SU919664A1 - Method of reconstructive operation of hand 1 finger congenital hypoplasia - Google Patents

Description

(5) METHOD OF RECONSTRUCTIVE AND RESTORATIVE OPERATION IN CONGENITAL HYPOPLASIA

I

This invention relates to medicine and more specifically to orthopedics.

A known method of reconstructive reconstructive surgery of prn congenital hypoplasia of one finger of the hand brush is done. The skin incision / creation of the first patch bone from the fragment of the second bone bone and the use of bone: graft HP.

The disadvantage of this method is the impossibility of sufficient elongation of one finger, correcting its axis and the lack of its stabilization.

The purpose of the invention is to increase the length, correct the axis and stabilize one finger.

The goal is achieved in that according to the method, recombinant restorative surgery for congenital hypoplasia of 1 finger of the hand by cutting the skin and creating a 1 st bone from a fragment of the bone and a bone graft, using a skin incision 1

from the head of the second bone bone along its diaphysis with the transition to the palmar-radial surface at the base of the second pneumatic bone; then, the second soft bone is split and the radial half of its diaphysis is retracted, then the marginal resection of the pedicular bone bones and proximal phalanx of 1 finger, from the ulnar side of the allotted fragment,

The 10th KOCTI1 Fungus is placed a bone graft of the required length, the previously resected flesh bone and the proximal phalanx of 1 finger are inserted and fixed into the distal end of it, and a graft in the form of a strut is inserted into the split of the II focal bone and the lesion is seen to see the skin defect free skin graft.

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Claims (1)

FIG. .1 is a skin incision chart; in fig. 2 - cleavage of a fragment of the II pst bone in the frontal plane, the marginal resection of the pap bone rudiment and the proximal phalanx of 1 finger; Fig. 3 shows the arrangement of the bone grafts and their fixation with two needles to the bone segments 1 of the finger and II of the bone, in the position of retraction and opposition; Fig. 2 shows the closure of a wound defect at the base of 1 finger after it has been lengthened and the formation of 1 bone bone by free skin grafting. Example, On the back-radial surface of the hand, an incision is made from the head of the limp bone in the proximal direction along its diaphysis, with the continuation of the palmar-radial surface at the base of the second bone, the back interosseous muscle is separated from the latter, Proximal to the growth zone without periosteal detachment, osteotomy is performed in the frontal plane of the second bone bone with incomplete removal of the radial half of its diaphragm. The split fragment is retracted to the palmar-radial side beneath the posterior interosseous muscle. After isolation from the surrounding soft tissues from the concave side of the curvature, marginal resection of the fusible bone rudiment, proximal phalanx of the 1st finger, interphalangeal and phnophalangeal joints is made, the bone graft of the required length and in the ulnar side of the split II pf bone is laid. the cleft of its distal end introduces a rudiment of the flesh bone and a proximal phalanx of 1 finger with fixing them to the graft with a needle held in the transverse direction. Stabilization of 1 finger in the retracted position and opposing is obtained with the help of a graft inserted in the form of a spigot and fixed with a needle. between the newly created fibrous bone and the rest of the second soft bone. The defect of the skin that forms at the base of the 1st finger after it is lowered in the distal direction in the result of lengthening is replaced by a free skin graft. 44 Technical appraisal and economic advantages of using the proposed method of reconstructive surgery in case of congenital hypoplasia of one finger of the hand provides, compared with the known, the possibility of functionally necessary extension of 1 finger depending on O5 degree of hypoplasia, the possibility of simultaneous correction of the axis of the finger 1 and stabilizing the phalangeal and interphalangeal joints deprived of elements of active stabilization. Claims of reconstructive surgery for congenital hypoplasia of 1 finger of the hand by cutting the skin, creating 1 soft bone from the fragment of the II soft bone and using a bone graft, characterized in that, in order to increase the length, correct the CSI and stabilize 1 finger, a skin incision is made from the head of the second fibrous bone along its diaphysis with the transition to the palmar-radial surface at the base of the second plastic bone, then splitting the lateral bone and diverting the radial half of its diaphragm to the side. for, then, marginal resection of the pedicle bone and proximal phalanx of the 1st finger is performed, a bone graft of the required length is inserted from the ulnar side of the removed 2nd bone bone fragment into the distal end, and the previously resected finger bone and the proximal phalanx of the finger are fixed and fixed in-cleft of the second bone tissue, the graft is inserted in the form of a strut and the skin defect is repaired by a free graft. Sources of information taken in charge during examination 1. Blauth W. Der hypoplastsche Vasup. Arch, orthop. Shfall-Chir, 1967, v. 62, p. 225 (prototype). g.1 f .J year