SU1039486A1 - Method of operation treatment of knee joint extraction contracture - Google Patents

Abstract

A METHOD FOR OPERATING TREATMENT OF THE FLEXIBLE CONTRACT OF THE TOURA OF THE KNEE JOINT, including the dissection of intra-articular adhesions, mobilization of the knee extensor muscles, the excision or intersection of the intermediate muscle, in order to reduce, traumatic intervention and prevent the recurrence of the contraction therapy, which will prevent the contraction of the contraction, who will undergo a contractive procedure, which will be used in the course of contraction therapy, in order to prevent traumatic intervention, and to prevent the retraction of the suppressive therapy, to prevent recurrent contraction therapy, to reduce and injure the intervention, a course of contraction therapy will reduce the traction of contraction, and to prevent recurrences of the suppressive therapy, in order to reduce and injure the intervention, and to prevent recurrences of the suppressive therapy, they will have to cut down the intercourse The hip femurs are bluntly performed through the joint cavity, not separating them from the fibrous and synovial capsules of the joint and skin.

Description

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05 The invention relates to medicine, namely operative orthopedics and traumatology. There is a method of surgical treatment of the extensor contracture of the knee joint, including the dissection of intra-articular adhesions, mobilization of the muscles of the flexor tibia, excision or intersection of the intermediate muscle 1. However, the known method is traumatic and possible recurrence of the extensor contracture of the joint. The aim of the invention is to reduce the invasiveness of the intervention and prevent the recurrence of the extensor contracture. The goal is achieved by the fact that according to end-. Operational treatment of the extensor contracture of the knee joint, including dissection of intra-articular adhesions, mobilization of the flexor muscles, excision or intersection of the intermediate muscle, mobilization of the distal portions of the medial and lateral thigh muscles are performed through the joint cavity bluntly, not separating them from the fibrous and synovial capsules joint and skin. The method is carried out as follows: Cut the skin along the front surface of the thigh 7 cm above the upper pole of the patella, going upwards, the tendon and the straight muscle of the thigh are removed and freed from the scar tissue, then the tendon of the intermediate muscle is crossed 2 cm above and proximal to the upper border of the upper turn. Then, from the top down and from the front to the back, the external and internal wide thigh muscles are separated from the cicatricial intermediate muscle and the interfacial fascia fascic spaces of the thigh with a spatula, without damage to the upper inversion, fibrious and synovial membranes of the upper inversion and the joint to the place of their passage above the joint cavity. Two semi-oval skin incisions are made from the inner and outer side of the patella 5 cm from the middle of the patella, cuts are made downward and posteriorly to the level of the articular surface of the tibia and 2 cm posteriorly behind the collarbond. The joint cavity is opened and 2 cm posteriorly from the lateral ligaments penetrate to the back sections of the joint capsule and excise cicatricial adhesions, straighten the capsule of the joint without damaging the cross bones, excise cicatricial adhesions inside the joint, separate the patella from the femoral condyles, restore side twitches and upper inversion without damaging it. Spatula pass t. under the external and internal holoics of the four-eyed thigh muscles, they are separated from the femur and condyles of the femur without damaging the synovial and fibrous membranes. Formed in this way: the two oval skin fibro synovial muscular flap, when the lower leg is bent, is displaced proximally, which allows the lower leg to bend to an acute angle in the knee joint. When the leg is bent to an acute angle, the distal edge of the wound is moved proximally to the thigh and the wound is protected without tensioning the skin. In the position of flexion in the knee joint, rare seams are applied to the upper wound in layers. Example 1. Patient S. was hospitalized in the ward for injuries with a diagnosis: right knee joint contractory extension after comminuted fracture of the femur and plate osteosynthesis. Before admission, he was treated twice in a rehabilitation center without effect. The operation was performed according to the described method. The function of the knee joint was restored two months after the operation, and with known methods only after 5 months. Long-term result after 1 year after surgery, no complaints, the function has fully recovered. Example 2. Patient P. was hospitalized in the ward for injuries with a diagnosis: right contracture of the knee joint is extensor after fracture of the femur and patella. Before entering the institute, it was operated twice and a device with hinged devices was used to eliminate the contracture, but the disease recurred. The institute performed the operation according to the described method. After three months, the function recovered from a full extension to a bending angle of 100 °. Examined after 1 year, movements in the knee joint were fully restored. The proposed method makes it possible to mobilize the most mobile part and strengthen the function of the quadriceps muscle. In addition, the function of the quadriceps is increased by keeping the heads inside. and external wide muscles. The trophy of the newly formed extensor and gliding apparatus is retained. Minimally traumatic surgical intervention due to the combined incision allows to avoid technical difficulties when applying shchenov, since there is no shortage of skin and the wound heals without complications. All of the above factors favorably affect the postoperative management of the patient and make it possible to conduct physical therapy exercises from the first days, thereby avoiding the formation of adhesions. The physiology and functional validity of the proposed surgical intervention makes it possible to completely eliminate the problem of hibate. (The knee joint contractures are completely and I can restore the movement to whom. According to the draft (agaemosyu village, 20 patients were operated.

During this period, without complications, the period of recovery in the knee overdue periods was fully restored 1.5 times faster and the function did not come to an end, with the full amount of movement disease.

1039486

Claims (1)

METHOD OF OPERATIVE TREATMENT OF ADDICTIVE CONTRACT “KNEE JOINT TOURS”, including dissection of intraarticular joints, mobilization of the extensor muscles of the leg, excision or intersection of the intermediate muscle, characterized in that, in order to reduce the trauma of the intervention and prevent relapse of extensor contracture, mobilization of the distal portions of the medial and lateral broad muscles of the thigh is performed through the joint cavity is dull, without separating them from the fibrous and synovial capsules of the joint and skin.