SU1344342A1 - Method of forming autotransplant of children when curing false joints of humerus proximal section - Google Patents

Abstract

This invention relates to medicine, namely to orthopedics and traumatology. The goal is to reduce the time of treatment of false joints by stimulating reparative processes, speeding up the restoration of bone structures and eliminating a defect in the area of the false joint. For the treatment of false joints of the proximal shoulder in children, the apophysis of the scapula with the sprout zone, the periosteum and the deltoid muscle containing the vessels and nerves attached to it are used as a graft and placed in the formed longitudinal groove in the area of the false joint. The length of the autograft exceeds the size of the defect in the area of the false joint by 2-3 cm, and its width is equal to the entire height of the scapular spine and corresponds to the width of the longitudinal groove. € SL

Description

This invention relates to medicine, namely to orthopedics and traumatology.

The aim of the invention is to reduce the duration of treatment of false joints by stimulating reparative processes, speeding up the restoration of bone structures and eliminating a defect in the area of a false joint.

The method is carried out as follows.

After dissecting the soft tissue in the spine area, the scapulae on the side of the false joint, together with the periosteum, separate the rhomboid muscle. Then, from the 15th of the humerus, 6-8 cm long

cut the spine of the scapula over its entire height, exceeding the length of the existing bone defect in the region of the false joint of the humeral bone by 2-3 cm with a growing apophysis, a subosteum and a deltoid muscle attached to the spine together with vessels and nerves passing through it. Next, the region of the false joint is exposed and, on the outer side of it, at the ends of the fragments of the humerus, they make a through longitudinal groove with a length of 1-1.5 cm in width corresponding to the thickness of the graft.

Using a tunnel formed on the part of the transplant - its apophysis of the soft tissue, the graft together with the deltoid bone is brought to the region of the false joint and inserted into the created longitudinal groove so that the growth part of the graft is located on the outer side of the connected fragments humerus to ensure bone growth in width. The wound is sutured in layers and

the operated limb is laid eternity 3 months after the operation

for a discharging plaster belt with a period of 1.5 months. After the indicated period of immobilization, therapeutic gymnastics is prescribed.

Example. The patient, 9 years old, was admitted to the clinic with a congenital false joint of the proximal left shoulder. He had previously undergone 6 different surgical interventions for this pathology without achieving any positive result.

The patient was made a false joint plate using the growing apophysis of the scapula spine with the deltoid muscle attached to it with vessels and nerves passing through it as an autograft. In this case, the incision is 1 cm above the spine of the scapula and parallel to it on the side of the false

the scapular spine is exposed to the joint. The periosteum is separated from it with a diamond-shaped tse. Then, with the help of a chisel, a growing apophysis of the scapular spine is cut off to the entire protruding part and along the length exceeding the spine of the existing false joint of the humerus by 2 cm with the periosteum and attaching to the spine a portion of the deltoid muscle with vessels and nerves passing through it. Then, the subperiosteal fragments of the humerus forming a false joint were made longitudinally from the coracoid process on the external bone, made a longitudinal through groove 1-1.5 cm long in the direction of one and the other fragments of the humerus in a width equal to the thickness of the graft. Both wounds were connected with a forceps tunnel in soft tissues and a graft was taken through it - the scapula of the scapula — together with the isolated part of the deltoid. After that, the autograft was inserted into the created through groove of the fragments of the humerus, while the germ

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placed on the outer side of the connected fragments of the humerus to ensure bone growth in thickness. After that, the wounds were sutured in layers tightly and a plaster splint was applied to dp immobilize the operated hand. After 1.5 months, the plaster splint was removed and therapeutic exercises were performed. On the radiograph of the operated co5

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complete healing of Peres- ;; transplant and the elimination of the existing false joint of the shoulder. Clinical observations testified to the restoration of the motor function of the shoulder joint in full.

Claims (1)

Invention Formula A method of forming an autograft in children in the treatment of false joints of the proximal humerus by using the patient’s own tissues, which differ, in order to shorten the duration of treatment of false joints by stimulating reparative processes, speeding up the restoration of bone 313 4342 structures and the elimination of a defect in the area of the scapula with the growth zone and the pseudarthrosis, as the deltoid muscular tissue that is attached to it, is used by the apophysis.