SU829102A1 - Electromagnetic vibrator - Google Patents

Description

one

The invention relates to medicine and to the surgical treatment of inflammatory lesions and injuries of the knee joint.

There is a method of treatment of lesions of the knee joint by layer-by-section dissection of tissues and subsequent removal of pathological formations ij "

The disadvantage of this method is that it is impossible to completely and completely remove the affected tissues from all parts of the joint, the trauma of the operation.

The principle of the invention is to completely remove all tissues from all parts of the joint, reducing the trauma of surgery.

The delivered chain is achieved by making an external-side arcuate incision of the skin, subcutaneous fatty tissue, fascia and capsule, skirting the outer skin of the femur along its posterior margin, then from the end of the arcuate incision

the vertical incisions along the front of the thigh, and the tibia, then cut through the outer half of the patellar bones of their own and make a 2-section of the cruciate ligaments and, after removing the affected tissues, restore their integrity.

The method is carried out as follows.

Claims (1)

2-3 cm above the upper pole of the patella, on the lateral surface of the external condyle of the femur above the head of the fibula and at the level of the tibial tuberosity are made: marks, such as blue, and connected with an arched pinia, along which cut through the skin, subcutaneous fatty tissue, facial tissue and a capsule. Vertical incisions are made 1-2 cm long along the front surface of the thigh and lower leg along the ends of the arcuate incision. The external head of the quadriceps femoris is dissected within the tendon stretch over the entire length without damaging the heel muscles. Hapyncftyro half of their own svny nadkopaEshka cut obliquely from the top - down, sleeping guns - inside. The altered p-ous synovial membrane is removed: the capsule and granule from the upper turn. The nadcocarpus is inverted into the wound and displaced inside with the skin-fasciapia flap, the first tissues from the anterior-lateral sections, intermuscular depressions, are changed. Cross bridges cut Z-shaped so that the outer piston of the anterior cruciate ligament remains on the external condyle of the femur, and the external portion of the posterior cruciate ligament - on the inner condyle. Complete removal of altered tissues from the posterior part of the joint. When the meniscuses are broken down by the pathological process, they are removed from, and if they are satisfactory, the altered tissues from under the meniscus are scraped with a sequestric spoon. Hemostasis is performed. The integrity of the cruciate ligaments is restored by silk knotted seams with preservation of the previous tension. Silk stitches are put on the outer portion of the patellar own ligament. The wound is sutured in layers. At 4-5 days after the operation, they start developing passive movements in the joint. When using this method, it is possible to completely remove the altered synovial membrane, capsule, granule and tissue and soft tissue from all parts of the joint all at once, using one access. In this case, there is a need for temporarily cutting off one of the lateral joints of the copeneous joint, which are essential in functional terms, there is no need for the use of internal parapipellular dissection of tissues associated with damage to the branches of the femoral nerve. Claims of treatment of lesions of the knee joint by layer-by-section dissection of tissues followed by removal of pathological formations, which also, in order to completely remove the affected tissues from all parts of the joint, as well as reduce the morbidity of the process, t the outer-side arcuate raerez of the skin, subcutaneous fatty tissue, fascia and capsule, enveloping the external, 1 lysche femur along its posterior edge, then from the end of the arcuate incision vertical incisions are made s soverhnosti front of the femur and tibia, further dissect the outer half own patellar ligament and making t 2 figurative dissection cruciate ligaments, and after removal of the affected tissues is reduced integrity. Sources of information taken into account in the examination of 1, Skolko E. P, Martyshenko G. F, Orthopedic treatment of infectious polyarthritis in children. Kiev, 1975, p. 94 96.