SU1246996A1 - Method of operative treatment of paralysis of quadriceps of thigh,knee joint contracture and shin torsion - Google Patents

Description

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The invention relates to medicine and relates to a method of surgical treatment of diseases of the musculoskeletal system, in particular patients with residual effects of poliomyelitis.

The purpose of the invention is to reduce the trauma of surgery.

The essence of the method is as follows.

The tendons of the tender or semi-tendinous muscles, the long head of the biceps thigh are isolated. In the subcutaneous tissue, two tunnels are formed, going to the front surface of the knee joint, and isolated tendons pass through these tunnels. The patella is sawn in the frontal plane. Front flap fold up. In the posterior cusp of formigrugo, there is a bone chute in which i isolated tendons are placed.

They isolate their own patellar link and discourage more pain: ebertsovo11 bones from the osteotome. A wedge is knocked out 2.5-3 cm below the articular osteotome with the base of the keeper, the spike is formed on the proximal fragment. Cut the fibula n: the iliac articular slit 4-5 cm. The tibial fragments are mapped, the spike is inserted into the distal fragment, which is shifted anteriorly by 0.5 cm. Under torsion deformity of the tibia, the distal fragment is rotated to the desired size. A bundle of tendons is placed in the thickness of the patellar own ligament, which is dissected beforehand in the frontal plane. The intrinsic ligament, together with the ends of the tendons, is fixed intraosseously to the distal fragment. Surgical wounds are sutured tightly in layers of catgut. Alcohol dressings, circular gypsum dressing from fingertips to a year fold for 8 weeks.

Example. For the treatment of pain: th

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12469962

sections of the superficial fascia of the thigh. isolate and mobilize the long head of the biceps femoris from the short to the right

Five attachments of the length of the head of the biceps to the head of the fibula. The tendon is lengthened by the fascia of the tibia by 4–5 cm.

A second skin incision, similar to the first one, is made along the posterior-inner surface of the same thigh, 12–1 cm long, to the tibia tuberosity. Sugar is used to isolate and mobilize tender or semi-crush muscle.

The third section of the track on the front surface of the knee joint is 10-12 cm long. The patella is sawn in the frontal plane, the front

20 sash fold up. In the continuation of the plane of the cut, the patella is split in the same way by 5-6 cm upwards of the joint with the 4-head of the thigh muscle. In the posterior cuspidum, a bone chute is formed into which the tendons of the muscles that are transplanted through the tunnels into the subcutaneous fat are placed. The transplanted sinews were fixed with the ketgut sutures in the pacuien tendons of the 4-head muscles of the thigh, patella, and among themselves during the course of the procedure.

Select their own patellar bristle and discard the tuberosity.

35 osteotome and recline upward, Osteotome knock a wedge below the joint space 2.5-3 cm base anteriorly. On the proxy: the main fragment forms a spike. The fibula is cut through the same articular fissure by 4-5 sk. Fragments of the Weberbone Bone Comparison 25

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They are pinched and inserted into the distal fragment, which is shifted anteriorly by 0.5 cm and the rotortot knutra. The patellar own link is placed in the frontal plane, the ends of the tendons are inserted into the cleft and fixed with catgut sutures. In distals of the tibial fragment

with residual poliomyelitis, 50 form the frontal bone canal.

having a hip paralysis of the head of the thigh 4, the flexion contracture of the knee joint with the torsion of the lower leg of the hip:

The first incision is to: ozhi along the posterior surface of the femur and the knee joint, 12–14 cm long. The patellar own link is heated in the frontal plane, the ends of the tendons are inserted into the cleft and fixed with catgut sutures. In distals of the tibial fragment

The ends of the tendons are led to this channel, and the own ligament is fixed with catgut sutures to the distal fragment. Lay the upper stern of the knee on the same place. Wounds are sutured in layers in layers with seam stitches. Alcohol wallets. Fingertip fingertips plaster dress with up to folds.

Claims (1)

METHOD FOR OPERATIVE TREATMENT OF PARALYSIS OF THE FOUR-HEADED HIP Muscle, CONTRACTS OF THE KNEE JOINT AND TORNEY OF THE CHAIN, including the transplantation of the long head of the biceps, tender or semi-tendon muscle to the tuberosity of the tibia, characterized in that, in order to reduce the morbidity of the operation, perform osteotomy of the tibia between the joint gap and the place of attachment of your own ligament the distal fragment is deployed to the correct position and shifted anteriorly. with <g ω N0 NY »O) About CO ABOUT)