Method for surgical treatment of perosseous tendinous ruptures of brachial rotator muscles |
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IPC classes for russian patent Method for surgical treatment of perosseous tendinous ruptures of brachial rotator muscles (RU 2244522):
    
 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 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.
 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 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
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, orthopedics, traumatology. SUBSTANCE: 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. EFFECT: higher efficiency of fixation, decreased traumaticity. 3 cl, 2 dwg, 1 ex
The invention relates to medicine, namely to the technique of traumatology and orthopedics. Short Rotatoria the shoulder muscles - supraspinatus, infraspinatus and small all involved in bringing rotational and lateral movements of the arm at the shoulder joint, are attached to Apophis - large tubercle of the humerus tendon. The latter form, in combination with associated bone the greater tubercle of the organic composition known in anatomy as episodereally complex. Muscles and episodereally complex when tagzania of the upper limb have high mechanical loads and beyond (traumatic) cases destroyed. The location of the gap is determined by the etiology of the disease. For example, for the case of osteoporosis, with a concomitant traumatic dislocation, impressionne fractures of the greater tubercle with a margin apatitonefelinovoj complex and education apatitonepheline stump up to 50% of recorded cases. Traditionally, these injuries are called transosseous tendon ruptures (figure 1). The arm at the shoulder joint loses active mobility, the patient becomes incapacitated. Restoration of function of the injured shoulder is, as a rule, surgical methods, technical essence of which is constantly being improved. Known to the persons of surgical treatment of transosseous tendon ruptures rotatory muscles of the shoulder [1], including the extirpation of bone fragments all over volume impresionado of fracture of the greater tubercle of the humerus, forming an ordered package tendons and fixing the latter in the bed of the deleted fragments. The disadvantages of the method: the inferiority of the function of the shoulder joint due to the defect of the head, the high invasiveness of the surgery, low worth fixing apatitonepheline stump due to its sharp bend on the edge of the defect and opportunities leaf tissue becoming necrotic. There is a method of surgical treatment of transosseous tendon ruptures rotatory muscles of the shoulder [2], including the restoration of the destroyed Apophis by reposition of bone fragments and extramedullary fixation apatitonepheline stump external screws. The disadvantages of the method is low viability repair of bone defect and, as a consequence, the low mechanical strength of the greater tubercle. Low strength of fixation apatitonepheline stump screws in osteoporotic bone and subintegerrima bone recovered defect. There is a method of surgical treatment of transosseous tendon ruptures rotating shoulder muscles, improved compared with the equivalent [2] by introducing an additional structural element in the form of 8-shaped wire loop, covering the head of the square is the U.S. bone and supporting Apatitskogo stump [3]. Operation vysokoaromatichnyj requires wide exposure of the humerus. High probability of resorption subintervals bone fragments recovered bone tubercle. High specific pressure of the wire on the bone tissue complicates the situation is the possibility of cutting. By the greatest similarity technical nature of this analogue is selected for the prototype proposal. The technical result of the invention is reducing injuries, improving the viability of the operation. This technical result is achieved in that in the method of surgical treatment of transosseous tendon ruptures rotatory muscles of the shoulder, including the restoration of the destroyed Apophis and extramedullary fixation apatitonepheline stump, the restoration of the destroyed Apophis is carried out by reposition of bone fragments in combination with reinforcement of their strata of porous implants of titanium nickelide, extramedullary fixation apatitonepheline stump carry straps Nickel-titanium shape memory effect. Preferably reinforced with thick raionirovannykh bone fragments implantation elastic porous plate Nickel-titanium. Preferably reinforced with thick raionirovannykh bone fragments implantation of a fine-grain porous titanium nickelide size is renal 0.1 to 2 mm. Preferably reinforced with thick raionirovannykh bone fragments implantation elastic porous plate Nickel-titanium and fine-grain porous titanium nickelide with granule size of 0.1 to 2 mm. The novelty of the proposal amount to an additional structural feature is the reinforcement thickness raionirovannykh bone fragments porous objects Nickel-titanium, and other technical means of plate fixation apatitonepheline stump. Done by the authors of the proposal study morphological patterns during implantation nikolicristanovic objects show that osseointegration, i.e. the reparative processes in the destroyed bone tissue in the presence of such are more active, wealthy, form a stronger consolidation and, ultimately, lead to an increase in mechanical strength, in this case, Apophis. Fixing apatitonepheline stump to such bone volume in any of the fastening element is more thorough. However nicelydestroyed brackets, due to the high biocompatibility of the material and increased in comparison with a screw contact surface, provide greater assurance technical result. The choice of the form of reinforcing element is dictated by the specific conditions of the form of the bone defect, the size, number and shape of the bone f is agentov, biological condition of the bone tissue. Plate form implant gives the restored bone volume greater strength and a better retention drawn through his legs locking element. Fine-grain implant of porous titanium nickelide allows easier, faster and more uniformly reinforced with bone volume, especially when complex shape of the bone defect. The best results in strength of fixation is provided by a combination of plate and fine-grain titanium nickelide and preferably, if there are conditions in the above sense. The size of the individual granules of porous titanium nickelide chosen experimentally and corresponds to the optimum process of osseointegration. The illustrations presented: Figure 1. Scheme transosseous tendon ruptures rotatory muscles of the shoulder; 1 - the bone defect at the place of Apophis; 2 - apatitskayua stump; 3 - the shoulder joint. Figure 2. The operation stages of treatment transosseous tendon ruptures rotatory muscles of the shoulder: And the restoration of Apophis; B - overlay apatitonepheline stump; In - fixing apatitonepheline stump. Achievable technical result is confirmed by examples of specific implementations of the proposed method in the surgical treatment of transosseous tendon ruptures rotatory muscles of the shoulder in traumatologic the English Department of the clinical hospital №1, Novokuznetsk. Example. Patient W., 50 years old, was admitted to the hospital with a diagnosis: set a dislocated right shoulder, transosseous comminuted rupture of tendons rotatory muscles. Under provodnikovym anaesthesia front access exposed the humeral head and held decompression subacromial space. Visual examination revealed impressiona cavity size 3×3 cm with multiple bone fragments in it. Rotatory muscles yellowish color, damaged bone fragments. Surgery repair of bone defects and tendon ruptures using a round plate made of porous titanium nickelide 3 cm in diameter, 0.5 mm thick and porous fine-grain, nickelide titanium with a predominant grain size of 0.1-2 mm The way during the operation carried out as follows. Bone fragments, as much as possible their ordering and uniform filling gaps nikolicristanovic granules placed in the cavity of the bone defect. Over deponirovano volume laid the plate of porous titanium nickelide and on top of it is a large fragment (1×1.5 cm) Apophis (Pasa, B, figure 2). Imposed apatitskayua stump covered nikolicristanovic bracket, the legs of which permeated the whole deponirovannye volume of the bone defect and the thickness of the head bone (OSV, 2). Imposed adapting the seams on aponeuroses stretching and seams on the wound. In the postoperative period for 5 weeks produced fixation of shoulder wedge-shaped cushion and the armband Thomas. History and x-ray examination of a patient 1 year after surgery revealed a fusion of the greater tubercle, anatomical congruence head bone, restoring full range of motion of the shoulder joint. Patient complaints there, from removal of fasteners refused, working at their current job as a fireman. The results are shown and the number of similar operations indicate the reachability of the technical result and the readiness of the proposed method for wide clinical use. The sources used in the compilation description: 1. Sklyarenko Mrs x "Surgery of the joints of the limbs", Kyiv "high school", 1975, p.205. 2. Caclin E, "fundamentals of operative surgery and traumatology", M.: Medicine, 1964, s. 3. Prudnikov PU fractures of the greater tubercle of the humerus, complicated podrulevymi paralysis // proceedings of the VI Congress of traumatologists and orthopedists CIS, Yaroslavl, September 14-17, 1993, s (prototype). 1. The method of surgical treatment of transosseous tendon ruptures rotatory muscles of the shoulder, including the restoration of the destroyed Apophis and extramedullary fixation of apatitskoj the Noah stump, characterized in that the restoration of the destroyed Apophis is carried out by reposition of bone fragments in combination with reinforcement of their strata of porous implants of titanium nickelide, extramedullary fixation apatitonepheline stump carry straps Nickel-titanium shape memory effect. 2. The method according to claim 1, characterized in that the reinforcement thickness raionirovannykh bone fragments carry out implantation of an elastic porous plate Nickel-titanium. 3. The method according to claim 1, characterized in that the reinforcement thickness raionirovannykh bone fragments carry out implantation of a fine-grain porous titanium nickelide with granule size of 0.1 to 2 mm. 4. The method according to claim 1, characterized in that the reinforcement thickness raionirovannykh bone fragments carry out implantation of an elastic porous plate Nickel-titanium and fine-grain porous titanium nickelide with granule size of 0.1 to 2 mm.
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