SU1199243A1 - Method of osteosynthesis of fractures of long tubular bones - Google Patents
Method of osteosynthesis of fractures of long tubular bones Download PDFInfo
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- SU1199243A1 SU1199243A1 SU843704106A SU3704106A SU1199243A1 SU 1199243 A1 SU1199243 A1 SU 1199243A1 SU 843704106 A SU843704106 A SU 843704106A SU 3704106 A SU3704106 A SU 3704106A SU 1199243 A1 SU1199243 A1 SU 1199243A1
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- fragment
- invasiveness
- reduce
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- fractures
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- Orthopedics, Nursing, And Contraception (AREA)
Abstract
СПОСОБ ОСТЕОСИНТЕЗА ПЕРЕЛОМОВ ДЛИННЫХ ТРУБЧАТЫХ КОСТЕЙ путем чрескостного проведени в каждый отломок двух пар перекреш.иваюш,ихс спиц и фиксации их в компрессионно-дистракционном аппарате, отличающийс тем, что, с целью снижени травматичности вмешательства, в каждый отломок провод т на разном уровне и под углом друг к другу по две спицы с упорными площадками.A method for the osteosynthesis of fractures of the long tubular bones by transossely conducting two fragments of cross-reshival abdomen into each fragment, their spokes and fixing them in a compression-distraction apparatus, differing in the fact that, in order to reduce the invasiveness of the intervention, each fragment is held at a different level in each level, in order to reduce the invasiveness of the intervention, each fragment is drawn at a different level, in order to reduce the invasiveness of the intervention, each fragment is drawn at a different level, in order to reduce the invasiveness of the interference, each fragment is drawn at a different level, in order to reduce the invasiveness of the interference, each fragment is held at a different level, each stage is split at the same level as in the compression-distraction apparatus. angle to each other, two spokes with resistant pads.
Description
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СО Изобретение относитс к медицине, а именно к травматологии и ортопедии. Цель изобретени - снижение травматичности вмешательства. Способ осуществл ют следующим образом . Фиксаци костных отломков осуществл етс после г бт-ранени их смещени с помощью скелетного выт жени на операционном ортопедичесфгй ртоле. Дл осуществлени стабильной фиксации костных отломков проводитс на разных уровн х четыре спицы с упорными площадками, расположенными с противоположных сторон. При проведении спиц, в зависимости от уровн и локализации перелома с учетом расположени сосудисто-нервных образований и мыщц, должно учитыватьс то обсто тельство , что в каждом отломке спицы должны образовывать между собой угол, близкий к 90°. Спицы, проведенные через каждый отломок, должны проходить так, чтобы в последующем возможно было добитьс точной репозиции и встречно-боковой компрессии при косых и винтообразных переломах . Спицы укрепл ют во внещних опорах , которыми могут быть кольца, дуги, кронщтейны, соединенные между собой стержн ми. Аппарат на голени и предплечье комплектуют, как правило, только из кольцевых опор и кронщтейнов, а при переломах бедренной и плечевой костей примен ют и дуги. С второго дн после остеосинтеза больные могут ходить на костыл х. Нагрузки на конечность постепенно увеличиваетс и через 2-3 недели она может быть полной. Фиксацию отломков прекращают после достижени консолидации. К моменту сн ти аппарата стойких контрактур в смежных суставах конечности не образуют.The invention relates to medicine, namely to traumatology and orthopedics. The purpose of the invention is to reduce the invasiveness of the intervention. The method is carried out as follows. Fixation of bone fragments is performed after rt-injury of their displacement with the help of skeletal traction on a surgical orthopedic mercury. In order to achieve stable fixation of bone fragments, four spokes are held at different levels with stop pads located on opposite sides. When making the spokes, depending on the level and location of the fracture, taking into account the location of the neurovascular structures and muscles, it must be taken into account that in each fragment the spokes must form an angle of about 90 ° between each other. The needles, carried through each fragment, should be held so that in the future it was possible to achieve accurate reposition and back-side compression with oblique and helical fractures. The spokes are reinforced in the external supports, which can be rings, arcs, brackets, interconnected by rods. The device on the tibia and forearm is completed, as a rule, only from ring supports and braces, and for fractures of the femur and humerus, arcs are also used. From the second day after osteosynthesis, patients can walk on crutches. The load on the limb gradually increases and in 2-3 weeks it can be complete. Fixation of fragments is stopped after consolidation has been achieved. By the time the apparatus is removed, stable contractures in the adjacent joints do not form limbs.
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Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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SU843704106A SU1199243A1 (en) | 1984-02-23 | 1984-02-23 | Method of osteosynthesis of fractures of long tubular bones |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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SU843704106A SU1199243A1 (en) | 1984-02-23 | 1984-02-23 | Method of osteosynthesis of fractures of long tubular bones |
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SU1199243A1 true SU1199243A1 (en) | 1985-12-23 |
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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SU843704106A SU1199243A1 (en) | 1984-02-23 | 1984-02-23 | Method of osteosynthesis of fractures of long tubular bones |
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SU (1) | SU1199243A1 (en) |
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1984
- 1984-02-23 SU SU843704106A patent/SU1199243A1/en active
Non-Patent Citations (1)
Title |
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Илизаров Г. А. и др. Чрескостный остеосинтез аппаратом Илизарова при лечении диафизарных переломов бедра; Методические рекомендации. Курган, 1977, с. 21. * |
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