Method for treating post-traumatic talus diseases |
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IPC classes for russian patent Method for treating post-traumatic talus diseases (RU 2243736):
 Method for surgical treatment of foot-drop at fibular nerve paralysis / 2243735
One should isolate and dissect the tendons of anterior tibial and long fibular muscles to dissect the tendon of posterior tibial muscle against the site of fixation and direct it towards plantar rear area in front of internal ankle through the tunnel in subcutaneous fiber, then one should subcutaneously direct dissected tendons of anterior tibial and long fibular muscles onto plantar rear area to suture them so to leave free the tendinous end of posterior tibial muscle which should be intraosseously fixed to median wedge bone that keeps the process of foot repulsion during walking.
 The way plastics anterior cruciate ligament of the knee joint / 2242946
The invention relates to medicine, namely to traumatology and is used to repair a damaged cruciate ligaments of the knee joint
 A method of surgical treatment of a fracture of the patella / 2242945
The invention relates to medicine, namely to traumatology
 A method of treating unconsolidated postoperative sagittal cut of the sternum / 2242944
The invention relates to medicine, namely to traumatology, surgery
 The method of osteosynthesis of bones tibia in domestic animals / 2242943
The invention relates to medicine, namely to veterinary medicine, and can be used for osteosynthesis of bones tibia in cats and small dogs
 Method of surgical treatment of cutaneous forms of syndactyly / 2242931
The invention relates to medicine, namely to surgery and may be applicable for surgical treatment of cutaneous forms of syndactyly
 A method of treatment of fractures of the proximal humerus / 2242187
The invention relates to medicine, namely to traumatology and orthopedics, and may be applicable to the treatment of fractures of the proximal humerus
 How corticotomy tibia for lengthening / 2242186
The invention relates to medicine, namely to traumatology, orthopedics
 A method of treatment of ankle fracture / 2242185
The invention relates to medicine, namely to traumatology for the treatment of fractures of the inner and outer ankles
 The method of instrumental correction of kyphosis and fixation of the spine in tuberculous spondylitis in children / 2242184
The invention relates to medicine, namely to surgical vertebrology, and can be used to correct the kyphotic deformity and fixation of the spine in tuberculous spondylitis in children
Method for surgical treatment of foot-drop at fibular nerve paralysis / 2243735
One should isolate and dissect the tendons of anterior tibial and long fibular muscles to dissect the tendon of posterior tibial muscle against the site of fixation and direct it towards plantar rear area in front of internal ankle through the tunnel in subcutaneous fiber, then one should subcutaneously direct dissected tendons of anterior tibial and long fibular muscles onto plantar rear area to suture them so to leave free the tendinous end of posterior tibial muscle which should be intraosseously fixed to median wedge bone that keeps the process of foot repulsion during walking.
Method for treating post-traumatic talus diseases / 2243736
One should perform reposition of talus fragments followed by resection of articular surfaces of talus and calcaneus by maximally restoring anatomy of tarsal plantar department without forming any groove in talus and resecting wedge-like fragments with their wedge bottom towards the side being opposite to deformation. Then one should develop an autotransplant out of ileum's ala by taking into account the form of modulating resection at its length being from talus' posterior edge up to Chopart's joint without vascular pedicle. Autotransplant should be fixed due to applying Ilizarov's apparatus that enables to cure aseptic necrosis, pseudoarthroses, remove pathological foot's phenomena at shortened time for operative interference and narcosis, decreases traumaticity of operative interference at total decrease of therapy terms.
 Method for talocrural arthrodesis at incorrectly fused fibular fractures and those of posterior tibial edges / 2243737
One should perform incision along internal surface of talocrural joint, open internal ankle and distal tibial metaepiphysis, perform osteotomy of internal ankle, remove cartilages at articular surfaces of internal ankle and internal department of patient's talus, carry out fibular osteotomy being above incorrectly fused fracture, dissect distal fibular fragment outwards, perform osteotomy of incorrectly fused fracture of posterior tibial edge to be then repaired and osteosynthesized, remove cartilages from articular surfaces of fibula and tibia and talus, remove posterior-external subluxation of talus, conduct temporal transarticular fixation of talocrural joint with needles at correct position of talus, perform osteosynthesis of osseous fibular fragments after osteotomy fulfilled, fix external ankle with a screw to tibial and talus epiphysis, perform osteosynthesis of internal ankle, remove transarticularly introduced needles, fill talocrural fissure developed with osseous transplants developed out of anterior-external department of distal tibial metaepiphysis.
 Method for treating comminuted fractures / 2243738
Method involves using wires as temporary fixing members. The wires are introduced reach the external cortical layer after setting the fracture for the period a permanent fixing member is under setting. The wires are removed from the opposite bone side with respect to the fixing member.
 Method for treating children suffering from juvenile rheumatoid arthritis for elbow joint flexion contracture / 2243739
Method involves elongating arm biceps and brachial muscle in distal part. Brachioradial muscle is partially detached from the place of its attachment to achieve full forearm extension.
 Method for treating the cases of edentulous mandible fracture / 2243740
Method involves carrying out reduction and fixation of fractured bone fragments. At least two adjustable length rods are used. The rods have end heads and openings for making attachment to mandible. One of the heads is freely rotatable relative to the rod and the other one is movable along longitudinal rod axis. Reduction and fixation is made in positioned centric jaw relation. The rods are set between the mandible and maxilla to the right and left of the center at the level of failed second incisor and second bicuspid teeth.
 Methods, instruments and materials for transplanting cartilage tissue cells / 2244521
Method involves producing and transplanting and implantable segment containing mature cartilage tissue cells fixed on absorbable supporting matrix for repairing animal cartilage. The implantable segment has absorbable elastic supporting matrix for culturing and fixing living cells thereon. Instrument for introducing the implantable segment, having mature cartilage tissue cells on supporting matrix, into defective animal cartilage area, has clamps and external tubular envelope. The envelope has an end holdable by user and an end for making introduction into defective cartilage area. Holder and telescopic member are available in the envelope end holdable by user. Injection canal is partially embedded into the holder and projects beyond the holdable envelope end towards the end for making introduction. The clamps are attached to the telescopic member. They are well adapted for catching and releasing the implantable segment when telescopically moving the holder in the envelope.
 Method for surgical treatment of perosseous tendinous ruptures of brachial rotator muscles / 2244522
One should perform reposition of osseous fragments at simultaneous reinforcing their thickness with porous titanium nickelide implants. Then one should perform osseous fixation of apophysotendinous stump with titanium nickelide clips at shape memory effect. In particular case, reinforcing should be fulfilled due to implanting elastic porous titanium nickelide plate. In paticular case, reinforcing could be performed due to implanting finely granulated porous titanium nickelide at granules size being 0.1-2 mm. In particular case, reinforcing should be carried out due to implanting elastic porous titanium nickelide plate and finely granulated porous titanium nickelide at granules size being 0.1-2 mm.
 Method for treating finger extensor's tendinous lesion in area of fixation to nail phalanx / 2245682
In case of the suggested method of treating one should isolate extensor's tendon damaged in area of nail phalanx to suture it with a certain suture, the ends of ligature should be directed through oblique canal in nail phalanx to withdraw through the skin and fix them on S-likely curved free end of a needle that fixes the nail phalanx. In case of the present method of therapy it is possible to exclude the pressure upon soft tissues of volar surface of nail phalanx to prevent the development of scar-resulting bedsore and disorder of palpable sensitivity of patient's finger.
 Method for treating posterior-external rotation instability of knee joint / 2245683
One should form a transplant out of femoral biceps' tendon, form an oblique-cross-sectional transfemoral canal in isometric area upon external femoral condyle, right to the front against insertion fibular collateral ligament, apply proximal end of crossed femoral biceps' tendon through this canal, fix the end of crossed femoral biceps' tendon upon internal femoral condyle. The method enables to prevent tendinous rupture at the site of its new fixation and avoid the loss of articular bending function.
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FIELD: medicine, traumatology, orthopedics. SUBSTANCE: one should perform reposition of talus fragments followed by resection of articular surfaces of talus and calcaneus by maximally restoring anatomy of tarsal plantar department without forming any groove in talus and resecting wedge-like fragments with their wedge bottom towards the side being opposite to deformation. Then one should develop an autotransplant out of ileum's ala by taking into account the form of modulating resection at its length being from talus' posterior edge up to Chopart's joint without vascular pedicle. Autotransplant should be fixed due to applying Ilizarov's apparatus that enables to cure aseptic necrosis, pseudoarthroses, remove pathological foot's phenomena at shortened time for operative interference and narcosis, decreases traumaticity of operative interference at total decrease of therapy terms. EFFECT: higher efficiency of therapy. 1 ex
The invention relates to medicine, namely to traumatology and orthopedics. The known method of arthrodesis podernovo joint (see the Patent of Russia 21643989, A 61 B 17/56 Method of arthrodesis podernovo joint publ. 27.03.2001), which includes resection of the deformed surfaces of the calcaneus, nasienie cartilage podernovo joint, creating a gap between the talus and heel bone and the introduction autotransplant in the cavity podernovo joint when Ilizarov. This method helps to prevent osteoporosis, but provides recovery only normal geometry of the lateral surface of the calcaneus, not allowing to treat pseudoarthrosis neck of the talus. In addition, it is traumatic, as it requires surgical intervention in two separated in time phase. There is a method of treatment of injuries and diseases of the talus (see A.S. USSR №1146024, A 61 B 17/56 a Method of treating injury and disease talus, publ. 23.03.85), which includes resection of the pathological modified tissue talus, formation of the groove along the axis of the load in the talus, the location of the autograft in the formed groove. This method does not prevent the development of deforming arthrosis of the ankle and ankle-heel joints, aseptic necrosis, can lead to valgus Polo the structure of the foot. Furthermore, the method traumatic because of the use of the graft, taken from the fibula other extremity, neurological disorders intact at the time of a limb. Closest to the proposed method is a method of treatment of fractures of the talus with the complete destruction of the ankle-heel joint (see A.S. USSR 1754084, A 61 B17/56, a Method of treatment of fractures of the talus with the complete destruction of the ankle-heel joint, publ. 15.08.92), including the reposition of fragments of the talus bone, resection of the articular surfaces of the talus and the calcaneus, the formation of autograft from the iliac wing bone, the introduction of autograft, its fixation in srednetehnologichnym position. The method can prevent the development of posttraumatic arthrosis deformans ankle-heel joint, aseptic necrosis of the block talus, creates a stable fusion and prevents valgus setting foot in the later stages after injury. However, this method does not allow to treat avascular necrosis of the talus, the false joint (pseudoarthrosis) the neck of the talus, fixed types of deformity valgus in addition to the installation of the foot. In addition, this method is traumatic, requires a long time due to the need Angop the astika. The objective of this technical solution is the development of a treatment for post-traumatic disorders of the talus bone aseptic necrosis, pseudoarthrosis, elimination of pathological settings of the foot while reducing the time of surgery and anaesthesia, trauma, reducing the overall treatment time. The technical result of the proposed method is an extension of the spectrum are fixed pathological conditions of the foot, including the effects of injuries of the foot in the form of avascular necrosis of the talus and pseudoarthrosis cervical bones. This technical result is achieved by the fact that in the known method of treatment of fractures of the talus, including the reposition of fragments of the talus bone, resection of the articular surfaces of the talus and the calcaneus, the formation of autograft from the iliac wing bone, the introduction of autograft, it commits there are differences, namely resection of the articular surfaces of the talus and calcaneus produce the maximum restoring the anatomy of the tarsal part of a foot, without formation of the groove of the talus, namely, Resecure wedge-shaped fragments of the base of the wedge to the opposite deformation of the side, i.e. with valgus deformity of the base facing toward the medial surface of the foot, varus - lat the General, when the heel - torsiello, when eqwinus - ventral form of autograft with regard to the form of modeling resection length from the posterior edge of the talus to Saparova joint without vascular pedicles, autograft fixation is carried out with use of the Ilizarov frame. The use of autograft without vascular pedicles allows to reduce the time of surgery and anesthesia time. Its length from the rear edge of the talus to Saparova joint allows you to treat pseudoarthrosis, and/or aseptic necrosis that developed as a result of the injury. Modeling resection without rationing groove also reduces the time of surgery, promotes better tradevest bone and fixation using the Ilizarov frame is an additional factor improving tradevest bone tissue. The method is as follows. Sickle cut a length of 12-15 cm prednamerennoe surface of the foot naked podjarny joint, produce modeling resection of the articular surfaces of the talus and heel bone podernovo joint taking into account detected after reposition or original installation of the foot (varus, valgus, eqwinus, heel). For taking the graft from the section 7 cm from predavanja barb dorsale wing mobilizes odvzdusneni subperiosteal bone and excised fragment sizes 7× 2.5-4 cm, depending on the area of resection podernovo joint. Transplant after giving him the necessary configuration puts between the talus and heel bone so that as much as possible to restore the anatomy of the tarsal part of a foot and to eliminate the existing deformation, as in the case of pseudoarthrosis block line necromania. The wound is sewn together in layers. Spend 1-2 spokes through the heel and ankle bone in the tibia bone along the axis of the tibia with a view to their temporary fixation. Hold the spokes and put the supports of Ilizarov frame for a standard for the compression arthrodesis podernovo joint scheme and layout. Create compression in the area of surgical intervention, with doustraat residual components available strain. This method allows to reduce the time of surgical intervention and the total duration of treatment of patients in 1.5. EXAMPLE. Patient K., aged 26 in autotrawl got closed, Pereloma-dislocation of the right talus. Conservative treatment in plaster has resulted in the formation of cervical pseudoarthrosis of the talus with the development of aseptic necrosis of the body of the bone. When admitted to hospital, the patient walked with a cane, was worried about the pain in the root region of the foot, difficulties with the selection of shoes due to the reduction in the height of the middle section (lift) one hundred is s. Processed according to the described method, after 2 months of fixation in the Ilizarov, 1 month in a plaster of Paris splint is placed, and three weeks of rehabilitation, the patient returned to work (maintenance technician), the resulting reduction of pseudoarthrosis of the talus, restored her anatomy and spatial orientation of the departments of the feet, improved the structure of the affected sections of bone. The total period of treatment was 109 days. A method of treating post-traumatic disorders of the talus, including the reposition of fragments of the talus bone, resection of the articular surfaces of the talus and the calcaneus, the formation of autograft from the iliac wing bone, the introduction of autograft, its fixation, characterized in that the resection of the articular surfaces of the talus and calcaneus produce the maximum restoring the anatomy of the tarsal part of a foot without the formation of the groove of the talus, namely Resecure wedge-shaped fragments of the base of the wedge to the opposite deformation of the side, that is, when hallux valgus base facing the medial surface of the foot, varus - lateral, with the heel - torsiello, when eqwinus - ventral form autograft with regard to the form of modeling resection length from the posterior edge of the talus to Saparova joint without vascular pedicles, is icatio autograft is manufactured using Ilizarov.
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