SU1297829A1 - Method of correcting congenital stump of shoulder with bone rudiment - Google Patents

Abstract

The invention relates to the field of medicine, its purpose is to ensure the active mobility of the rudiment. The method is carried out as follows. In the area of the amniotic rupture of the rudiment (P), the stump cuts out the counter triangular skin flaps, excises the amniotic flap, and by moving the skin flaps, the base P, its leg, is maximally expanded. After the wound has healed, in the region of the distal part of the shoulder stump along the biceps, the skin cuts through the skin, subcutaneous tissue, and superficial and deep fascia. The distal portion of the biceps muscle of the shoulder is isolated along with the tendon and cut off at the site of the lesion. In the soft tissue of the shoulder stump, then inside P, a channel is bluntly shaped and, through an additional incision in the apex of P, its bone fragment is exposed. The distal end of the biceps muscle of the shoulder is isolated along with the tendon and, after the latter has been cut off from the site of attachment, the lengthened tendon is extended in an alloplastic manner, the tendon is passed through the canal and attached to the bone fragment. I WITH

Description

This invention relates to medicine and can be used in surgery and prosthetics.

The purpose of the invention is to ensure the active mobility of the rudiment by its kinematization.

The method is carried out as follows.

In the area of the amniotic rudiment of the stump, the opposite triangular skin flaps are seen, the amniotic transect is excised, and by moving the skin flaps, the base of the rudiment and its leg are maximally expanded. a cut of the skin, subcutaneous tissue, superficial and deep fascia of 6 cm length is made. The distal section of the biceps of the shoulder is isolated along with the tendon, which is cut off at the site of attachment.

In soft, tissue shoulder stumps, and | then inside the rudiment, a channel is bluntly formed and, through a small additional incision in the region of the rudiment top, its bone fragment is exposed.

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and maximize the base of the rudiment. Healing without complications. Three months later, a congenital shoulder stump is reconstructed in order to kinematise the rudiment. In the area of attachment of the biceps muscle of the stump of the left shoulder, cut through the skin, subcutaneous tissue, surface and deep fascia. The distal end of the biceps of the shoulder is isolated along with the tendon, which is cut off from the attachment site. Stubbornly in soft tissues of the shoulder stump, then a channel is formed inside the rudiment and a bone fragment is exposed in an additional incision in the top of the rudiment.

To the cut-off end, the tendons are hemmed with lavsan tape, which is conducted through the formed channel on the shoulder stump, then inside the rudiment and is stitched to its bone fragment. Wound defects sutured in layers. Healing without complications. After 2 weeks of strengthening the biceps, the patient began phantom-impulse gymnastics, and after another 2 weeks - the development of the mobility of the rudiment. At the same time get

The distal end of the two-sided course of the shoulder muscle along with the tendon is isolated and, after the latter has been cut off from the site of attachment, the separated tendon is extended in an A. plastic way, the tendon is passed through the created channel and attached to the bone fragment.

Case example P., born in 1962, was in the clinic about congenital hypoplasia of the upper and lower limbs. The upper limbs are represented: on the right - with an underdeveloped three-fingered brush, on the left - a stump of the shoulder in the lower third of the muscle. By the end of the training session, the rudiment movements became sufficient for the lock to be inserted into the elbow joint of the hip prosthesis. After 35 years, the patient uses the prosthesis of self-service, the letter that keeps the crutches when walking on the prosthetic hip.

40 Forms of invention

Method of correction of congenital shoulder with bone rudiment n excision of amniotic sweat

which is completely immobile, 45 local skin grafts, about t l

cop at the end of the stump. At the base of the rudiment there is a deeply amniotic reflux;

The amniotic sac was excised and the wound defect was covered using meat skin plasty with counter triangular flaps. As a result of the operation, the amniotic regimen is removed.

VNIIPI Order 837/5

Prod.-po.pigr. pr-tie, Uzhgorod, st. Project, 4

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and maximize the base of the rudiment. Healing without complications. After three months, the congenital shoulder stump is reconstructed. for the purpose of kinematisation of the rudiment. In the area of attachment of the biceps muscle, the stump of the left shoulder is cut through the skin, subcutaneous tissue, superficial and deep fascia. The distal end of the biceps of the shoulder is isolated along with the tendon, which is cut off from the attachment site. Stubbornly in soft tissues of the shoulder stump, then a channel is formed inside the rudiment and a bone fragment is exposed in an additional incision in the top of the rudiment.

To the cut-off end, the tendons are hemmed with lavsan tape, which is conducted through the formed channel on the shoulder stump, then inside the rudiment and is stitched to its bone fragment. Wound defects sutured in layers. Healing without complications. After 2 weeks of strengthening the biceps, the patient began phantom-impulse gymnastics, and after another 2 weeks - the development of the mobility of the rudiment. At the same time polupipii. By the end of the training session, the rudiment movements became sufficient for controlling the lock in the elbow joint of the shoulder prosthesis. Two years later, the patient uses a prosthesis when self-care, a letter, keeps crutches when walking on prosthetic hips.

Formula of invention

Method for correction of congenital shoulder stump with bone rudiment by excision of amniotic spleen.

and, in order to ensure the active mobility of the rudiment, a channel is created inside the rudiment, a bone fragment is exposed, 50 the distal end of the existing shoulder mass is cut off along with the tendon and lengthened, the tendon is passed through the created channel and attached to the bone fragment.

Circulation 596

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Claims (1)

Claim A method for correcting a congenital stump of a shoulder with a bone rudiment by excision of the amniotic constriction, local skin grafting, and so on, wherein, in order to ensure the active mobility of the rudiment, a channel is created inside the rudiment, the bone fragment is exposed, the distal end of the existing muscle is isolated and cut off. the shoulder along with the tendon and lengthen it, pass the tendon through the created channel and attach to the bone fragment. VNIIIPI Order 837 / 5__ Circulation 596 _________ Subscription Custom polygr. ave, city of Uzhhorod, st. Project, 4