SU1419677A1 - Metod of moforming shuolder stump - Google Patents

Abstract

This invention relates to traumatology and orthopedics. The purpose of the invention is to preserve the anatomical length of the stump. After amputation of the shoulder, longitudinal osteotome of the distal end of the bone is produced. Two pairs of knitting needles are introduced into the obtained fragments and the transverse distraction of the humerus fragments is performed before the formation of the club-shaped bone stump. The method allows to achieve a significant end support of the stump, which facilitates the management of the prosthesis.

Description

with

ABOUT)

one

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

The purpose of the invention is to preserve the anatomical length of the stump.

The method is carried out as follows.

According to the usual .1 methods, the shoulder is amputated at a selected level. After crossing the humerus, limiting osteomatosis of the distal end of the bone is made for 5.0-6.0 cm. Then, two pairs of spokes are inserted into the obtained fragments. The wound stump is sutured. In the postoperative period, transverse distraction of fragments of the humerus is performed to

1419677

ten

transverse distraction of bone fragments was performed at a rate of 0.25 mm four times a day. Achieved thickening of the distal end of the humerus to 7.0 cm. After 4 months. after forming a solid bone spur, the knitting needles were removed. The patient was equipped with a prosthetic shoulder with a non-falling receiving sleeve. The sleeve was retained on the shoulder stump due to the lateral bone protrusions obtained during the distraction, and the patient was relieved of additional fastening elements.

The proposed method allows to achieve a significant end support of the stump, which facilitates the management of the prosthesis,

formation of a club-shaped bone stump. 15 way allows you to save the outcome Example. Patient I., 44 years old. Pahodils in the clinic about complaints about the inability to use the prosthesis, traumatization of the armpit. The patient was operated on: soft tissue incision along the outer, end and inner sides of the stump revealed the humeral bone. The osteotome was made longitudinally of the bone stump over 6 cm. Through the obtained fragments, two pairs of spokes were held parallel to each other. The wound of the layer is tight. The healing of the wound was a primary tension. In the postoperative period, the pronuata anato.micheskoe length of the stump of the humerus.

Claims (1)

Invention Formula A method of forming a shoulder stump by cutting soft tissues, crossing the bone, fixing the bone with the spokes, characterized in that, in order to preserve the anatomical length of the stump, a longitudinal osteotoma of the bone stump is made in the frontal plane and the bone fragments are separated. 1419677 transverse distraction of bone fragments was performed at a rate of 0.25 mm four times a day. Achieved thickening of the distal end of the humerus to 7.0 cm. After 4 months. after forming a solid bone spur, the knitting needles were removed. The patient was equipped with a prosthetic shoulder with a non-falling receiving sleeve. The sleeve was retained on the shoulder stump due to the lateral bone protrusions obtained during the distraction, and the patient was relieved of additional fastening elements. The proposed method allows to achieve a significant end support of the stump, which facilitates the management of the prosthesis, nuyu anato.imicheskoe length of the stump of the humerus. Invention Formula A method of forming a shoulder stump by cutting soft tissues, crossing the bone, fixing the bone with the spokes, characterized in that, in order to preserve the anatomical length of the stump, a longitudinal osteotoma of the bone stump is made in the frontal plane and the bone fragments are separated.