SU1602492A1 - Method of closed osteosynthesis of fractures of tibia distal part - Google Patents

Abstract

This invention relates to medicine, namely to traumatology and orthopedics. The aim of the invention is to achieve rigid fixation in comminuted fractures of the distal metadiaphysary part of the tibia with a reduced bone marrow cavity in the frontal plane. The goal is achieved by producing closed osteosynthesis by conducting into the bone marrow channel fragments of a rectangular fixator equal to the size of a narrow part of the bone marrow canal, and introducing an additional rod through the formed channel from the distal epimetaphysis at an acute angle to the main rod with the alignment of the planes of the anchors. to the narrow part of the bone marrow cavity with a short distal fragment, and with a comminuted fracture, feed the proximal end of the additional rod before applying it to the pl the brightness of the main rod. The distal part of the additional clamp is placed in the formed channel.

Description

The invention relates to medicine, namely to orthopedics and traumatology, in the treatment of fractures of long bones.

The purpose of the invention is to achieve rigid fixation with a comminuted fracture of the distal metadiaphytic part of the tibia with a reduced bone-brain cavity in the. frontal plane.

The method is carried out as follows.

The closed core osteosynthesis is performed. A flat D is inserted into the formed channel of the distal fragment at the border of einfysis and metaphysis

stabilizing rod so that it, having imposed its plane on the plane of the main rod, only reached the lower boundary of the narrowing of the internal channel or entered into the reaction of fixing with its plane to the plane of the main rod at the distance between the point of introduction and the lower boundary of the beginning of the narrowing, or entered into a fixation reaction with its transverse end with the plane of the main rods. In all these cases, its tail is located in the fine cellular sponge and cortical layer at the site of introduction in the distal epimetaphysis. This technique achieves Gf5

hO: about go

Lingual stiffness in the string system - bone fragments, rotational displacements are predominant. External immobilization is not required.

Claims (1)

Claim 1: A method for closed osteosynthesis of the fractures of the distal part of the tibia by carrying fragments of a rectangular fixator into the bone marrow canal equal to the size of the narrow part of the medullary canal, characterized in that with Example, Patient W., 21 years. The peri1 of the closed helical fracture of the left tibial goal is to achieve rigid fixation of the howling of the bone in the N / 3, the fibula of the comminuted fracture of the distal mev in / 3. Operation: closed osteosynthesis of the Left tibia with the base rod with maximum holding of its S distal fragments and an additional stem that was laid with its plane on the main plane. The end of the additional sternsh did not reach the beginning of a narrow, part of the bone marrow cavity. The patient began to walk from 5 days after surgery with two crutches. After three weeks, I went without additional support. He returned to work ten weeks after the operation. tadiafismous part of the tibia with a reduced bone marrow cavity in the frontal plane, J5 is additionally inserted through the formed channel from the side of the distal epimetaphysis at an acute angle to the main rod with the alignment of the planes of the fixtures to the narrow part of the bone marrow at the short distal fragment, the end of the proximal end of the additional rod is inserted before applying it on the plane of the main rod with comminuted 25 fracture, place the distal part of the latch in the formed channel. 20 , 1602492 4 Claim 1: A method for closed osteosynthesis of the fractures of the distal part of the tibia by carrying fragments of a rectangular fixator into the bone marrow canal equal to the size of the narrow part of the medullary canal, - the aim of achieving rigid fixation in the case of a comminuted distal fracture is a distinction in that in order to achieve rigid fixation in the case of a comminuted fracture with a distal metzel, to achieve rigid fixation in a comminuted fracture of the distal metadiaphysary part of the tibia with a reduced bone marrow cavity in the frontal plane, An additional rod is inserted through the formed channel from the side of the distal epimetaphysis at an acute angle to the main rod with the alignment of the fixation planes to the narrow part of the bone marrow. In the case of a short distal fragment, the end of the proximal end of the additional rod is inserted before applying it to the plane of the main rod with comminuted fracture, place the distal part of the latch in the formed channel.