SU1297835A1 - Method of treatment of arthrosis of knee joint - Google Patents

Abstract

This invention relates to medicine, namely to traumatology and orthopedics. The invention extends the period of remission. In the lower metaphysis of the femur and the tibial bone cavity, a tunnel is formed between the cavity and the bone marrow channel. For this purpose, the spongy substance is removed through the trepanations of the cortical layer with the formation of a cavity near the articular surface, a curved metal rod is inserted into the trepanation hole, which is blown with a hammer into the bone-marrow channel, the rod is removed. 1 tab. with S 1 (L CX) SL

Description

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11297835

This invention relates to medicine, namely to traumatology and orthopedics.

The purpose of the invention is the extension of terms of remission by eliminating pain.

The method is carried out as follows.

In the lower metaphysis of the femur and the small bone of the tibia, a tunnel is formed between the cavity and the medullary canal. To do this, a spongy substance is removed through the trepanning opening of the cortical layer with the formation of a cavity near the articular surface, a bent metal rod is inserted into the trepanation opening, which is blown by a hammer into the bone marrow channel, and the rod is removed.

Example. Patient A., 44 years old, was admitted with a diagnosis of deforming arthrosis of both knee joints. A history of injury - a fall on the region of the knee joints. Repeated conservative treatment of osteoarthritis of the knee without significant effect. In the department, the diagnosis is confirmed. Frequently disturbed pains in the knee joints, more in the right,

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performed to redistribute and reduce the increased intraosseous venous pressure in large bands with less low venous pressure to relieve pain and improved reparative processes in the knee tava. From the 5th day, the patient was relieved of the load on the operated limn. On the 10th day, stitches were removed and the patient started development of movements in the joint to the full volume. On the 17th day, the patient was discharged without pain in the operated joint with a good functional outcome. After 6, 5 months, the patient was hospitalized on her own initiative for a similar operation on the left hip joint. The results of the operation (elimination of pain, restoration of function) are identical to the previous one. The progression of osteoarthritis on both knee joints is not noted, work on the same specialty as a turner.

The results of operations — osteotomy for osteoarthritis of the knee — are given in the table,

 The table shows that the proposed method allows to improve remote

alone and without load. Varus or deformity treatment results

There was no valgus deformity. Patient undergoes surgery of the right tibia: under local anesthesia with 30.0 ml of a 0.5% solution of novocaine, a 4 cm longitudinal skin incision is made along the inner surface of the proximal tibial metaepiphysis near the knee joint. a distance of 2 cm. A tibial bone is exposed, a burr hole is made 2 cm in diameter with a drill. A sharp spoon is used to scoop up a spongy substance in the full width of the tibia to the cortical plate. d cortical layer) ,,

osteoarthritis of the knee remission.

joint and lengthen

Claims (1)

35 claims A method for treating osteoarthritis of the knee joint, including trepanning of the cortical layer of the bone near the articular surface and removing a spongy substance with a cavity, is characterized by the fact that, in order to prolong the periods of remission by eliminating pain, the lower hip metaphysis and The large sheath bone is formed into a tunnel between the cavity and the medullary canal. Thus a cavity was formed. A bent metal rod was inserted into the burr hole, which was blown with a hammer until the cavity formed communicated with the cavity of the medullary canal. Core removed. Hemostasis, layered deaf stitches on the wound, aseptic pressure dressing are performed. The communication of the cavity formed in the metaepiphyseal division of the tibia with the cavity of the medullary canal five 0 five conducted to redistribute and reduce the increased intraosseous venous pressure in large cavities with less low venous pressure and relieve pain and improve the reparative processes in the knee joint. From the 5th day the patient was relieved of the pressure on the operated limb. On the 10th day, the stitches were removed and the development of movements in the joint was started to the full extent. On the 17th day, the patient was discharged without pain in the operated joint with a good functional outcome. After 6, 5 months, the patient was hospitalized on his own initiative for a similar operation on the left knee joint. The results of the operation (elimination of pain, restoration of function) are identical to the previous one. Progression of arthrosis on both knee joints is not noted, it works in the same specialty as a turner. The results of operations - osteotomy for osteoarthritis of the knee joint - are presented in the table,  The table shows that the proposed method allows to improve remote osteoarthritis of the knee remission. joint and lengthen gp 35 claims A method for the treatment of osteoarthritis of the knee joint, including trepanning of the cortical layer of the bone near the articular surface 40 and removal of the spongy substance with the formation of a cavity, is characterized by the fact that, in order to prolong the periods of remission by eliminating pain, in 15 the metaphysis of the femur and the ligament of the great tibia form a tunnel between the cavity and the medullary canal. Pain not 32 31 moderate load moderate at rest and strong under load Function Editor N. Tupitsa Compiled by M.Pozn to Tehred M. Morgental Order 837/5 Circulation 596 Subscription VNIIPI USSR State Committee for inventions and discoveries 113035, Moscow, Zh-35, Raushsk nab /, d. 4/5 Production and printing company, Uzhgorod, st. Project, 4 moderate restriction activity significant limitation of activity zi Proofreader L. Patay