SU1639642A1 - Method for knee joint lateral ligament rupture treatment - Google Patents

Abstract

The invention relates to medicine, namely to traumatology, orthopedics in the treatment of damage to the internal lateral ligament of the knee joint. In order to prevent contracture in the joint, the damaged ligament is exposed. The edges of the middle part of the ligament are joined and fixed when the tibia is bent at an angle of 120-130 ° & , the front part - with the full flexion of the lower leg, the rear part - with the full extension of the lower leg.

Description

The invention relates to medicine, namely to orthopedics, traumatology in the treatment of injuries of the ligaments of the knee joint.

The purpose of the method is to prevent a contracture in the joint.

The method is carried out as follows.

A parapatella incision, with the lower angle of the wound rotated towards the attachment of the distal end of the inner lateral ligament, dissects the skin, subcutaneous tissue and superficial fascia. The inner adhesives and the surface of the inner side ligament are exposed to a clear visual definition of its boundaries and fiber direction. The location of the fracture is determined, the bindings are mapped. First, the length of the middle, then the front and rear sections of the tie is restored by means of adaptive seams. To do this, in the middle of the proximal and distal ends of the bundle, at a distance of about 1 cm from the edge of the rupture, bundles of fibers are stitched with a thin silk ligature transversely and 2 mm wide and tie them. Through the proximal end above the superimposed ligature, and through the distal end, down the middle, the connected fiber bundles are stitched with a ligature from the 6th number of silk, the lower leg is bent to 120-130 ° and is tied off with moderate tension. The ligatures are led through the front portion of the binder and, with moderate tension, they tie it in the position of full flexion of the tibia, and the connection of the back part of the binding is carried out in the position of maximum extension. The joint stability is checked, the wound is sutured in layers. In the position of flexing the tibia at an angle of 120-130 ° C, the limb is immobilized with a deep back splint from a year's fold to the tips of the toes of the foot.

Example. Patient C., 45 years old, was operated on for breaking the inner lateral ligament of the left knee joint. Skin, subcutaneous cellulose, superficial fascia are dissected by a known method. The bond is exposed, its complete rupture at the level of the articular gap is revealed. The rupture edges are uneven, spongy. When the lower leg is bent at an angle of 120-130 °, the ends of the middle part of the binder are connected, while the lower leg is bent, the front part of the binder is connected with ligatures, and the back part of the binder is connected with

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extension of the tibia. After connecting the ends, the movements in the joint are checked, the tension of the stitched fibers is normal. The wound is sutured in layers, immobilizing the rear gypsum splint. Through the month, the movements were restored, the contractures were not revealed in the remote terms.

Claims (1)

The invention of the method for the treatment of fracture of the internal lateral ligament of the knee joint by putting the ends of the ligament with their subsequent fixation, immobilization of the limb with the subsequent development of movements in the joint, characterized in that, in order to prevent contracture, when the tibia is bent at an angle of 120-130 °, the middle part of the chord is fully bent; ligaments, with full extension of the tibia, the back of the ligament.