SU1246997A1 - Method of rehabilitation of clavicle - Google Patents

Description

This invention relates to medicine and can be used in surgery and treating

The aim of the invention is to eliminate

cosmetic defect and the improvement of the prosthetic conditions in the case of the creation of a key-rib joint.

The method is carried out in a manner that is advantageous.

In the stump region, the adverbial layer on the anterior surface of the chest along the second rib is cut through the skin, subcutaneous tissue5 of the superficial fascia. The end of the remaining part of the clavicle is exposed and refreshed. the third rib cuts through the periosteum and the anterior and posterior axil. ; prne .jmnun subperiosteal is carried out bilateral osteotomy. at a distance of 6-7 cm. At one end, along the) autotransplantation of the interfacial intersection, they are cut off, along the upper one they are retained. On a refreshed Ko% uift ku, a second collarbone creates a groove; According to the size of the corresponding thickness and not autograft. The medial end of the autograft with the preserved multiline is inserted, the created groove of the testicle is inserted; ru. (Art to: I compress | Dim screw to the KNG-- chitsu. Early EO defect of the ore cell is sucked in layers,

PRI me R. Patient born in 1954 interdiscipital-sternum amputee days of the left upper extremity in the middle of injuries to the injured. reconstruction of the left side of the club by means of autoplasty of the third rebt on the tiny pedal and osteosynth with its stump to ..

In the left I D ij.:inn;ve4t.H, expose the nocjreonepaiiHoiiHbK cicatrix, located along the course of the 1st to :: dlno.y 15 cm Expose and

Editor K, Voloshchuk

Order 4041- / 5Tirah: 660Subscription

VNIIT1I SS State Committee (G1

for inventions and discoveries 113035, Moscow, Zh-35. Raushsk nab., D. 4. / 5

 A production polkgr-aphic pre: dpri. yew-: .d. Uzhgorod, st. Project, 4

five

46997

wound going end k.gochits along the posterior and anterior axillary line after dissection. the periosteum of the 3rd rib produces 3 (a bilateral osteotomy of the 5th rib is 6 cm long. On the pisky edge of the image (an autotransplant is cut off the intercostal cells). The autotransport of the 3rd rib with the saved stump leg corresponds to the upper edge stump of the clavicle, In the latter, a groove is formed, the size of which corresponds to the thickness of the rib, in which the medial end of the autograft is inserted with the saved pedicle. Additionally, the autograft is rigidly fixed to the compression of the BONTOM with the clavicle.

After 4 months, with a repeated .--. After-a-blindness, a good bone regenerate of the autotransplan is noted clinically and. During the X-ray examination: the ribs with the clavicle stumps. The screw is removed and the skin is formed. Hbu i in the left big pectoral. Subsequently, the patient is made an active prosthesis with electri-water, water brush and control from the skin-gf cone channel. A good fixation is noted for the adduct of the pro-1 of the z3, D-j Hi HyT functional and cosmetic result. An additional fastening prosthesis in the form of a vest is not necessary.

thirty

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thirty

As a result of the reconstruction of the KHio-t HHbi stump, the formation of the clavicle-costal connection of the stranded asymmetry of the upper arm, the support pp: 1cc was formed, and the attachment for fastening the prosthesis .p1: 1. Key is extended, EGS 1 permits: to make aktil.np-; prosthesis to the patient after the mel-slasa 5 och1: o -; ore amputation with electric drive and skin-controlled; - Ms1sh.

Claims (1)

METHOD FOR RECONSTRUCTION KEY- TICKETS, including cutting out a skin flap with subcutaneous tissue, refreshing the end of the clavicle, taking an autograft from the rib and fixing it to the clavicle with subsequent suturing of the skin, characterized in that, in order to eliminate the cosmetic defect and improve the prosthetics, they perform bilateral osteotomy of the third rib along the front and posterior axillary lines with cutting off the muscles along the lower edge of the rib, on the freshened end of the clavicle stump, a groove is created corresponding to the thickness of the autograft and the last on the fixus muscle leg comfort to the clavicle. _s <o