SU1657168A1 - A method for treating collar bone defect - Google Patents

A method for treating collar bone defect Download PDF

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Publication number
SU1657168A1
SU1657168A1 SU884454622A SU4454622A SU1657168A1 SU 1657168 A1 SU1657168 A1 SU 1657168A1 SU 884454622 A SU884454622 A SU 884454622A SU 4454622 A SU4454622 A SU 4454622A SU 1657168 A1 SU1657168 A1 SU 1657168A1
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SU
USSR - Soviet Union
Prior art keywords
clavicle
treating
defect
graft
bone defect
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SU884454622A
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Russian (ru)
Inventor
Анатолий Петрович Барабаш
Леонид Николаевич Соломин
Original Assignee
Благовещенский государственный медицинский институт
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Priority to SU884454622A priority Critical patent/SU1657168A1/en
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Publication of SU1657168A1 publication Critical patent/SU1657168A1/en

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Abstract

Изобретение относитс  к медицине, а именно к ортопедии и травматологии в лечении дефекта ключицы. С целью обеспечени  функции конечности в раннем послеоперационном периоде замещают дефект ключицы трансплантатом, провод т спицу с упорной площадкой через грудину, проксимальный фрагмент ключицы, трансплантат , акромиальную часть ключицы, закрепл ют ее в полукольце, фиксированном на спицах, проведенных через отростки лопатки .The invention relates to medicine, namely to orthopedics and traumatology in the treatment of a clavicle defect. In order to ensure the function of the limb in the early postoperative period, the clavicle defect is replaced with a graft, a needle is held with an abutment pad through the sternum, a proximal clavicle fragment, a graft, the acromial part of the clavicle is fixed in a semi-circle fixed on the needles through the scapula.

Description

Изобретение относитс  к медицине, а именно к травматологии и ортопедии при лечении дефекта ключицы.The invention relates to medicine, namely to traumatology and orthopedics in the treatment of a clavicle defect.

Целью изобретени   вл етс  обеспечение функциии конечности в раннем послеоперационном периоде.The aim of the invention is to provide a function of the limb in the early postoperative period.

Способ осуществл етс  следующим образом .The method is carried out as follows.

В положении больного на спине с валиком вдоль позвоночника производ т разрез вдоль грудинного конца ключицы, выдел ют патологически измененные ткани и резецируют . Берут трансплантат из ребра или крыла подвздошной кости, моделируют его под грудинный конец ключицы и укладывают в ложе. Затем провод т 2-миллиметровую спицу через руко тку грудины, вдоль трансплантата и через дистальный фрагмент клю- чицы. На конце спицы формируют Г-образный упор и погружают его под кожу. Затем нат гивают спицу в полукольце, укрепленном на спицах, проведенных одна через акромиальный отросток ключицы, друга  через клювовидный отросток лопатки и ее ость. Рана послойно зашиваетс In the position of the patient on the back with a cushion along the spine, an incision is made along the sternal end of the clavicle, pathologically altered tissues are isolated and resected. A graft from the rib or wing of the Ilium is taken, it is modeled under the sternal end of the clavicle and placed in the bed. A 2 mm needle is then guided through the handle of the sternum, along the graft and through the distal fragment of the keyhole. At the end of the needles form an L-shaped support and immerse it under the skin. Then, a needle is pulled in a semiring reinforced with needles, held one through the acromial process of the clavicle, the other through the coracoid process of the scapula and its awn. The wound is sutured in layers

наглухо. Дополнительной иммобилизации не требуетс .tightly. No additional immobilization is required.

Пример. Больна  С.. 34 года. Диагноз: хондрома грудинного конца правой ключицы . Проведена операци . Удалена хондрома , сформирован аутотрансплантат из ребра, замещен дефект и фрагменты фиксированы предложенным способом. Через 3 мес. фиксаци  прекращена. Функци  в правом плечевом суставе сразу после операции , в процессе лечени , в отдаленные сроки не нарушена.Example. Ill With .. 34 years. Diagnosis: chondroma of the sternal end of the right clavicle. An operation was performed. The chondroma was removed, an autograft from the rib was formed, the defect was replaced and the fragments were fixed by the proposed method. After 3 months fixation aborted. The function in the right shoulder joint immediately after the operation, in the course of treatment, is not disturbed in the long term.

Claims (1)

Формула изобретени  Способ лечени  дефекта ключицы путем замещени  его аутотрансплантатом с последующей фиксацией, отличающийс  тем, что, с целью обеспечени  функции конечности в раннем послеоперационном периоде , провод т спицу с упорной площадкой через грудину, проксимальный фрагмент ключицы, трансплантат, акромиальную часть ключицы, закрепл ют ее в пол- укольце, фиксированном на спицах, проведенных через отростки лопатки.The method of treating a clavicle defect by replacing it with an autograft followed by fixation, characterized in that, in order to ensure the function of the limb in the early postoperative period, the needle with the support plate through the sternum, the proximal clavicle fragment, the graft, the acromial part of the clavicle is fastened it is in a half-ring fixed on the needles held through the processes of the scapula. ЈJ ОABOUT елate vjvj Ј 00Ј 00
SU884454622A 1988-07-05 1988-07-05 A method for treating collar bone defect SU1657168A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
SU884454622A SU1657168A1 (en) 1988-07-05 1988-07-05 A method for treating collar bone defect

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
SU884454622A SU1657168A1 (en) 1988-07-05 1988-07-05 A method for treating collar bone defect

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SU1657168A1 true SU1657168A1 (en) 1991-06-23

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
MD2721C2 (en) * 2003-09-16 2005-10-31 Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова Method of plasty of clavicule congenital defects to children

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
Авторское свидетельство СССР Ns 1058558. кл. А 61 В 17/56, 1983, *

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
MD2721C2 (en) * 2003-09-16 2005-10-31 Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова Method of plasty of clavicule congenital defects to children

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