Method for treating comminuted fractures |
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IPC classes for russian patent Method for treating comminuted fractures (RU 2243738):
    
 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 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 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
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. SUBSTANCE: 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. EFFECT: enhanced effectiveness in fixing and holding small-sized splinters; high reposition accuracy. 2 dwg
The present invention relates to the field of surgery, traumatology and orthopedics, in particular to methods for treating comminuted fractures. There is a method of temporary fixation of the bone fragments by means of wire after reposition (Caclin E Operative Orthopaedics. M: Medgiz, 1951 p.44). The disadvantage of this method is that it is not always possible to securely fasten and hold the fragments in the correct position before the final fixing of submersible design (e.g., plate). At the same time, not all fragments, due to their size and shape, it is possible to connect the wire. Along with this, the wire in the specific form of the bevels of the fragments (e.g., fracture type “butterfly”) can interfere with reposition of bone fragments. In addition, cases of comminuted fractures, temporarily bonded wire at the time of the establishment of plate retainer is required prior removal of the wire that leads to the re-displacement of the fragments and, consequently, poorly executed osteosynthesis. The closest to the technical nature of the claimed our invention is a process comprising the reposition of bone fragments and fixation of the fragments with screws (Muller M.E. Ter-Minassian, Allgower M., Schneider R., Villinger X. Manual internal osteosynthesis. M. 1996, -s). The disadvantage of this method, wybranego as a prototype, is that not all pieces may be fixed with screws. So, the small size of the particles may be small for the accommodation of a screw, but at the same time to make up a large bone defect of the deletion. This leads to a slowdown in consolidation or nonunion of the fracture. In addition, the screw that secures the fragment can be an obstacle to further reposition of bone fragments, and also to be necessary in the plane of arrangement of the latch (e.g., plates), thereby inhibiting its proper drying. This is especially true in the treatment of comminuted fractures of the musculoskeletal system. Moreover, when fixing the fragment screw reposition is final due to the stiffness of the screw. Therefore, even a slight inaccuracy of the location of the fragments will result in insufficient reduction of fracture in General. The technical task of the invention is to improve the quality of treatment of comminuted fractures due to efficiency reposition and fixation of bone fragments. The solution is achieved in that in the method of treatment of comminuted fractures of the reduction with fixation of fragments and fragment uses needles that are injected to the outer cortical layer after reposition of the fracture during the process of establishing a permanent retainer, and then the needles are removed from the opposite of officiator hand bones. Use as retainers spokes allows to perform a full reposition of fracture during compression osteosynthesis, even if inaccurate primary adaptation of the fragments. Spokes can be entered into pieces without splitting them, even in the face of the cortical layer of the bone. Use shorter spokes on the outer cortical bone layer allows you to set up a permanent retainer in the proper plane and without the threat of secondary displacement of the fragments. According to scientific-technical and patent literature, the use of spokes for temporary connections, as well as retention of shards and fragments with plate osteosynthesis is not known. The proposed method for the treatment of comminuted fractures is as follows and is illustrated by figure 1. After doing the standard access to exposure of the fracture site of the bone is gentle reposition of fragments and fragments (1), which in turn are fixed using shorter spokes Kirchner (2). If possible, each fragment is fixed 2 spokes in different planes to avoid bias in the final reduction and osteosynthesis. After such temporary fixation of all fractures in General, the spokes are shortened with the help of pliers at the level of the cortical layer on the side of the bone, where it is assumed the establishment of a plate (3). Then you oleosin the ez bone plate (3) and screws (4) with fixed spokes fragments. After osteosynthesis spokes removed (5). The essence of the proposed solution is illustrated by examples taken from clinical practice. The patient halts IB, No. 37994/143583, was admitted to the hospital 12/11/2002 diagnosed with: Autorama: Closed craniocerebral injury. A concussion. Closed comminuted fracture of the right femur with displacement of fragments. SHOCK-1. In a delayed manner made the right femur osteosynthesis by the proposed method. Through standard access was the reduction and temporary fixation pins shortened at the level of the cortical layer at the outer side of the femur. In this position made the osteosynthesis plate 14 by screws. After the needles are removed from the bone. The wound is sutured in layers. The postoperative period was uneventful. The wound healed by first intention. In satisfactory condition two weeks after the operation the patient without additional plaster immobilization was discharged for outpatient treatment. An example is illustrated copies of radiographs, attached to the application (Figure 2:a,b,C). The application of the proposed method for the treatment of comminuted fractures increases the efficiency of the operational benefits, enables fixing, including the end of the cortical layer of the bone, even small and difficult to hold while R is the position and fixation of the fracture fragments. Creates sufficient reliable fixation of all fractures in General, the runtime of the application of those or other fixative (e.g., plate). Does not prevent an exact adaptation of the fragments under compression plate osteosynthesis of a fracture. Allows you to set the bone fixing device in any needed right of the fixation plane. Reduces during surgery trauma to the bone and surrounding soft tissues, as well as the cost of treatment by reducing the number of structures required to perform stable osteosynthesis. A method of treating comminuted fractures involving reduction with fixation of fragments and fragments, characterized in that as temporary clamps use needles that are injected to the outer cortical layer after reposition of the fracture during the process of establishing a permanent retainer, and then the needles are removed from the opposite from the latch side of the bone.
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