SU1335265A1 - Method of plasty of anterior cruciform ligament of knee joint - Google Patents

Abstract

This invention relates to traumatology. The purpose of the invention is the prevention of bursitis. The knuckles from the tibial tuberosity cut the soft tissues and use an awl to form a canal towards the inter-mussel depression of the thigh. A graft is drawn into the formed channel, at the end of which there is a tantalum fixative in the form of a folded trident. When the tape is tensioned, the retainer teeth will sink into the cancellous bone, open and the graft is fixed in the femoral canal. The joint is unbendable. The graft is tensioned, fixed to the tibia, and a plaster cast is applied. i (L from 00 ate to O) ate

Description

1i

The invention relates to medicine, in particular to traumatology, and is used in the treatment of fractures of the anterior cruciate ligament of the knee joint.

The purpose of the invention is to prevent bursito.

The method is carried out as follows.

The operation is performed under endotracheal anesthesia. The joint is bent at an obtuse angle (approximately 130). The distance in cm from the tuberosity is more than the tibia, soft tissues 3-4 cm long are cut, an awl forms a channel towards the inter condylar femur to a depth of about 2/3 of the size of the epiphysis, where it blindly ends (on the skin green marks are applied to landmarks: the patella, the joints, the num-pliers).

In the formed channel there is a conductor of plant t graft (lavsan tape, a preserved tendon), at the end of which there is a tantalum clamp in the form of a folded trident, the size corresponding to the diameter of the channel. When the tape is tensioned, the teeth of the fixator go deep into the cancellous bone, they open up, and the graft is fixed in the thigh channel (the ruff, horn principle is used). The joint is extended to an angle of 165. The graft is tensioned and fixed intracellularly to the tibia. Soft tissues are sutured. A plaster cast from the tips of the fingers to the upper third of the thigh is applied for 5 weeks. After removal of exercise therapy, massage, ultrasound, dirt, rhythmic galvanization mppts.

Example .. Patient G., 42 years old. Was admitted to the hospital with complaints of pain in the left knee joint while walking. Editor N. Rogulich Order 3996/7

Compiled by G. Kotelnikov

Tehred m DidykKorrektor M.Sharoshi

Circulation 594 Subscription

VNIIPI USSR State Committee

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

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

52

be, iieyc i oitMiuu C cb in whom (ghsleni Fibi skips anteriorly). Injury received 3 years nazad. Treatments on an outpatient basis: UHF, gypsum splint for 10 days, massage.

Object: atrophy of muscles (difference in the circumference of the hips 5 cm). The symptom of the front drawer is positive. Collateral links are intact. On radiographs of the left knee joint arthrosis, P Art.

Diagnosis: obstruction of the anterior cruciate ligament of the knee joint. Gonarthrosis stage 11.

The operation was carried out: anterior cruciate plastic surgery using the proposed method.

3 weeks after removal of the plaster belt, knee joint flexion 75, extension 180. The joint is stable. Symptom of the front drawer is missing. one

The proposed plasty technique of the anterior cruciate ligament of the knee joint reduces the number of complications due to bursitis, which often develops in places

fixation of grafts.

Claims (1)

Invention Formula The method of plastics of the anterior cruciate ligament of the knee joint by forming channels in the epiphyses of the tibial and femoral bones, conducting through them and fixing the grafts, characterized in that, in order to prevent bursitis, the formation of the channel begins medially from the tibial tubercle and blindly ends in the femoral epiphysis The fixation of the transplant in the femoral canal is performed using a trident attached to its end.