружной поверхности. Затемдолотом от внутреннего отдела подвертельной области без нарушени прилегающих м гких тканей отсекают кортикальную пластинку. На этом же уровне в наружной кортикальной пластинке просверливают отверстие, через которое ввод т удлиненный шуруп с резьбой. Шуруп, проход через отверстие , упираетс концом в отсеченную кортикальную пластинку. Задний конец шурупа выступает над кожей. ОперационнуюA longitudinal skin incision is made along the outer surface of the upper third of the thigh. Layers dissect the tissue to the femur, subperiosteal expose the area of the femur along its outer surface. Then, the cortical plate is cut off from the internal part of the sub-tail area without disturbing the adjacent soft tissues. At the same level, a hole is drilled in the outer cortical plate through which an elongated screw with thread is inserted. The screw, the passage through the hole, rests against the cut end of the cortical plate. The back end of the screw protrudes above the skin. Operating room
рану защивают наглухо. Затем через межвертельную область и среднюю треть бедра провод т по две перекрещивающиес спицы, к которым Креп т дуги аппарата Илизарова. Дуги неподвижно соедин ют между собой, между дугами укрепл ют п анку, к которой фиксируют выступающий конец удлиненного щурупа. В нижней трети бедра на трех перекрещивающихс спицах креп т кольцо, которое прикрепл ют к нижней полудуге дистракционными стержн ми. Через небольщой разрез кожи по наружной поверхности бедра производ т поперечную остеотомию бедренной кости в метадиафизарной зоне. Через 7-10 дн. после операции начинают ввинчивание удлиненного щурупа и дистракцию дистального фрагмента бедренной кости. Эти манипул ции, контролируемые рентгенограммами , производ т до соприкосновени отсеченной кортикальной пластинки с седалищной костью, а также до выравнивани относительных длин оперированной и здоровой конечностей.wound is protected tightly. Then, two intersecting spokes are held through the intertrench region and the middle third of the thigh, to which the arches of the Ilizarov apparatus are attached. The arcs are fixedly interconnected, and an ankle is fastened between the arcs, to which the protruding end of the elongated shred is fixed. In the lower third of the thigh, a ring is attached to the three intersecting spokes, which is attached to the lower half-circle by distraction rods. Through a small incision of the skin on the outer surface of the thigh, transverse osteotomy of the femur is performed in the metaphyseal zone. After 7-10 days after the operation, screwing the elongated schurup and distraction of the distal fragment of the femur begin. These radiographically controlled manipulations are performed until the severed cortical plate is in contact with the ischium and the relative lengths of the operated and healthy limbs are aligned.
Claims (1)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| SU833618633A SU1146025A1 (en) | 1983-07-07 | 1983-07-07 | Method of restoring supporting ability of lower extremity in case of congenital hip dislocation |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| SU833618633A SU1146025A1 (en) | 1983-07-07 | 1983-07-07 | Method of restoring supporting ability of lower extremity in case of congenital hip dislocation |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| SU1146025A1 true SU1146025A1 (en) | 1985-03-23 |
Family
ID=21073280
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| SU833618633A SU1146025A1 (en) | 1983-07-07 | 1983-07-07 | Method of restoring supporting ability of lower extremity in case of congenital hip dislocation |
Country Status (1)
| Country | Link |
|---|---|
| SU (1) | SU1146025A1 (en) |
-
1983
- 1983-07-07 SU SU833618633A patent/SU1146025A1/en active
Non-Patent Citations (1)
| Title |
|---|
| 1. Илизаров Г. А. и др. Тезисы докладов областной юбилейной научно-практической медицинской конференции, посв щенной 60-летию Великой Окт брьской социалистической революции. Курган, 1977, с. 142-144. * |
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