SU897239A1

SU897239A1 - Splint for treating lower limb bone fractures

Info

Publication number: SU897239A1
Application number: SU772547168A
Authority: SU
Inventors: Юрий Борисович Кашанский; Михаил Сергеевич Савельев
Original assignee: Ленинградский научно-исследовательский институт скорой помощи им.И.И.Джанелидзе
Priority date: 1977-11-25
Filing date: 1977-11-25
Publication date: 1982-01-15

Description

(54) ШИНА ДЛЯ ЛЕЧЕНИЯ ПЕРЕЛОМОВ КОСТЕЙ НИЖНЕЙ КОНЕЧНОСТИ(54) TIRE FOR THE TREATMENT OF LOWER LIMB BONE FRACTURES

II

Изобретение относитс к медицине, а конкретно к устройствам дл лечени переломов конечностей.This invention relates to medicine, and more specifically to devices for treating limb fractures.

Известна шина дл лечени переломов костей нижних конечностей, содержаща основание с закрепленными на ней стойками и блокодержател ми, раму бедра и раму гоЛе-ни , установленные на стойках и выполненные из регулируемых по дгшне попарно параллельных стержней 1 .A known splint for treating fractures of the lower extremities, containing a base with racks and block holders fixed on it, a hip frame and a gantry frame, mounted on racks and made of pairwise adjustable parallel rods 1.

Однако известна тина не обеспечивает наличи необходимого циркул рного оперативного пол вокруг области перелома, что исключает возможность консервативного и оперативного лечени множественных переломов с применением компрессионно-дистракционных аппаратов, а также выполнение противошоковых меропри тий.However, the known tina does not provide the necessary circulating operative field around the fracture area, which excludes the possibility of conservative and surgical treatment of multiple fractures using compression-distraction apparatus, as well as the implementation of antishock measures.

Цель изобретени - обеспечение консервативного и оперативного множественных переломов.The purpose of the invention is to provide conservative and operative multiple fractures.

Поставленна цель достигаетс тем, что пшна, содержаща основание с закрепленными, на нем стойками и блокодержател ми, рамуThe goal is achieved by the fact that the pshna, containing the base with fixed racks and block holders on it, frame

бедра и раму голени, установленные на стойках и вьшолненные из регулируемых по длине попарно параллельных стержней, стержни рамы бедра и рамы голени выполнены съемными.the thighs and the shin frame, mounted on racks and made of parallel-rods that are adjustable in length in pairs, the shafts and shin frame rods are removable.

Кроме того, на основании шины установлен регулируемый противоупор.In addition, on the basis of the tire has an adjustable anti-stop.

На чертеже изображена тина со сн тыми гамачками дл бедра и голени, общий вид.The drawing shows a tin with removed hammocks for the thigh and lower leg, general view.

Шина содержит основание 1, на котором The tire contains base 1 on which

10 закреплены стойки 2 и блокодержатели с блоками 3 и 4 дл скелетного выт жени бедра и голени. Рама бедра содержит регулируемые по длине попарно параллельные стержни 5. Рама голени также содержит регулируемые 10, the supports 2 and block holders with blocks 3 and 4 are fixed for skeletal stretching of the hip and tibia. The thigh frame contains parallel-length adjustable pairwise rods 5. The lower leg frame also contains adjustable

15 по длине попарно параллельные стержни 6. Стержни 5 и 6 выполнены съемные и несут опорные матерчатые гамачки (не показаны) дл бедра и голени. На планке 7 в серьге 8 установлен регулируемый паховый противо20 упор 9.15 pairwise parallel rods 6 in length. The rods 5 and 6 are made removable and carry supporting cloth hammocks (not shown) for the thigh and tibia. On the strap 7 in the earring 8, an adjustable inguinal backrest stop 9 is installed.

Шину примен ют следующим образом.The tire is applied as follows.

Claims

The victim with a traumatic shock is placed on the shield and set the counter 9 in the groin area. Telescopic rods basis} w 1 tires regulate in accordance with the growth of the patient. On the damaged limb segments, attachments of skeleton extrusions are superimposed and until the start of osteosynthesis, these segments remain fixed in the physiological position on the hammocks for the thigh and tibia mounted on removable rods 5 and 6. The latter are mounted on racks 2 with the help of earrings. A partial reposition of fragments is carried out and all the necessary anti-shock measures (hemotransfusion, anesthesia, etc.) are carried out. For removal of the osteosynthesis on the hip, a removable rod and 5 for thigh and gamachok removed. The posts 2 along the longitudinal groove in the frame of the base 1 are moved away from the proximal end of the tire by a distance sufficient to pass the rings of the compression-distraction apparatus. After that, the apparatus is applied to the injured thigh. At the same time, a sparing reposition of the fragments and continuous skeletal stretching of the injured leg, which during the operative osteosynthesis of the thigh rests on the leg hammer, are carried out. After the end of the operation of the osteosynthesis, the legs of the rack 2 are set in a position suitable for creating an operating r space under the shank, the removable rods 6 together with the shin leg are removed, after which the transosseous osteosynthesis of the tibia is performed. During hip surgery, the length of the operative space is regulated by the counter-support 9, and during surgery on the lower legs - by the telescopic shanks of the base 1. The use of the proposed therapy for treating multiple first fractures of the lower extremities makes it possible to provide emergency trauma care to those suffering from pain, without shifting them from the table on which TC antisplash events. The proposed device allows continuous skeletal exhalation, reposition of fragments and transosseous osteosynthesis of several broken segments with simultaneous blood transfusion, mechanical ventilation and other anti-shock measures. It is fundamentally important that this device makes it possible in the early stages to begin the reposition of fragments and osteosynthesis in severe polytrauma, as a result of which the trauma decreases and the effectiveness of the treatment increases, and its long-term results improve. 1. The splint for treatment of fractures of the lower limb, comprising a base with racks and blockers attached to it, a hip frame and a shin frame, mounted on racks and made of adjustable parallel pairs of rods in length, characterized in that ensuring the possibility of conservative and surgical treatment of multiple fractures, hip frame rods and tibia frame are removable.

2. Tire according to claim 1, characterized in that on the basis of an adjustable anti-stop is installed. Sources of information taken into account during the examination 1. USSR Author's Certificate No. 225376, cl. A 61 F 5/04, 1967.