Method for treating children suffering from juvenile rheumatoid arthritis for elbow joint flexion contracture |
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IPC classes for russian patent Method for treating children suffering from juvenile rheumatoid arthritis for elbow joint flexion contracture (RU 2243739):
  
 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 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
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 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. EFFECT: complete repair of mobility in articulation. 1 dwg
The invention relates to medicine, namely to orthopedics. Widely used in clinical practice surgical method for the treatment of contractures of the joints of patients with arthritis, the essence of which consists in synovectomy - excision of the synovial lining of the joint with granulation tissue (see, for example, Ethicsline. Orthopaedic-surgical treatment of patients with non-infectious polyarthritis. Orthopedics, traumatology and prosthetics. - 1969. No. 6. - P.8-13). However, this manipulation aimed only at destruction of the joint pathological antigenic tumor, thereby reducing total and local activity of the process, but does not restore the lost function of a limb. Also known is a method of treatment of contractures of the elbow joint in children with juvenile rheumatoid arthritis (JRA) (see, for example, Lunascan. Comprehensive orthopedic and surgical treatment of children with different variants of the flow of rheumatoid arthritis, Diss. MD, Leningrad. - 1989. - 396 S.), taken as a prototype. The method consists in synonymsalerlisin - excision of the hypertrophied synovium with granulation tissue and opening the joint capsule in the anterior joint, which ensures the removal of the joint pathological angiogenic lesion and partial elimination of contractures of Lokteva the joint. The disadvantage of the above method, taken as a prototype, is incomplete elimination of contractures of the elbow joint, as preserved expressed its muscular component, due to the destructive and sclerotic changes of rheumatoid muscle tissue. This complicates the subsequent development of movements in the joint in children due to significant pain syndrome in the JURA. The task of the invention consists in improving the treatment of flexion contractures of the elbow joint in children with JRA by restoring range of motion in the joint. This object is achieved in that produce inovcapital elbow joint, extend the biceps and shoulder muscles in the distal partially prepare the chin from the insertion preclusive muscle that allows you to completely straighten the forearm. The drawing shows a diagram of a method of treatment of flexion contractures of the elbow joint in children with JRA, where: 1 - two-headed muscle, tendon which the Z-shaped elongated; 2 - line Z-shaped incision of tendon lengthen the shoulder muscles; 3 - the original site of attachment preclusively muscles; 4 - position preclusively muscle after partial detachment from attachment. The method is as follows. After dissection of the soft tissues of prednamerennoe elbow usepreview skin flaps. Cut transverse to the fascia Pirogov. Allocate the tendon of the biceps muscle (1), and Z-figuratively lengthen, which gives a significant extension in the elbow joint. Exposed tendon distal shoulder muscles (2) also extend Z-shape, which allows to further increase the amplitude of extension of the forearm. From this section highlight the proximal division of the insertion preclusively muscle (3) and prepare the chin over 1.0 cm, displacing the distal (4)that allows you to permanently eliminate muscle component flexion contractures of the elbow joint. The capsule in the anterior joint and excised hypertrophied synovial membrane and granulation tissue. Fully extends the forearm at the elbow joint. The tendon of the biceps and shoulder muscles sew. The wound is sutured in layers. The operated limb immobilised back in a plaster of Paris splint is placed in a reclined position for a period of 5-6 days. In the future, start dosed development movements in the elbow joint to the full restoration of its functions. A method for the treatment of flexion contractures of the elbow joint in children with juvenile rheumatoid arthritis, in which synonymsalerlisin, characterized in that lengthen the biceps and shoulder muscles in the distal partially prepare the chin from the place of attachment of precautionsto to full extension of the forearm.
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