SU724135A1 - Method of centering femul head during congenital dislocation - Google Patents

Method of centering femul head during congenital dislocation Download PDF

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Publication number
SU724135A1
SU724135A1 SU782674358A SU2674358A SU724135A1 SU 724135 A1 SU724135 A1 SU 724135A1 SU 782674358 A SU782674358 A SU 782674358A SU 2674358 A SU2674358 A SU 2674358A SU 724135 A1 SU724135 A1 SU 724135A1
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SU
USSR - Soviet Union
Prior art keywords
centering
femul
head during
congenital dislocation
head
Prior art date
Application number
SU782674358A
Other languages
Russian (ru)
Inventor
Николай Николаевич Маков
Василий Викторович Мельник
Original Assignee
Makov Nikolaj N
Melnik Vasilij V
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Publication date
Application filed by Makov Nikolaj N, Melnik Vasilij V filed Critical Makov Nikolaj N
Priority to SU782674358A priority Critical patent/SU724135A1/en
Application granted granted Critical
Publication of SU724135A1 publication Critical patent/SU724135A1/en

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течение двух мео ц&в перед опера-Цией по-лучала исонсервативное лечение: ЛФК, массаж , витаминотерапию, иовофорёз с хлористым кальцием на оба тазббедрннйхсустава , в амбулаторных условл х. Пр,и лоступленйи iB 1клини ку перед операцией больной  роводилось лей-копластьгрное выт жерие на наклонной плойкрсти а теч еййе Двух недель в сочетании с /общим и местным .KOHcepiBaTHBHbra лечением с целью улуч1Ше .,.1ни  обменных процессов и ул чшени  кровообращени  в области правого таэобед-; рен ого сустава, Больной произведено открытое вправление правого -бедра с исправлениемугла алтеверсий: (центрадаей головки бедра) по .предложенному способу с одновременной реконстру|ндией верхнего отдела вертлужной впадины, После вылоллени  операции выв«х устранён, головка бедра хорошо центрирована , угол артевёрсйи составл ет 30°. При осмотре -чфез б мес цев .реконструированна  вертлужна  владина сформирована хорошо, иастушрила полна  консолидаци  всей надвертлужной области,For two months, before the operative, the Center received and conservative treatment: physical therapy, massage, vitamin therapy, and calcium fornication with calcium chloride in both patients, in ambulatory conditions. Pr and lB iB 1clinic before surgery, the patient was treated with leukoplastic lesion on an inclined curvature and during two weeks in combination with general and local .KOHcepiBaTHBbra treatment to improve, .. 1 metabolic processes and blood circulation in the area of rights Taeobed-; renal joint, the patient made an open reposition of the right hip with correction of the angle of alteversia: (the center of the femoral head) according to the proposed method with simultaneous reconstruction of the upper section of the acetabulum, after the operation was cleared, the horn was eliminated, the head of the hip was well centered, em 30 °. During the inspection of the Department of Months, the reconstructed acetabular Vladina was well formed, and the asthma consisted in the complete consolidation of the entire super-portal area,

л го ловка бедра хорошо центрирована, уголl thigh thigh well centered, angle

антеверсии составл ет 30°. Движени  в оперлрованном суставе П|рактиЧе ски в полном объеме. При осмотре через ТТгод толовка бедра хорошо цеНтрйр5вана,:уТ(5л §н4евер .ои;11 составл ет 30°. Объем дви;жен,йй в оперированном тазобедренном суставе полный. П р им ер 2. Больной поступил в отделение детской ортоледиИ с диагнозом: прожданный вывих бедра; IB левом тазобед .рённоМ суставе П .стеленл с углом антеверсйи 53°. До поступлени  в клинику трижды примен лось лечениепутем вертикальной трамции на лолуафернчеокой раме, не принесшее успеха. При/поступледий в клинику Anteversion is 30 °. Movement in the plucked joint is fully in full. When viewed through the TTgod, the thigh of the thigh is well centered,: YT (5l §4ver. Oi; 11 is 30 °. The volume of the movement is complete. The patient has been admitted to the pediatric orthopedic department with a diagnosis : awakened dislocation of the femur; IB left hip joints of the сустав joints of the stem with an anteversia angle of 53 °. Before being admitted to the clinic, treatment with vertical tramtia on a LF-frame was applied three times and was not successful.

перед операцией |болкному проводилось before the operation | bolkny was carried out

лей1колластырнОё.вьтт жшие на, наклоннойleykolastyrynoyo.vttt zhzhya on, inclined

плоскости в течение 15 дней, в Сочетанииplanes for 15 days, in combination

с обгцим л , .местным кйнсервативньш лече ,нлем с целью улучшепл  обменных процесоэтз питани И улучшени  кровообращени with local health care, nlem for the purpose of improving exchange metabolic processes and improving blood circulation

в области тазобедренного суСтава. Прр|из-.in the area of the hip suStava. Prr | iz-

ведено открытое вправление левого бедра с центрацией головки бедра ло цредложенлому способу, с одновременной реконструкцией верхнего отдела вертлужлой впадины по Методике клин ки. После вьшолНёли  ЬпераЦиИ |ВЙвйх устранен, , головка центрирована, угол антеверсии составл ет 29°. При осмотре через 6 м&с цев после операции реконструироваЕна  вертлужна  .впадйла хорошо сфор Мйрована, наступила - полла  консолидаци  всей надвертлужной области, головка бедра хорОШо центрирова-. на, угол антеверсин составл ет 29°. Движени  3 оперирОванном тазобедренном суставе (практически в полном. объеме. При осмотре через 1 год головка бедра Хорошо центриравана, угол алтеверсии составл ет 31°. Движени  в оперированлом суставе в полном объеме. . , tan open reduction of the left femur with the centering of the femoral head was performed according to the method of the blade, with simultaneous reconstruction of the upper part of the acetabulum. After the removal of the flaws, the head is centered, the anteversion angle is 29 °. When viewed through 6 m & after the operation, the reconstruction of the acetabulum was well formed, it came to - the consolidation of the entire supra-curvature region, the head of the thigh was well centered. On, the anteversin angle is 29 °. Motion 3 of the operated hip joint (practically in full volume. Seen after 1 year, the head of the thigh is well centered, the angle of alteversion is 31 °. Movement in the operated joint is full.., T

Предлагаемый способ позвол ет исключить рецидив вальгуса и антеверсии и у1меньш.ает тра1ВМатичность операции, при . осуществлении способа не нарушаетс  питание головки бедренной кости и проксимального отдела бедра, уменьшаетс  степень кр1мпресси|и головки в крыше вертлужной впадины. The proposed method makes it possible to exclude valgus recurrence and anteversion and reduces the intensity of the surgery, for. In this method, the feeding of the femoral head and proximal femur is not impaired, the degree of crunching and the head in the acetabulum roof is reduced.

Claims (1)

1.. Волков М. В. л Дедова В. Д. Детска  ортопеди . М., 1972, с. 139.1 .. Volkov M. V. l Dedov V. D. Detskaya orthopedics. M., 1972, p. 139.
SU782674358A 1978-10-18 1978-10-18 Method of centering femul head during congenital dislocation SU724135A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
SU782674358A SU724135A1 (en) 1978-10-18 1978-10-18 Method of centering femul head during congenital dislocation

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Application Number Priority Date Filing Date Title
SU782674358A SU724135A1 (en) 1978-10-18 1978-10-18 Method of centering femul head during congenital dislocation

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SU724135A1 true SU724135A1 (en) 1980-03-30

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