SU1301391A1 - Method of treatment of contractures of knee joint - Google Patents

Abstract

To prevent subluxation of the tibia, an internal parapatella incision is used to open the knee joint, anterolateral synovasis-ectomy is performed, and granulation tissue is removed. Degeneratively altered menisci, the fat body are removed, and intra-articular cicatricial adhesions are excised. The anterolateral torsions of the joint are formed, their plastic is made with canned dura mater, and during the destruction of the articular chromium, with a plastic sheath, arthroplasty. The wound is sutured tightly. Along the midline of the popliteal moss, cut through the skin, subcutaneous tissue, obliquely cross the wide fascia of the thigh, and the biceps tendon of the thigh lengthen. The capsule of the posterior surface of the joint is bluntly freed from the surrounding tissues, dissected with an S-shaped line, a synovectomy is performed, the posterior torsion is reorganized and obliquely dissect the posterior cruciate ligament. with CO

Description

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This invention relates to medicine, in particular to orthopedics, and is intended for the treatment of knee flexion contractures.

The purpose of the invention is to prevent shin subluxations.

The method is carried out as follows.

An internal parapatelous incision is made to open the knee joint, anterolateral synovasis is performed, and the granulation tissue is removed. Degeneratively altered menisci, the fat body are removed, and intra-articular cicatricial adhesions are excised. The anterolateral torsions of the joint are formed, they are plasticized with canned Dura, and during destruction of the articular cartilage - by arthroplasty. The wound is sutured tightly.

Second: cut through the midline of the popliteal mocha 10–12 cm long, cut through the skin, subcutaneous tissue, slant obliquely into the broad fascia of the thigh, and extend the tendon of the biceps of the thigh.

Stupidly freeing the capsule of the posterior surface of the joint from the surrounding tissues, dissect it with an S-shaped line, starting transversely 2 cm below the attachment of the capsule: to the outer edge of the external condyle of the femur at a distance of 2 cm, then obliquely upwards to the attachment point of the capsule the joint, then inwards along the intermuscular cleft and obliquely downwards to the place of attachment of the capsule to the epiphysis of the tibia, continuing the cutting line of the capsule transversely to the inner edge of the latter. .

After opening the posterior cavity of the knee joint and turning off its parts, a synovectomy and rehabilitation of the posterior torsions are performed, then cut obliquely the posterior cruciate ligament, which is usually the cause of subluxation of the tibia posteriorly. Thanks to the B-shaped dissection of the capsule and oblique incision

Editor I. Gorna

Compiled by P. Filippov Techr, M. Khodanych

Order 1172/4 Circulation 596 Subscription

VNIIPI USSR State Committee

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

Production and printing company, Uzhgorod, ul. Project, 4

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ligaments last elongated, .- and shin maximally unbendable. The elongated cruciform ligament is stitched. The external fixation device is applied immediately after the operation. Metered movements — first extension, then flexion — begin on the second day after surgery. Apparatus. external fixation is removed after reaching the full range of movements without the device.

Example. Sick S. was diagnosed with infectious non-specific polyarthritis, persistent flexor-extensor contractures of the knee joints with subluxation of the tibia posteriorly. Upon admission to the clinic, she did not move independently.

Oleratia-arthrotomy of the right knee joint produced anterior-lateral sinovapsutektomi, arthro- lysis, flexion tendon elongation, lower leg, posterior capsuloectomy, extension of the posterior cruciate ligament, imposition of Volkov – Oganes hinge-distraction apparatus. A year later, a similar operation was performed on the left knee joint. Contractions of the knee joints and subluxations of the tibia are eliminated, it goes on its own.

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Claims (1)

Invention Formula A method for treating knee joint contractures by opening its anterior perinatal synoviscapsuloectomy, forming from the dura mater of the anterolateral torsions, about the fact that, in order to prevent lowering of the tibia, the capsule of the joint is further dissected from the back, lengthening the posterior cruciate joint. and removing the synovial membrane of the posterior capsule joint. Proofreader. Shekmar