Orthopaedic device

FIELD: medicine.

SUBSTANCE: invention relates to the field of medical equipment and is intended for application in traumatology and orthopaedics for resetting a dislocated shoulder. An orthopaedic device contains, at least, one post, on which a seat and a back are placed. The upper edge of the back is made with a hollow for axilla of a patient, who sits sideways on the seat with the arm placed over the back. In the upper part a hollow is made in such a way that it partially embraces from the front and from behind the shoulder joint of the patient, who sits sideways on the seat with the arm placed over the back. On the back surface of the back there is, at least one bearing area for placement of the arm of the patient, who sits sideways on the seat with the arm placed over the back. The orthopaedic device contains traction, made with a possibility of connection with the device for the forearm embracing, made in a form of L-shaped sleeve. Traction is made in a form of mechanical traction from a set of detachable loads and a hook, adapted for placing on it demountable loads and made with a possibility of connection with the L-shaped sleeve.

EFFECT: invention makes it possible to increase efficiency of the shoulder dislocation treatment due to improvement of work conditions, convenience of application, reliability of fixation of the patient's position and position of the shoulder by providing optimal stop, which takes into account anatomic characteristics of the shoulder joint and axilla.

13 cl, 8 dwg

 

The invention relates to medicine, namely to traumatology and orthopedics, and can be used for reduction of shoulder dislocation.

Currently in the emergency room for reduction of shoulder dislocation applies a standard methodology based on the use of an orthopedic device in the form of an ordinary chair. The patient is seated on a chair sideways and arm thrown across the back of the chair so that the arm rests on the upper part of the back of the chair. The doctor takes one hand by the wrist of the patient, the other hand is laying on top of the forearm and its weight presses on the hand down. When sufficient anesthesia and relaxation of the patient dislocation of the shoulder joint is eliminated. The main conditions of successful reduction of the shoulder in this case is the need for the patient sat upright with a straight back, and the angle in the elbow joint was strictly 90°. To fulfil these conditions, you need the following. First, the upper part of the back of the chair, forming the focus should be the optimal configuration, taking into account anatomic features of the shoulder joint and the shape of the armpit. Secondly, the patient's arm should be as relaxed that provides adequate anesthesia and a psychological interview. Thirdly, it must be adjustable stops by regulating the height of the kicks a chair depending on mass and size parameters of the patient.

The main disadvantage of the orthopedic device in the form of a standard chair is the low efficiency of treatment of dislocations, due to the lack of optimal focus, taking into account anatomic features of the shoulder joint and the shape of the underarm, and exacerbated by the inability of regulatory focus by adjusting the height of the back of the chair depending on mass and size parameters of the patient. In addition, the lack of reduction of dislocation using Autonomous traction, i.e. thrust, without a doctor, limits the functionality and, thus, also reduces the effectiveness of the treatment of sprains.

Known orthopedic apparatus to reposition the bones of the upper limb according to patent No. 475997, which is used for reduction of fractures and for the reduction of dislocations of the shoulder. The device includes a latch arm and the latch brushes connected by brackets and rods. The principle of the device based on the stretching of the forearm. The device is fixed on the hand, the function of thrust for the brush performs retainer brush. The disadvantages of orthopedic devices of this kind include the following. The latch shoulder bulky, the design is complicated and all is fixed on the patient, which is difficult and inconvenient. Traction is due to the rotations of the bracket and is not intended to be what gives the possibility of manual traction, and not possible to implement traction without participation of the doctor, which limits the functionality. There is no adjustable stop armpit.

Known orthopedic device in the form of orthopedic multi-functional chair according to the patent # 87333 for a utility model, is selected as the closest analogue. Orthopedic multifunctional chair comprises a base, on which by means of adjustable racks, hinged on a transverse axis fixed bearing for the legs and seat. Support legs made in the form of a common platform with adjustable tilt forward and back, and the seat is fixed hinged on a vertical axis and provided with adjustable back, i.e. back. The seat is mounted on a telescopic stand for rotation about a vertical axis and fixation at the correct height from the ground. It also fixed the hinge on an axis passing through the center section. In the normal position the seat rotates freely in two dimensions and, if necessary, can be fixed by special holders in any intermediate position. Lumbar support (back) is fixed to the seat retainers, providing his nomination up - down and tilt to the desired angle. The top part of this emphasis is made using the UE is ugogo (foam) materials, that provides comfort for the back and waist. After placing the user's seat is tilted forward, the leg rest in the reference area, and dorsal stops (back) rests on the lower back. A sliding seat allows you to quickly change the height from the substrate, the tilt angle, to make a rotational motion of the seat around the vertical axis. Spinal emphasis allows you to use a chair with comfort and in other positions, namely for traditional seat, and for a half upright position.

However, the above prosthetic device has a number of disadvantages. The main drawback is the low efficiency of treatment of dislocations due to poor working conditions and inconvenience of use, low reliability fixing the position of the patient and position him on the shoulder, due to the implementation of the backrest without regard to possible use as axillary focus, taking into account anatomic features of the shoulder joint and the shape of the armpit. Additionally, there is no possibility of reduction of dislocation using Autonomous mechanical traction without participation of the doctor, which limits the functionality and, thus, also reduces the effectiveness of the treatment of sprains.

The invention is directed to solving the problem of increasing the effectiveness of treatment of a dislocated shoulder when odnovremenno orthopedic devices by improving working conditions, improve ease of use, reliability, fixing the position of the patient and position him on the shoulder, and also due to the possibility of a choice of manual or mechanical traction and, therefore, increase functionality by ensuring optimal focus, taking into account anatomic features of a structure of the shoulder and the armpit.

The invention consists in that in the orthopedic device that includes at least one rack, which includes a seat and backrest that features the top edge of the backrest to perform with the notch to the armpits of the patient, sitting sideways on the seat with thrown over the back of the hand, and in the upper part of the recess shaped so that it partially covers the front and back shoulder of the patient, sitting sideways on the seat with thrown over the back of the hand, and on the rear surface of the backrest has at least one support area for the hand of the patient, sitting sideways on the seat with thrown over the back of the hand, additionally, the prosthetic device includes a thrust made with the possibility of connection with means for embracing the forearm, made in the form of a G-shaped sleeves, while traction is made in the form of mechanical traction from a set of removable cargo and hook adapted for mounting on h is m removable cargo and made with the possibility of connection with G-shaped sleeve.

Excavation of the backrest can be made arcuate in shape.

The orthopedic device can be equipped with height adjustment and fixing the position of the backrest.

The orthopedic device can be equipped with height adjustment and fixing the position of the seat.

In the orthopedic device rack can be mounted on movable supports, made mainly in the form of wheels or rollers.

In the orthopedic device in the lower part of the edge-cut backs can be made with thickening of soft material.

This reference site for the brush of a patient can be made of soft material on the side adjacent to the brush.

The orthopedic device may contain the basis on which it relies hour, in the back of the base there are two semi cylindrical well for storing mechanical means of traction in the form of a hook with a set of removable cargo.

In the orthopedic device is an l-shaped sleeve can be shaped so that it follows the shape of the elbow joint of a hand of the patient and has a longitudinal incision between the edges which forms a lumen, the sleeve covers at least half the diameter of the hands.

L-shaped sleeve can be made so that the outside is a hard material, mostly plastic, is especiauy the possibility of changing the shape of the sleeve due to a change in its diameter, with subsequent recovery, and inside is a soft material, preferably foam rubber with a fabric covering. This soft material, which is located inside the l-shaped sleeve, may enter into the gap between the edges of the incision, passing into the plastic tab.

L-shaped sleeve can be made so that it has at least one fastener or lock regulating the degree of coverage of the patient's arm.

L-shaped sleeve can be made so that it is supplied by attachment to a powered vehicle, which includes a metal plug or cover plate, which is at the bottom of the elbow parts are connected with beyond the l-shaped sleeve in the elbow bend small metal rod with a metal ball on the end.

In the proposed orthopedic device performing the upper edge of the backrest with the notch to the armpits of the patient, sitting sideways on the seat with thrown over the back of the hand, allows to improve a simple and reliable classic method of using the back of a chair as axillary emphasis upon reduction of dislocation of shoulder, by taking into account the anatomical structures of the shoulder joint and armpits. While simplicity and study of techniques for using the back of the chair as axillary emphasis of the proposed prosthetic device due to Optim the organization forms the back of the chair not only helps to improve working conditions, to improve usability, increase the reliability of fixing the position of the patient, as well as the position of the shoulder of the patient, but also provides versatility, i.e. the choice of manual or mechanical traction, and therefore provides enhanced functionality that allows to increase the effectiveness of the treatment of sprains.

Thus the performance of hollow arcuate shape allows the most precise contours armpits and, thus, provides the best form of emphasis.

Performing orthopedic device so that it provides the basis on which it relies hour with seat and backrest, promotes compactness of the device, improve usability by improving the stability of the device and reliability of fixation of the patient and his injured limb.

The presence in the back of the base, at least one semi-cylindrical well for storing mechanical means of traction in the form of a set of removable cargo and hook adapted for installing a removable cargo, and can be fixed to the l-shaped sleeve, promotes compactness of the device and improves ease of use.

Running the rack with seat and backrest on mobile supports in the form of wheels and rollers, facilitates easy adjustment of the position of the chair on the floor or on the ground.

Moreover, the connection of the base with the floor also contributes to the stability of the device.

The embodiment of the device so that it can contain at least one rack, which is equipped with seat and backrest equipped with means for adjusting and fixing their position, provides the possibility of adjusting the focus using the height adjustment of the backrest of the chair that allows you to achieve optimal fixation of the patient, regardless of his physique and size.

Run in the bottom of the cut backs, thickening of the soft material also contributes to ease of use, eliminates discomfort from solid edge.

Performing a recess in the upper part so that it partially covers the front and back shoulder of the patient, sitting sideways on the seat with thrown over the back of the hand, also increases reliability of fixation of the shoulder of the patient.

Performing on the rear surface of the backrest, at least one supporting pad to accommodate the hand of the patient, sitting sideways on the seat with thrown over the back of the hand, helps to improve the usability and reliability of fixation of the hand when the reduction of dislocation with Autonomous thrust, i.e. providing a choice of exercise and manual and mechanical traction and therefore, extends the functionality. When you perform a basic platform for fixing the brush of a patient from a soft material on the side adjacent to the brush, eliminates discomfort from solid edge.

The execution of a G-shaped sleeves so that it follows the shape of the elbow joint of a hand of the patient and has a longitudinal incision between the edges which forms a lumen, the sleeve covers at least half the diameter of the hand, ensures high accuracy and stability of the position of the elbow at a right angle during the entire procedure, thereby ensuring not only its secure fit, and ease of use.

The implementation of the l-shaped sleeve so that the outside is a hard material, mostly plastic, providing the possibility of changing the shape of the sleeve due to a change in its diameter, with subsequent recovery, and inside is a soft material, preferably foam with fabric cover, on the one hand, ensures its strength, and on the other hand the comfort and ease of use. Thus the performance of a G-shaped sleeve so that the soft material, which is located inside the l-shaped sleeve, goes into the gap between the edges of the incision, passing into the plastic tab, also contributes to ease of use.

The implementation of the l-shaped R the cava so, he is equipped with at least one fastener or lock regulating the degree of coverage the hands of the patient, increases strength sleeve, improving the reliability of fixation of the limb of the patient and ease of use.

Performing orthopedic device so that it contains mechanical traction made with the possibility of connection with means for embracing the forearm, made in the form of a G-shaped sleeves allow you to choose the best option implement traction - manual or mechanical without the participation of the physician and thereby increase the efficiency of the procedure setting.

The implementation of the l-shaped sleeve so that it is equipped with attachment to a powered vehicle, which includes a metal plug or cover plate, which is at the bottom of the elbow parts at the base of the bend connected with beyond the l-shaped sleeve in the elbow bend small metal rod with a metal ball on the end, allows simple and reliable connection with mechanical traction means in the form of a hook with a set of removable cargo that extends the functionality of the device due to the possibility of Autonomous traction without participation of the doctor.

The invention is illustrated by drawings. Figure 1 shows a General view of the orthopedic device in ISO;figure 2 shows orthopedic device front view; figure 3 shows an orthopedic device, side view; figure 4 is shown an orthopedic device, type in the plan; figure 5 shows an l-shaped sleeve, front view; figure 6 shows an l-shaped sleeve, the section a-a in figure 5; figure 7 shows the l-shaped sleeve, a General view in isometric. On Fig given the option of using an orthopedic device for the reduction of the dislocation with the patient sitting sideways with thrown over the chair arm, the auxiliary thrust without participation of the doctor, side view.

Figure 1 shows an example of executing the proposed orthopedic device containing a base 1, on which rests hour 2 with the attached seat 3 and the backrest 4, intended for the accommodation of the patient.

In the back of the base 1 are two semi cylindrical pit 5 for storing mechanical means of traction in the form of a set of removable cargo 6 and the hook 7 adapted for installing a removable cargo 6 and connection with G-shaped sleeve 8.

Hour 2 mounted on movable supports, for example on rollers 9. The base 1 is equipped with means for adjusting and fixing the position of the device in the form of guides 10, at which hour 2 mounted for movement along the base 1, and lock movement. While the base 1 may be to connect the network with the floor, that the figures are not shown. The backrest 4 and the seat 3 is made with soft upholstery. The upper edge of the backrest 4 is made with an arcuate recess 11 for the armpit of the patient, sitting sideways on the seat with thrown over the back of the hand, as shown in Fig. In the lower part of the edge of the recess 11 is made thicker 12 of a soft material. In the upper part of the recess 11 is made with the tides 13, which partially cover the front and back shoulder of the patient, sitting sideways on the seat with thrown over the back of his hand. On the rear surface of the backrest 4 are two sites 14 are located at the edge of the backrest 4 to the left and to the right. Each pad 14 forms a bed for placing the hand of the patient, sitting sideways on the seat with thrown across the back 4 by hand. Each support platform 14 is made of a soft material on the side adjacent to the brush.

Seat 3 and the backrest 4 is equipped with means for adjusting and fixing their height position. The height of the seat 3 is adjusted placed under the seat 3 pneumatic mechanism with control pedal 15. The backrest 4 is installed on the metal telescopic rack 16 with adjustable height relative to the seat 3.

L-shaped sleeve 8 repeats the shape of the elbow joint of a hand of the patient and has a longitudinal incision between the edges which forms a lumen, the sleeve cover 8 which indicates at least half the diameter of the hands. L-shaped sleeve 8 includes a housing 17 in the form of the l-shaped tubular member with a longitudinal slit along the entire length. The housing 17 is made of a strong rigid material such as plastic, is able, however, to bend and providing the possibility of changing the shape of the sleeve 8 by changing its diameter, with subsequent recovery. Inside the housing 17 has a liner 18 is made of soft material, for example made of foam with fabric cover. The liner 18 extends into the gap between the cut edges of the housing 17 and passes into the plastic tab 19. The exterior of the housing 17 is equipped with three clasps 20, like the castles of the ski boot. With the help of clasps 20, the sleeve 8 is fixed to the elbow joint of the patient and adjusts the degree of coverage of the patient's arm. L-shaped sleeve 8 provided with a mount to pull, which includes a plug-in or slip the metal plate 21, which is at the bottom of the elbow portion connected with the outside of the sleeve 8 in the elbow bend small metal rod 22, ending with a metal ball 23. The length of the rod 22 and the sizes of the ball 23 correspond to the size of mechanical traction in the form of a set of removable cargo 6 and the hook 7. The metal plate 21 provides the necessary rigidity of the housing 17, is made of plastic, and stability form the l-shaped sleeve 8, the shape lo the network of joint.

Orthopedic device operates as follows.

Depending on the nature of the injury in the possession of the patient, the physician selects the mode of reduction of dislocation of the humerus with mechanical or manual traction.

Orthopedic device mode reset dislocation of the humerus with mechanical traction works as follows. The patient is seated on the seat 3 side to the back 4, as shown in Fig. Damaged limb thrown over the back 4 so that the armpit is entered in the arcuate recess 11 of the upper part of the backrest 4. Due to the arcuate shape of the recess 11, moderate thickening 12 upholstery and tides 13 is reliable girth, commit and stop underarm and shoulder joint with the bottom and side of its surfaces. This ensures the stability of the position of the shoulder and the availability of suitable stops, optimal from the point of view of the anatomical shoulder joint. The patient should sit with the set on the floor by his feet and straightened his back. This is ensured by the adjustable seat height, 3 regulatory pedal 15 of the pneumatic mechanism and height adjustable backrest 4 by using the sliding-type telescopic tube Adjuster in the form of a strut 16 of the backrest 4. Once achieved the correct and comfortable position of the patient on the elbow the Charter of the injured extremity wear the sleeve 8. Depending on the thickness of the limb due to the elasticity of the housing 17 model optimal grasp and fix the sleeve 8 three regulatory fasteners 20 on the type of locks of the ski boot. To comply with right angle at the elbow joint a hand of the patient is placed on a support pad 14 located on the side of the rear surface of the backrest 4. Then on the speaker in the lower part of the sleeve 8 in the elbow joint of the rod 22 with the ball 23 is suspended a hook 7, which is connected with one of the loads 6. The hook 7 is dressed for the ball 23 protruding beyond the sleeve 6, connecting, thus, the traction means with the sleeve 8. For easy storage hook 7, which is connected to the load 6, and additional cargo 6 at the rear of the base 1 are two semi cylindrical well 5. After hanging on the sleeve 8 of the hook 7 with one of the loads 6 on him hang incremental loads 6, with the structure of the pancake with a slot for the rod of the hook 7. Supplementary weights 6 are required for optimal traction control, i.e. optimal weight 6. Achieving optimal weight 6, which depends on the physique of the patient and achieved relaxation of the shoulder girdle, which provides psychological conversation with the patient and optimal local anesthesia, there is a reduction of dislocation. After reduction of the dislocation of the fastener 20 of the sleeve 8 unbutton, end the Arista release of the sleeve 8. Patient unfold in the usual position with his back to the back 4 and give it a plaster cast Deso.

Mode reset dislocation of the humerus with manual traction device works in a similar manner described above with the difference that the sleeve 8 does not wear, and traction is performed by the hands, for which the patient is put on the seat 3 sideways, bringing the arm across the back 4. The doctor is suitable from the patient the patient's arm with one hand, takes the hand of the patient in the brush, and not place it on the frame 14, and the other his hand, the doctor puts on the forearm from the top in the area of the inner fold of the elbow joint and its weight presses on the elbow down until the dislocation will not spravitsa. After reduction of the dislocation of the patient develop in normal position with his back to the back 4 and give it a plaster cast Deso.

We offer orthopedic device has the following advantages:

- provides the best form of emphasis, taking into account anatomic features of a structure of the shoulder and the armpit, and easy regulation of emphasis on height, providing, thereby, ease of use and reliable fixation of the patient and the injured limb in the correct position regardless of the size and weight of the patient;

- allows you to extend the functionality by providing perhaps the ti implementation manual traction, and mechanical traction without participation of the doctor.

Thus, the proposed device with its simultaneous simplicity and by optimizing the shape of the emphasis made in the form of a chair back, not only can improve working conditions, improve usability, and to improve the reliability of fixing the position of the patient, as well as the position of the shoulder of the patient, but also provides versatility, i.e. the choice of manual or mechanical traction, and, therefore, promotes expansion of functional capabilities, which allows to increase the effectiveness of the treatment of sprains.

1. Orthopedic device containing at least one rack, on which the seat and backrest, characterized in that the upper edge of the backrest is made with a recess for the armpit of the patient, sitting sideways on the seat with thrown over the back of the hand, and in the upper part of the recess shaped so that it partially covers the front and back shoulder of the patient, sitting sideways on the seat with thrown over the back of the hand, and on the rear surface of the backrest has at least one support area for the hand of the patient, sitting sideways on the seat with thrown over the back of the hand in addition, the orthopedic device includes a thrust made with the possibility of connection with means for HC is tawania forearm, made in the form of a G-shaped sleeves, while traction is made in the form of mechanical traction from a set of removable cargo and hook adapted for installing a removable cargo and made with the possibility of connection with G-shaped sleeve.

2. Orthopedic device according to claim 1, characterized in that the recess is made arcuate in shape.

3. Orthopedic device according to claim 2, characterized in that it is equipped with height adjustment and fixing the position of the backrest.

4. Orthopedic device according to claim 3, characterized in that it is equipped with height adjustment and fixing the position of the seat.

5. Orthopedic device according to any one of claims 1 to 4, characterized in that the rack is mounted on movable supports, made mainly in the form of wheels or rollers.

6. Orthopedic device according to any one of claims 1 to 4, characterized in that the lower part of the edge extraction is performed with a thickening of the soft material.

7. Orthopedic device according to claim 1, characterized in that the support area for the hand of the patient is made of soft material on the side adjacent to the brush.

8. Orthopedic device according to claim 1, characterized in that it comprises a base, on which rests hour, in the back of the base there are two semi cylindrical well for storing the Oia means of mechanical traction in the form of a hook with a set of removable cargo.

9. Orthopedic device according to claim 1, characterized in that the l-shaped sleeve made so that it follows the shape of the elbow joint of a hand of the patient and has a longitudinal incision between the edges which forms a lumen, the sleeve covers at least half the diameter of the hands.

10. Orthopedic device according to claim 1, characterized in that the l-shaped sleeve is made so that the outside is a hard material, mostly plastic, providing the possibility of changing the shape of the sleeve due to a change in its diameter, with subsequent recovery, and inside is a soft material, preferably foam rubber with a fabric covering.

11. Orthopedic device of claim 10, wherein the soft material, which is located inside the l-shaped sleeve, goes into the gap between the edges of the incision, passing into the plastic tab.

12. Orthopedic device of claim 10, wherein the l-shaped sleeve provided with at least one fastener or lock regulating the degree of coverage of the patient's arm.

13. Orthopedic device according to any one of claims 1 to 3, characterized in that the l-shaped sleeve is equipped with a mount for the deadlift, which includes a metal plug or cover plate, which is at the bottom of the elbow parts are connected with beyond the l-shaped sleeve in the elbow bend is bolshim metal rod with a metal ball on the end.



 

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3 cl, 3 dwg

FIELD: medicine.

SUBSTANCE: invention refers to medicine and may be used in neurology, traumatology, physiotherapy, orthopaedics, in stepped therapy of protrusions, herniated disks, scoliosis, kyphosis, kyphoscoliosis, spondylolisthesis, osteochondrosis, myofascial syndrome, myositis, vertebrogenic (discogenic) torticollis, intercostal neuralgia, lumbago, lumbar ischialgia. The I stage consists in intravenous blood exposure to UV and red low-intensity laser emission, graduated uniform extension of all spinal segments in a traction apparatus with no fixation devices with considering patient's anthropometric data in complete muscular relaxation. The stage II consists of two alternating series of procedures. The series I implies paravertebral vacuum cup massage from both side upwards from a lumbar to cervical spine along massage lines of the back with a cup tightly pressed to skin. It is followed with vacuum gradient therapy with using a number of cups of different volumes and sections simultaneously along a venous outflow. Further, a leech therapy (LT) covering an umbilicus, a swing therapy (ST) in the SWING MACHINE training facility. The series II includes a one-day acupress therapy of the spinal muscular frame with using ebonite rollers along massage lines of the back, then - manual exposure on its musculo-ligamentous apparatus and joints in the form of various massage types, a yumeiho therapy, a postisometric relaxation, further the LT and the ST on the back area. The days free from the manual exposure and the LT on the back area; the ST is followed by physical exercises based on the system of traditional Cigun, Nishi, yoga techniques The stage III provides diagnosis and orthopaedic feet correction.

EFFECT: therapeutic effect is ensured by exposure on all the pathogenesis patterns of the spinal diseases: cell, immune, humoral, neuromuscular, mechanical, reflex, at the level of the integrated system, including principal drug-free recovery of the spinal health.

6 cl, 5 dwg, 5 ex

FIELD: medicine.

SUBSTANCE: invention refers to medical equipment, particularly to spine recovery machines and can be used for therapeutic exercises, spine flexibility recovery, unloading and traction for the preventive and therapeutic purposes in medical and sports institutions, in the establishments for individuals with a static type of activity, and also domiciliary. A spine traction apparatus comprises a bandage in the form of a belt, and flexible rods attachable to a fixed support. In addition, the apparatus comprises a waistband attached to the belt, and an unloading bar fastened on the flexible rods. The flexible rods are fastened on the waistband.

EFFECT: simplification of the existing structures of the spine traction apparatuses and enabled exercises made in a head-down position.

4 cl, 2 dwg

FIELD: medicine.

SUBSTANCE: invention relates to medical orthopedic equipment and can be used for treatment of deformational and other defects of spine and extremities. Extracorporal orthopedic distactor contains two belt-like bandage fixers, with clasps at the ends, for embracement of corrected part. Fixers are located coaxially, with working clearance between them, in which with even distribution on length of bandage fixers installed are active elements of distraction from titanium nickelide with effect of superelasticity. Each bandage fixer is made in form of tape from material with foliated structure and different elasticity of layers. More elastic layers are located medially.

EFFECT: increase of distraction efficiency in treatment of deformational defects of support apparatus, functional extension due to extension of application area on patients' extremities.

8 cl, 3 dwg, 2 ex

FIELD: medicine.

SUBSTANCE: invention relates to field of medicine, namely to traumatology and orthopedics. Through external bone surface formed is hole, going into intramedullary channel. Through said hole into intramedullary channel fixer is introduced and installed in destroyed part of bone. Liquid is supplied into fixer, ensuring even pressure, performed via external surfaces of fixer onto response contact bone surfaces. Fixation of fixer inside bone is realised due to increase of transverse dimension of working part of fixer in accordance with internal diameter of intramedullary channel and tight contact of external surface of fixer with response contact bone surface. Pressure inside fixer is kept stably high for the period from ten days and longer. After that it is gradually reduced to minimal. After eight months after osteosynthesis fixer is removed.

EFFECT: method ensures reduction of trauma of bone and soft tissues when performing manipulations during operation, reduction of possibility of development of early post-operative complications, elimination of delayed or incorrect union of bone fragments, absence of additional immobilisation in post-operative period, reduction of hospitalisation terms.

3 ex, 3 dwg

FIELD: medicine.

SUBSTANCE: invention relates to field of medicine, in particular to orthopedics. Skin and subcutaneous fatty tissue are cut on anterior surface of iliac region. Muscular tissue is immobilised in obtuse and acute way. Periosteum of iliac bone between anterior-upper and anterior-lower spines is exposed, periosteum is cut longitudinally and separated with raspatory. Two tunnels are made in front plane by means of drill. After that threaded rods with diameter 5-6 mm are screwed to the depth 3-4 cm. In lower third of femoral bone two cuts are made with scalpel. Trocar is introduced to bone. Through trocar bush two tunnels are frilled in bone, fixing threaded rods are screwed into tunnels. After that, by means of "МКЦ" apparatus gradual distraction and rotation inwards on femoral bone axis is performed at the rate 1-2 mm per day by rotation of nut on threaded rods in various planes for two-three weeks. Fixation of head and neck of hip is realised by bundle of wires, which are installed along hip neck, crossing growth zone. After that "МКЦ" apparatus is dismantled and plaster bandage is applied until bones knit completely.

EFFECT: method ensures gradual reposition of epiphysis, possibility to compensate vascular net to changing spatial position.

1 ex, 8 dwg

FIELD: medicine.

SUBSTANCE: invention concerns medical equipment, namely, traumatology and orthopedy. The apparatus contains blocks-clamps, a screw-coupler, and a basis of longitudinal form with a referring groove. Each block fixative is equal in width to the basis and is executed in the form of a slider with a longitudinal prominence and the clamping plate placed on it which are clamped to the formation of apertures under carving blocking hinges on the interfaced sides of the slider and a clamping plate, and an axis of these apertures axes of blocks-clamps are located perpendicularly. The screw-coupler is located along a longitudinal axis of the basis, and executed with an adjusting aperture on a turn-key basis. Blocks-clamps are clamped to the basis. The basis has section of a double tee with a wall parting the basis on the top and bottom cavities and executed with the referring groove. Each fixative block is supplied by a fixing lath. A prominence of the slider and a corresponding fixing lath of blocks-clamps are located one under the other, consequently, in the top and bottom cavities of a double tee of the basis, on the different sides from its wall, and have sections, reciprocal under the form to sections of corresponding cavities of the double tee. There is not less than four apertures for carving blocking hinges. In a clamping plate, a slider and a fixing lath of blocks-clamps there are coaxial fixing apertures located in front of each other which axes are symmetrised, is perpendicular and with alternating concerning axes of apertures for carving blocking hinges. The screw-coupler is located in two eyes and bound to one of eyes carving bond. The eyes are executed with a fixing aperture and established on clamping plates of the next blocks-clamps and clamped to them a bolt passed through a fixing aperture of an eye, through coaxial to it an aperture executed in the corresponding clamping plate, and fixed on a carving in a corresponding aperture a the slider. The blocks-clamps are clamped to the basis the bolt passed through executed in clamping plate and the slider fixing apertures, spent through referring groove of a wall of a two-Tauri, and fixed on a carving in a corresponding coaxial aperture of a fixing lath. The length of the basis and its height are bound by parity 17.5:1. The length of a referring groove is peer to a difference of length of the basis and the doubled distance from edge of blocks-clamps to the point of an aperture nearest to it under a bolt, executed in a clamping plate.

EFFECT: invention provides expansion of functionality, rising of durability of bracing and reliability of osteosynthesis at treatment of difficult fractures, and also at elongation of long tubular bones, and for replacement of defect of bone after its osteotomy, both at the adult person, and at the child.

3 cl; 5 dwg

FIELD: medicine, orthopedics, traumatology.

SUBSTANCE: the present innovation deals with applying surgical instruments and ways for treating motor system by introducing fixators into a vertebra. It is necessary to fulfill a roentgenogram of deformed vertebral column in frontal projection, then its contour should be identified with that of a marking pattern which should be matched with the centers of bows' roots. Then one should apply needles-marks upon a pattern in transverse plane by matching them with the centers of bows' roots followed by computer tomography at the pictures of which one should detect the angle for introducing fixators, free ends of needles-marks should be curved by matching with the angle of introducing fixators. In operation room, one should place a marking pattern at a patient's back by matching it with the contour of patient's vertebral column followed by roentgenological control, then it is necessary to introduce fixators into bows' roots taking into account the position of needles-marks. Marking pattern contains two supports made of plastic material. Every support has got through steadily located openings and not less than 2 needles-marks. They are designed to be introduced through the openings. Moreover, free ends of needles-marks are designed to have the chance for curvature. Application of the present method enables to shorten the duration of operative interference and, also, decrease the number of roentgenological trials during interference.

EFFECT: higher accuracy and efficiency of detection.

2 cl, 4 dwg, 1 ex

FIELD: medical engineering.

SUBSTANCE: device has rod, units for fixing transosseous members and the transosseous members. The rod is composed of two L-shaped plates connected to each other with their long shelves by means of bolts and nuts. The short shelves of each of them are curved in a plane set in perpendicular to the long shelves and have at least single threaded guide. Oval coaxial holes are drilled in the long shelves for setting holders for fastening wires and rods. Unit for fixing transosseous members is designed as curved strips having junction and holes for introducing guide members. The transosseous members are placed between the strips tightened with the nuts mounted on the guides.

EFFECT: enhanced effectiveness in preventing deformities, persistent contractures and carpal instability.

4 cl, 3 dwg

The invention relates to the field of medicine and medical equipment, in particular to methods and devices for the treatment of musculoskeletal apparatus, and in particular to methods and devices used for external fixation of the spine in its surgical treatment

The invention relates to medicine, namely to traumatology and orthopedics

The invention relates to medical equipment and is designed to reposition and fixation of open, closed, comminuted, granular fractures of the long bones, pelvic bones, and to solve problems orthopedic situations after these injuries

The invention relates to the field of traumatology and orthopedics, and can be used for transosseous osteosynthesis Razmyslov and namyslow fractures of the humerus

The invention relates to medicine, namely to traumatology and orthopedics

FIELD: medical engineering.

SUBSTANCE: device has rod, units for fixing transosseous members and the transosseous members. The rod is composed of two L-shaped plates connected to each other with their long shelves by means of bolts and nuts. The short shelves of each of them are curved in a plane set in perpendicular to the long shelves and have at least single threaded guide. Oval coaxial holes are drilled in the long shelves for setting holders for fastening wires and rods. Unit for fixing transosseous members is designed as curved strips having junction and holes for introducing guide members. The transosseous members are placed between the strips tightened with the nuts mounted on the guides.

EFFECT: enhanced effectiveness in preventing deformities, persistent contractures and carpal instability.

4 cl, 3 dwg

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