SU1452519A1 - Method of curing recurvation of shin - Google Patents

Abstract

The invention relates to medicine, namely to traumatology and orthopedics, intended for the treatment of leg recurvation due to the obliquity of the anterior end of the articular end of the upper metaphysis of the tibia. The purpose of the invention is to reduce the morbidity of the operation and shorten the treatment time, to maintain the length of the limb by ensuring the blood supply to the transplanted transplant. For this, after osteotomy, the articular fragment of the bones bone is held in a correcting position by creating an abutment into a bone graft, cut from the crest of the same bone, displaced vertically upwards and fixed with Kirchner's knitting needles.

Description

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The invention relates to medicine, namely to traumatology and orthopedics, and can be used in the treatment of recursion of the tibia, due to the obliquity of the anterior end of the articular end of the upper tibial metaphysis.

; The aim of the invention is to preserve | the length of the limb and shorten the term of treatment due to the provision of the blood supply | of the transplanted graft. I The method is carried out as follows.

In the position of the patient on the back, a longitudinal tibial metaphysis of the tibia is exposed in layers along the front surface of the upper third of the leg. They set a chisel directly over the tuberosity | so that its plane is parallel to the angle of obliquity of the joint platform. Osteotomy is performed to the posterior cortical wall. Then, from the distal fragment of the tibial bone, a bone graft of a rectangular shape is cut out with the tibial tuberosity and a personal patella attached to it. At the upper end of the graft formed, a graft wedge with an anterior edge is cut, and the angle of obliquity of the articular surface equal to the slot is placed in the gap formed between the articular platform, the transplant displaced upwards and the wall of the distal fragment of the tibial tibial braid; The bone graft with the supplying knife; the private patella ligament is mixed upward to align with the corrected proximal fragment and hold

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from the reverse bias by fixing it with two cross-entered Knrshner spokes. The wound is sewn up tightly. A circular plaster belt is applied to the upper third of the thigh for a period of 5-6 weeks. At the end of this period, in the presence of bone consolidation, the gypsum belt is transferred to the posterior gypsum zone and a complex of rehabilitation treatment is prescribed (exercise therapy, massage, electrical stimulation, thermal procedures, etc.).

(The method allows reducing the treatment time from 3 months and up to 1.5 months.

Claims (1)

Invention Formula A method for treating shank recursion by osteotomy of the upper metaphysis of the tibia parallel to the plane of the oblique articular surface, correcting the position of the articular bone fragment, inserting a wedge-shaped autograft into the resulting diastasis, characterized in that, in order to preserve the length of the limb and shorten the duration of treatment by providing blood supply, displaced skin will have , osteotomy is performed to the posterior cortical wall, bone graft is cut out of the upper row attached to the tibia decoupling own communication viscous patella from its upper end to form a wedge-shaped graft apex anteriorly and skoschennosti equal to the angle of the articular surface, for graft pedicled displaced upwards to align with the proximal fragment.