SU1377070A1 - Method of forming amputation stump - Google Patents

Abstract

This invention relates to medicine, more specifically to surgery. The purpose of the invention is to preserve the length of the stump at high amputations and in the defect of soft tissues. To do this, the limb is crossed, two skin fasciae flaps are cut out, a trapezoidal flap is cut out of the muscle tissue, not cut off from the distal edge of the muscle, a muscle tunnel is formed in the direction of the bone fillet, a muscle flap is made through it, and bone saw tissue is made.

Description

with

This invention relates to medicine, namely to surgery.

The purpose of the invention is to preserve the length of the stump at high amputations and in the defect of soft tissues.

The method is carried out as follows.

After anesthesia, the limb is amputated. If, for medical reasons, for bones and soft tissues, a high (4-6 cm) level and cutting off soft tissues should be carried out at or below the level of bone cutting, the operation steps are as follows.

On the end and side surfaces of the stump, an incision is made in the skin and subcutaneous fat to a height of (4-6 cm), forming two equal (front and rear) flaps. The maximal muscle remaining after pruning (on the stump of the calf, for example, from the gastrocnemius, on the stump of the thigh, from the quadriceps, on the shoulder stump, from the two-headed or triceps) cut a trapezius muscle flap up to 2 cm thick, up to 8 cm wide at the base cm, height up to 8 cm and a width at a height of 3 cm. In this case, the muscle from the distal edge is not cut off. At the base of the flap towards the sawdust, a Kocher clamp forms a muscle tunnel. Through the tunnel, Mbmje4Hbm flap, which is covered with sawdust. With one row of catgut sutures, the flap is stitched around bone sawdust. The bed, from where the flap is taken, is stitched with catugut sutures. One row of catgut sutures subcutaneous fat

0

knotted silk sutures - stump wound. After the wound has healed, approximately two weeks after the operation, the sutures are removed.

, Similarly, remputation of the stump is carried out in cases of bone sawing height with short cults of the tibia, thigh, or shoulder.

Thus, the proposed method allows the formation of muscle tissue to cover the sawdust of the bone, not isolating them from the main muscle, resulting in improved nutrition of the cut flap, which prevents the violation of blood and lymph circulation in this flap, therefore,

The cult does not develop pathological changes. The method allows a large contingent of persons with disabilities to form a short stump taking into account the requirements of prosthetics without shortening it and preserve important functional values for the disabled.

0 joints: knee hip, elbow.

Claims (1)

Invention Formula A method of forming an amputational 5 stump by intersecting tissues, cutting out two skin and fascial flaps and then closing the sawdust with soft tissues, characterized in that, in order to maintain the length of the stump at high amputations and a defect in soft tissues, 0 cut out the muscle flap base above bone sawdust; at the base of the flap, a channel is formed in soft tissues towards the sawdust, followed by a muscle flap through it.