SU1400614A1 - Method of treatment of fractures of cotyloid cavity bottom - Google Patents

Abstract

This invention relates to the field of medicine, namely to traumatology and orthopedics. The purpose of the invention is to provide a dosed reposition in the postoperative period. For this purpose, fixation and longitudinal distortion of the hip joint is carried out. Comparison of fragments and removal of the superior or dislocation of the femur are performed by installing a displacing plate on the displaced fragments of the bottom of the acetabulum, and on the trochanteric region of the femur of the floating arc with subsequent controlled distraction from the outside.

Description

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The invention relates to medicine, namely to traumatology and orthopedics, and is intended to eliminate the central arm or dislocation of the thigh by matching fragments of the acetabulum displaced into the pelvic cavity and fixing them.

The aim of the invention is to provide a dosage reduction in the post operating period.

The method is carried out as follows.

The anterolateral subperiosteal access of Chaklin along the anterior third of the iliac crest behind the anterior superior spine and from it parallelly to the pupartal cord exposes the bottom of the acetabulum. Along the front and rear surfaces of the femoral head parallel to the neck in the frontal plane, two needles are drawn through the horizontal branch of the pubic bone and the vertical branch of the sciatic bones, the sharp ends with a threaded thread lead to the inner wound of the acetabulum. The acetabular fragments, displaced into the pelvic cavity, are placed in a metal reparation plate with apertures. The pliers are inserted into the corresponding apertures of the plate and additionally fixed.

Three pairs of mutually intersecting spokes are drawn through the iliac wing, the pinnacle area and the lower third of the femoral one, and mount the supports, telescopic rods, a floating arc, a lateral rod and

extension elements. To eliminate the pressure of the acetabular bone fragments on the displaced head of the femur on one side, eliminating the displacing effect of the head on the fragments and right

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neither the central subluxation or its dislocation — on the other hand, distraction between the supports of the device along the center and the intermediate floating arc, together with the proximal part 1) outwards. Elimination of the acetabular bone fragments and their elimination () of the repairing plate - the needles for loosely protruding over the skin (the outer ends of the spokes fixed to the rod with the help of exhaust elements. After the reposition of the fragments under visual control, the wound is layered Depending on i need, after X-ray control and in the course of treatment, controlled both longitudinal and lateral distractions are performed. Fixation with a system of the repairing plate — the spokes continue less than 4-6 weeks, after which cnHiiiJ is removed from the plate without removing it.

Walking with crutches and vigorous movements at the knee and ankle joints can be resolved on the blue days after surgery. Fixation of the hip joint lasts 2-2.5 months.

The load on the operated leg is inexpedient earlier than three months,

Claims (1)

Invention Formula (treatment of fractures of the bottom of the acetabulum by fixation, longitudinal and external-lateral distraction of the femur by an external fixation device, which are separated by the fact that, in order to achieve a dosed reposition in the postoperative period, the lateral fragments are fixed and displaced.