SU1184530A1 - Method of treatment of fracture and dislocation of the anterior and middle sections of the foot - Google Patents

Method of treatment of fracture and dislocation of the anterior and middle sections of the foot Download PDF

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Publication number
SU1184530A1
SU1184530A1 SU833658715A SU3658715A SU1184530A1 SU 1184530 A1 SU1184530 A1 SU 1184530A1 SU 833658715 A SU833658715 A SU 833658715A SU 3658715 A SU3658715 A SU 3658715A SU 1184530 A1 SU1184530 A1 SU 1184530A1
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USSR - Soviet Union
Prior art keywords
patterns
metatarsal
bases
foot
bone
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SU833658715A
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Russian (ru)
Inventor
Николай Александрович Корышков
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Koryshkov Nikolaj A
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Priority to SU833658715A priority Critical patent/SU1184530A1/en
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/60—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like for external osteosynthesis, e.g. distractors, contractors
    • A61B17/64—Devices extending alongside the bones to be positioned
    • A61B17/6425—Devices extending alongside the bones to be positioned specially adapted to be fitted across a bone joint

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

СПОСОБ ЛЕЧЕНИЯ ПЕРЕЛОМАВЫВИХА ПЕРЕДНЕГО И СРЕДНЕГО ОТДЕЛОВ СТОПЫ путем репозиции и фиксации стопы с помощью компрессионно-дистракционного аппарата, выт жени  за переднюю часть стопы при фиксирован ной п тке, фиксации оснований плюсневых костей двум  перекрещивающими с  спицами, отличающийс  тем, ЧТО , с целью предупреждени  рецидива заболевани  и сокращени  сроков лечени , фиксацию оснований плюсневых костей осуществл ют пропусканием наружной спицы через бугристость п той плюсневой кости и основани  четвертой и третьей плюсневых костей , а внутреннюю спицу пропускают через внутренний край основани  первой плйсневой кости и основание второй плюсневой кости, спицы нат гивают вверх, при этом одну нат гивают в направлении оси наружного поперечного свода, а другую - в направлении внутренней части поперечного свода.A method for treating fracture of the anterior and middle otdelens of the foot by repositioning and fixing the foot with a compression-distraction apparatus, stretching the front of the foot with fixed hemorrhoids, fixing the bases of the metatarsal bones with two crosses with the knitting needles, the patterns, the patterns, the patterns, the fixation of the bases of the metatarsal bones, with the help of which, with the help of the patterns, the patterns, the patterns of the metatarsal bone, are fixed by fixing the bases of the metatarsal bones, by drawing, by fixing the bases of the metatarsal bones with cross-joint with the knitting needles, the patterns, the patterns, the patterns of the metatarsal bones, and the cross, with the knitting needles, the patterns, the patterns, the patterns of the metatarsal bones, two sets of cross-joints with the needles, which are fixed by fixation of the bases of the metatarsal bones, by drawing, with the help of the teeth, the patterns, the patterns of the metatarsal bone, the pattern of the distal foot diseases and shortening the treatment time, fixing the bases of the metatarsal bones is carried out by passing the external spokes through the tuberosity of the fifth metatarsal bone and the base of the fourth and third plus evyh bone, and an inner needle is passed through the inner edge of the first base plysnevoy bone and the base of the second metatarsal bone, tensioning the spokes pulled upwards, thus tensioned in a direction transverse arch outer axis and the other - in a direction transverse arch inner part.

Description

1 1eleven

Изобретение относитс  к медицине, а именно к травматологии и ортопедииThis invention relates to medicine, namely to traumatology and orthopedics.

Цель изобретени  - предупреждение рецидива заболевани  и сокращение сроков лечени .The purpose of the invention is to prevent the recurrence of the disease and reduce the duration of treatment.

Способ осуществл ют следующим образом .The method is carried out as follows.

После проведени  обезболивани  стопу больного помещают в аппарарате 1. Дл  этого две параллельйые спицы 2 провод т через п точную кость 3 и после формировани  штыко- образных изгибов 4 на спицах 2 нат гивают их во взаимно противоположных направлени х так, чтобы ступень каждой спицы 2, исчезнув под кожей, плотно установилась на п точной кости 3. Спицы фиксируют зажимными болтами 5 в заднем полукольце 6 аппарата 1, Далее провод т спицы 7 через головки плюсневых костей 8, после формировани  штыкообразных изгибов 4 на спицах 7 нат гивают и фиксируют в переднем полукольце 9 на планках 10. Затем осуществл ют дистракцию и рентгенологический контроль . После этого через основани  плюсневых костей 8 провод т две спицы 11 и 12. Направление спиц 11 и 12 выбирают таким образом, чтобы спица 12, войд  через бугристость 13 п той плюсневой кости 8, фиксировала основани  п той, четвертой и третьей плюсневых Костей 8, образу  тем самым наружную часть поперечного свода стопы. Стшцу 11 ввод т через внутренний край 14 основани  первой плюсне30 2After anesthesia is performed, the patient's foot is placed in apparatus 1. To do this, two parallel needles 2 are passed through the right bone 3 and after the formation of bayonet-shaped bends 4 on the needles 2 pull them in mutually opposite directions so that the degree of each needle 2, disappearing under the skin, firmly mounted on the heel bone 3. The spokes are fixed with clamping bolts 5 in the back half ring 6 of the apparatus 1, Next, the spokes 7 are passed through the heads of the metatarsal bones 8, after forming the bayonet-shaped bends 4 on the spokes 7, they pull and fix Comfort in the front semiring 9 on the slats 10. Then distraction and X-ray inspection are performed. After that, two needles 11 and 12 are conducted through the bases of the metatarsal bones 8. The direction of the spokes 11 and 12 is chosen so that the needle 12, entering through the tuberosity 13 of the fifth of the metatarsal 8, fixes the bases of the fifth, fourth and third metatarsal 8, thus forming the outer part of the transverse arch of the foot. Stushu 11 is introduced through the inner edge 14 of the base of the first metatus30 2

вой кости 8, образу  внутренню часть поперечного свода стопы. На спицахbone 8, forming the inner part of the transverse arch of the foot. On the needles

11и 12 формируют штыкообразные изгибы и устанавливают на кост х 8 в точках введени  спиц. Далее спицы I1 и11 and 12 form bayone bends and are mounted on bone x 8 at the points where the spokes are inserted. Next, the needles I1 and

12нат гивают вверх, в разные стороны , так чтобы их направление создавало встречную компрессию на уровне оснований плюсневых костей 8. Направление нат жени  спиц II и 12 выбирают параллельно ос м наружной и внутренней частей поперечного свода стопы. Спицы 11 и 12 нат гивают за верхнюю их часть в среднем полукольце 15 ап; парата 1 стандартным спиценат гива;телем Илизаторова и закрепл ют в необходимом положении зажимными болтами 5.12 are pulled upwards, in different directions, so that their direction creates counter compression at the level of the bases of the metatarsal bones 8. The direction of tension of the spokes II and 12 is chosen parallel to the axis of the outer and inner parts of the transverse arch of the foot. The spokes 11 and 12 pull over the upper part of the middle half ring 15 an; Parata 1 is a standard spicatum; an Ilizatorov's body and it is fixed in the required position by clamping bolts 5.

Эта процедура позвол ет сформировать и зафиксировать поперечный свод стопы и обеспечить фиксированное поддержание продольного свода, а чакже надежную фиксацию оснований плюсневых костей 8 относительно друг другаThis procedure allows you to form and fix the transverse arch of the foot and to ensure the fixed maintenance of the longitudinal arch, as well as reliable fixation of the bases of the metatarsal bones 8 relative to each other

и костей предплюсны.and tarsal bones.

После рентгенологического контрол  репозиции провод т коррекцию положени  оснований плюсневых костей 8 при переломах-вывихах в суставе Лифранка . При правильном расположении плюсневых костей относительно костей предплюсны аппарат 1 окончательно фиксируют. Лечебную физкультуру (движени  в голеностопном суставе)After radiological monitoring of the reposition, the base of the metatarsal bones 8 are corrected for fractures-dislocations in the Lifranc joint. With the correct location of the metatarsal bones relative to the bones of the torso apparatus 1 is finally fixed. Physiotherapy (movements in the ankle joint)

.примен ют с третьего дн  после операции . На левую стопу и голень накладывают гипсовую пов зку.Applied from the third day after the operation. A plaster band is applied to the left foot and shin.

Claims (1)

СПОСОБ ЛЕЧЕНИЯ ПЕРЕЛОМАВЫВИХА ПЕРЕДНЕГО И СРЕДНЕГО ОТДЕЛОВ СТОПЫ путем репозиции и фиксации стопы с помощью компрессионно-дистракционного аппарата, вытяжения за переднюю часть стопы при фиксированной пятке, фиксации оснований плюсневых костей двумя перекрещивающими- ся спицами, отличающийся тем, что·, с целью предупреждения рецидива заболевания и сокращения сроков лечения, фиксацию оснований плюсневых костей осуществляют пропусканием наружной спицы через бугристость пятой плюсневой кости и основания четвертой и третьей плюсневых костей, а внутреннюю спицу пропускают · через внутренний край основания первой плюсневой кости и основание второй плюсневой кости, спицы натягивают вверх, при этом одну натягивают в направлении оси наружного поперечного свода, а другую - в направлении внутренней части поперечного свода. .METHOD FOR TREATING FRACTURING FRONT AND MIDDLE FOOT OF THE FOOT by reposition and fixation of the foot using a compression-distraction apparatus, stretching the forefoot with a fixed heel, fixing the bases of the metatarsal bones with two crossing knitting needles, characterized in that the disease and reducing treatment time, fixing the bases of the metatarsal bones is carried out by passing the outer knitting needle through the tuberosity of the fifth metatarsal bone and the base of the fourth and third metatarsal to core, and the inner spoke is passed through the inner edge of the base of the first metatarsal bone and the base of the second metatarsal bone, the spokes are pulled up, while one is pulled in the direction of the axis of the outer transverse arch, and the other is pulled in the direction of the inner part of the transverse arch. . 1 1184530 21 1184530 2
SU833658715A 1983-07-27 1983-07-27 Method of treatment of fracture and dislocation of the anterior and middle sections of the foot SU1184530A1 (en)

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SU833658715A SU1184530A1 (en) 1983-07-27 1983-07-27 Method of treatment of fracture and dislocation of the anterior and middle sections of the foot

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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0380674A1 (en) * 1988-07-26 1990-08-08 Vsesojuzny Kurgansky Nauchny Tsentr "Vosstanovitelnaya Travmatologia I Ortopedia" Traction apparatus for osteosynthesis of short tubular bones
EP0381759A1 (en) * 1988-07-25 1990-08-16 Vsesojuzny Kurgansky Nauchny Tsentr "Vosstanovitelnaya Travmatologia I Ortopedia" Traction apparatus for restoring the shape of the hand
GR880100814A (en) * 1988-12-01 1991-03-15 Kurgansky Ni Extraction device for osteosynthesis
GR880100851A (en) * 1988-12-20 1991-03-15 Kurgansky Niiex I Klinicheskoi Distraction apparatus for plastic reconstruction of hand
AU2014324172B2 (en) * 2014-09-11 2017-02-23 Wright Medical Technology, Inc. Guidance system and method for bone fusion

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
Митюнин Н.К. и др. Демпферное Ярославль, скелетное выт жение. 1974, с. 55. *

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0381759A1 (en) * 1988-07-25 1990-08-16 Vsesojuzny Kurgansky Nauchny Tsentr "Vosstanovitelnaya Travmatologia I Ortopedia" Traction apparatus for restoring the shape of the hand
EP0380674A1 (en) * 1988-07-26 1990-08-08 Vsesojuzny Kurgansky Nauchny Tsentr "Vosstanovitelnaya Travmatologia I Ortopedia" Traction apparatus for osteosynthesis of short tubular bones
GR880100814A (en) * 1988-12-01 1991-03-15 Kurgansky Ni Extraction device for osteosynthesis
GR880100851A (en) * 1988-12-20 1991-03-15 Kurgansky Niiex I Klinicheskoi Distraction apparatus for plastic reconstruction of hand
AU2014324172B2 (en) * 2014-09-11 2017-02-23 Wright Medical Technology, Inc. Guidance system and method for bone fusion
US9814473B2 (en) 2014-09-11 2017-11-14 Wright Medical Technology, Inc. Guidance system and method for bone fusion
US10470782B2 (en) 2014-09-11 2019-11-12 Wright Medical Technology, Inc. Guidance system and method for bone fusion

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