SU1026786A1 - Method of treating fragmented fractures of long tubular bones - Google Patents

Abstract

METHOD OF TREATMENT OF EXCELIUM OUTTERS OF LONG TONES OF CLEANERS By repositioning fragments, fixing with extracortical plates, characterized in that, in order to ensure stable fixation of fragments, reduction of trauma in the repeated operation when removing the fixture, the plates are fixed by using keyboards, which are applied by keyboards. in the compression-distraction apparatus, after fusion of the fragments, the latch for the protruding under the soft tissues formed at one of the ends of the eye plate through the a small cut.

Description

This invention relates to medicine, namely to surgery.

A known method for the treatment of comminuted fractures of long tubular bones by repositioning fragments, fixation using extracortical plates 1.

However, the known method does not provide stable fixation of fragments; soft tissue may be injured by repeated operation when removing the fixative.

The aim of the invention is to ensure stable fixation of fragments, reducing the morbidity of re-operation when removing the fixator.

The goal is achieved by the method of treating comminuted fractures of long tubular bones by repositioning the fragments, fixing with extracortical plates, the plates are fixed to the fragments with needles from the stop pads, fix the needles in compression and traction devices, after splicing the fragments remove the lock for the rifle; j .u; e under soft tissues, the eyelet is shaped at one of the ends of the plate through a small incision.

FIG. 1 shows a variant of osteosynthesis of a fracture with a single plate fixed to the bone with needles with stop plates; in fig. 2 - a variant of osteosynthesis using two plates.

Extra cortical plate 1 has holes 2, through which the spokes with the thrust pads 3, the ends of which are fixed in the apparatus for external fixation of long tubular bones. At one end of the extracortical plate 1 there is a preformed

eyelet 4 for later removal of the retainer.

The method is carried out as follows.

After exposing the fracture area and repositioning the fragments, extracortical plates 1 are fixed to the bone by means of a cross-section of 2 knitting needles through the holes in them.

- with stop pads 3, the ends of the spokes with stop pads 3 are fixed in external fixation devices with the use of a metered force generated by a calibrated needle and replenished during the treatment process. Plaster belt immobilization is generally not performed, therefore the limb joints remain free for active-passive gymnastics.

After the fracture of the fracture, the ends of the spokes with the stubborn pads 3 stand out

0 from fastening in external fixation devices, the rotational movements of the spokes push the stops under soft tissues and remove them through small incisions. Then, a soft tissue incision is made above the preformed ear 4, protruding under the soft tissues, of the extracortical plate 1, through which the latter is removed.

The proposed method provides for a firm fixation of fractures for the entire period of fracture consolidation, allows for early function of the joints, reduces trauma with repeated surgical interventions, which leads to a decrease in the overall duration of treatment and hospital stay.

Claims (1)

METHOD FOR TREATMENT OF SHARED FRACTURES OF LONG TUBULAR BONES by reposition of fragments, fixation using extracortical plates, characterized in that, in order to ensure stable fixation of fragments, reduce trauma during repeated surgery when removing the fixator, the plates are fixed to the fragments with knitting needles with supports '' the needles in compression-distraction devices, after the fusion of the fragments, remove the latch behind the protruding under the soft tissues formed at one end of the plate