SU1491487A1 - Method of shin amputation in blood circulation disturbances - Google Patents

Abstract

This invention relates to medicine, namely to surgery and prosthetics of the lower limb. In order to preserve the viability of the lower leg stump tissues, the systolic pressure of the popliteal artery is measured with the possibility of prosthetics and with a regional systolic pressure not lower than 50 mm Hg. the posterior muscle group and the tibial bone are crossed at the level of its tuberosity, the posterior skin and fascial flap is formed, the length of which is 2/3 of the width of its base, the fibular bone is severed and closed with soft tibial tissue.

Description

The invention relates to the field of medicine, namely to surgery and prosthetics of the lower limb.

The purpose of the invention is to ensure the viability of shin stump tissues with the possibility of prosthetics.

Method () is supposted as follows.

A transverse skin incision is made along the anterior surface of the tibia from the peritoneum. KOI. i and to the lower pole of the internal C) mint; e, 1ka of the upper tibia Cut out the posterior skin and fascial flap (r-avny anterior-posterior size of the tibia lia level, tibial tuberosity, which is 2/3 of the base width flap), which is sepa- rated by its base. After treatment of the periosteum of the IO 11TI, the tibial bone is not radiated at the same level as the anterior skin incision. Muscles intersect at the level of the tibial section with a regional systolic pressure not lower than 50 mm Hg. Art. The fibular bone is completely removed, after which the vessels and nerves are processed, careful hemostasis is applied, nodular joints are laid on the superficial fascia and skin, leaving active tubular drainage in the wound.

Example. Patient R., 33 years old, has been under observation since 05/12/80. Diagnosis: thrombus gang of the right lower leg stump on the border of the upper and middle third, trophic ulcers of the end of the stump, pain syndrome. Sick since March 1980. 03/31/80 the amputation was performed by the myoplastic method of the right tibia on the border of the upper and middle third. Healing of the postoperative wound did not come. 08.09.82, the patient was hospitalized again. According to the Doppler ultrasound diagnosis, an occlusion of the right superficial femoral artery was detected at the exit from the Gunter canal. Regional systolic pressure in the popliteal artery did not exceed 70 mm Hg. Art. 09/14/822, amputation was performed by the myoplastic method of the right thigh in the middle third. Healing of the wound by primary contraction. 03/21/85, a consultation at the Central Research Institute of Epidemiology, diagnosis: cult of the right thigh in the middle

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with

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third, gangrene of the left toes, occlusion of the popliteal artery and the distal segment of the superficial femoral artery. The regional systolic pressure on the collateral x of the popliteal artery did not exceed 50 mm Hg. Art.

03/21/85, performed amputation by the proposed method of the left tibia. Wound healing by primary tension, a prosthetic leg was made to the patient.

Claims (1)

Invention Formula The method of amputation of the lower leg in violation of blood circulation by cutting out skin flaps, intersections of bones, muscles with the subsequent closure of bone sawdust with soft tissues, characterized in that, in order to preserve the viability of tissues shank stump with the possibility of prosthetics, measure the systolic pressure in the popliteal artery and at a systolic pressure not lower than 50 mm Hg. Art. cross the tibia at her level tuberosities, form the posterior skin flap, the length of which is 2/3 of the width of its base, the fibular bone is carved out, cross the posterior muscle group at the level of opil of the tibial bone.