SU733665A1

SU733665A1 - Tubular bone osteosynthesis method

Info

Publication number: SU733665A1
Application number: SU782596711A
Authority: SU
Inventors: Владимир Иванович Нагибин
Original assignee: Семипалатинский Государственный Медицинский Институт
Priority date: 1978-03-30
Filing date: 1978-03-30
Publication date: 1980-05-15

Description

Изобретение относится к области мэ~. дицины, а именно, травматологии и ортопедии.The invention relates to the field of me ~. Dicins, namely, traumatology and orthopedics.

Известен способ остеосинтеза трубчатых костей путем интрамедуллярной фиксации отломков костными штифтами £1},A known method of osteosynthesis of tubular bones by intramedullary fixation of fragments with bone pins £ 1},

Однако при известном способе возможно смещение штифтов в костно-мозговом канале.However, with the known method, it is possible to displace the pins in the marrow canal.

Целью изобретения является предотвращение смещения штифтов в костно-мозго- ¹вом канале.The aim of the invention is to prevent the displacement of the pins in the bone mozgo- ¹ vom channel.

Эта цель достигается тем, что после введения костных-штифтов в костно-мозговой канал просверливают отверстие на боковой поверхности кости и продвигают штифты через перфоративное отверстие, а промежуток между ними заполняют биологической пломбой.This goal is achieved by the fact that after the insertion of the bone pins into the marrow canal, a hole is drilled on the lateral surface of the bone and the pins are moved through the perforated hole, and the gap between them is filled with a biological filling.

Способ осуществляют следующим образом.The method is as follows.

После обнажения места перелома в костно-мозговой канал одного из отломков вводят костный штифт. Отступя наAfter exposure of the fracture site, a bone pin is inserted into the bone marrow channel of one of the fragments. Retreating to

1-2 см от внедренного конца штифта, перпендикулярно оси кости просверливают отверстие в отломке на глубину до костно-мозгового канала. Диаметр отверстия должен быть меньше диаметра штифта. Отломки сопоставляют и соединяют путем продвижения штифта через перфоративное отверстие.1-2 cm from the implanted end of the pin, perpendicular to the axis of the bone, drill a hole in the fragment to a depth of the bone marrow canal. The diameter of the hole should be less than the diameter of the pin. Fragments are compared and connected by moving the pin through the perforated hole.

Для замещения диафизарного дефекта цилиндрическим трансплантатом в его костно-мозговой канал вводят два костных штифта, в промежутке между которыми просверливают отверстие, через которое продвигаютштифты. Смещениешти^тов предотвращают помещением между ними биологической пломбы, например, измельченного аллогенного хряща в смеси с коллагеновой губкой, пропитанной аутогенной кровью. Подачу пластического материала осуществляют через перфоративное отверстие.To replace the diaphyseal defect with a cylindrical graft, two bone pins are inserted into its bone marrow channel, in the gap between which a hole is drilled through which the pins are advanced. The displacement of the pieces is prevented by placing between them a biological filling, for example, crushed allogeneic cartilage mixed with a collagen sponge soaked in autogenous blood. The supply of plastic material is carried out through a perforated hole.

Предлагаемый способ предотвращает смещение штифтов в костно-мозговом канале, что значительно улучшает лечение больных с травмами и заболеваниями опорно-двигательного аппарата.The proposed method prevents the displacement of the pins in the bone marrow canal, which significantly improves the treatment of patients with injuries and diseases of the musculoskeletal system.

Claims

This invention relates to the field of mea. didine, namely, traumatology and orthopedics. The known method of osteosynthesis of tubules of bones by the intramedullary fixation of fragments by bone pins pL. However, with the known method it is possible to shift the pins in the medullary canal. The aim of the invention is to prevent the movement of pins in the medullary canal. This delight is achieved by the fact that after inserting the bone pins into the bone-moegeal canal, a hole is drilled on the lateral surface of the bone and the pins are pushed through the perforation hole, and the gap between them is filled with a biological filling. The method is carried out as follows. After exposing the fracture site, a bone pin is inserted into the bone marrow canal of one of the fragments. A distance of 1-2 cm from the implanted end of the pin, perpendicular to the axis of the bone, is drilled a hole in the fragment to the depth of the cerebral canal. The diameter of the hole must be less than the diameter of the pin. The fragments are mapped and joined by moving the pin through a perforation. To replace a diaphyseal defect with a dilindrical graft, two bone pins are inserted into its bone marrow channel, in the gap between which a hole is drilled through which the pins are moved. The displacement of the pins is prevented by placing a biological filling between HmviH, for example crushed alpogenic roofing mixed with a copagene sponge soaked in autogenous blood. The plastic material is fed through a HO8 perfusion pattern. The proposed method prevents the mixing of stitches in the bone marrow channel, which significantly improves the treatment of patients with injuries and diseases of the musculoskeletal system. Claims of the method of osteosynthesis of tubular bones with out & A intramedullary fixation of fragments with bone pins, in t and h and h so that, in order to prevent the mixing of pins in the bone marrow 5 canal; After the introduction of bone pins into the x-brain canal, the hole is pasted on the lateral surface of the bone and the pins are advanced into the perforating hole, and the gap between them is filled with a biological seal. Sources of information taken into account in the examination 1, Journal of Surgery, 1956, No. c, p. 125-129,