SU721085A1 - Method of treatment of oblique fracture of bone - Google Patents

Description

(54) METHOD FOR TREATING BONE BONE FRACTURE

one

This invention relates to medicine 1e, namely to compression osteosynthesis. /

There is a method of treating oblique bone fracture by comparing fragments with their subsequent fixation and extrafocal compression osteosynthesis 1.

However, the implementation of this method requires a very complicated, painstaking juxtaposition of fragments, which does not ultimately exclude the likelihood of the latter shifting along an inclined fracture plane. B. The result is a delay in the treatment of the fracture.

The aim of the invention is to simplify the juxtaposition of bone fragments and eliminate their displacement along an inclined fracture plane.

The goal is achieved by the fact that the proposed method of treatment of oblique bone fracture; First, before matching fragments through the base of the fracture of one of the bone fragments, two spokes are inclined to the axis of the fragment parallel to the spokes so that the spokes protrude at the base, then the sharp end of the other fragment is set as an emphasis between the spokes.

The method is carried out as follows.

Initially, two parallel needles are inclined to the bone axis through the lower point (base of the fracture) of the F.NO. bone fragments so that the ends of the spokes extend beyond the bone limit at the base of the fracture. Between the released ends, the sharp end of the other fragment is placed as an emphasis and fixed in this position.

Further, extrafocal compression is performed by known methods and devices, including simple oblique fractures,

Example. Patient T., 41 years old, was diagnosed with a spiral closed fracture of the bones of the left tibia: the tibial bone is broken at the border of the lower and middle third, and the fibular bone is in the upper third, with fragments displaced in length and width.

Claims (1)

The reposition of fragments by skeletal stretch for 9 days failed. Operated under ether anesthesia. Arcuate incision convexity inward along the middle and lower third of the leg. Sharp ends otlom - ..... y 3- O .- /,. / KOB of the tibia penetrated deep into the tissue of the gastrocnemius muscle, which created an interposition between the fragments. Bone fragments mobilized. In the lower part of the fracture plane of the distal fragment, at an obtuse angle to its longitudinal axis in the diastal direction, two Kirschner spokes are drawn through both walls of the bone. The bone fragments are repositioned in such a way that the sharp end of the proximal fragment is fixed with these spokes. At 2 cm from the surface of the diaphysis, the bones of the needles are bitten, their ends are bent. 3 cm proximal to the site of the yiiopa, fragments around the bones of the bone are connected by a cross from a nylon cloth. In the tibial bone, proximal and distal to the place of the fracture in the frontal plane perpendicular to the long axis of the bone, two needles are drawn. The ends of them are taken out of the skin, held through the slots of the studs located on the outer and inner sides of the lower leg, secured between the nuts and lock nuts. Between the spokes on both sides of the tension rubber. The spokes are close to each other, slightly arched and arched. At the same time, the fragments of the bones as if stuck into each other, their mobility disappeared. The wound is sewn up tightly, leaving three rubber bands at the corners and in the middle. Aseptic dressing, back deep plaster Longuet from the ends of the fingers to the middle third of the thigh. The patient received antibiotics, vitamins, methyluracil. After 2 days, rubber strips were removed from the wound, on the 10th day, the stitches were removed, the wound healed by primary tension. Superimposed additional front plaster longget, fixation of the longuets with plaster bandages. After 15 days, a control radiograph: contact fragments standing, their axis is correct. After 25 days, the needles were removed, a plaster cast from fingers to tibial tuberosity was applied. After 3 months, the gypsum is removed, the clinical bone has grown together, and the callus is visible on the radiograph. From the 15th day on, the patient walked with crutches, and after 3 months - with the help of a cane. Thus, sufficient consolidation of the tibial fracture occurred within 3 months. Presence ", .. 4 - f .. - / V X FITTINGS near the ora fragment prevented the displacement of bone fragments. The patient refused to remove segments of the needles, since they did not bother him. Examined after four and a half years after the operation. There is a thin postoperative movable scar on the left leg. The ends of the spokes are not palpable. The shape and function of the limbs are good. On the radiograph on the 0bial bone, a small callus is visible, the bone and cerebral canal is traced throughout the bone. Both needles, which served to rest the fragment, are without visible changes: the bone tissue around the spokes is structural. The proposed method with the manufacture of a stop on one fragment to fix the sharp end of the other fragment eliminates the displacement of one fragment relative to another along the inclined surface of the fracture, i.e., eliminates the occurring displacement, and, most importantly, simplifies the process of combining fragments. The condition of the fragments does not require constant radiological control. The invention of the method of treating oblique fracture of the bone by matching fragments with their subsequent fixation and extrafocal compression osteosynthesis, which, in order to simplify the comparison of bone fragments and eliminate their displacement along an inclined fracture plane, first before matching fragments through the fracture base of one of the fragments obliquely to the axis of the fragment, two TiaK spokes are held in parallel, which protrude at the base of the spokes, then the sharp end of the other fragment is set as an emphasis between the spokes. Sources of information taken into account in the examination 1. Gudushauri O. N. Doct. diss. Extrafocal compression osteosynthesis for non-adult fractures and false joints. 1964, p. 15, 75 - 87.