UNIVERSITATEA DE STAT DE MEDICINĂ ŞI FARMACIE "NICOLAE TESTEMIŢANU" DIN REPUBLICA MOLDOVA
发明人:
FEGHIU Leonid,FEGHIU Ana Maria,FURTUNĂ Ludmila
申请号：
MDS20180053
公开号：
MD1287Z
申请日:
2018.05.30
申请国别(地区):
MD
年份:
2019
代理人:
摘要：
The invention relates to medicine, in particular to traumatology and plastic surgery and can be used for vascularized flap grafting of the patellar tendon septic defect.Summary of the invention consists in that it is performed the dopplerographic examination to identify the projections of perforated vessels of the posterior tibial artery, is detected the projection of the closest to the defect perforated artery, are determined the sizes of the expected flap depending on the size of the defect, is performed a longitudinal ellipsoidal incision with the convex side up to 1 cm from the selected perforated vessel, is continued the incision in the distal direction with the formation of a flap, which includes the skin, the covering fascia and a 1x5 cm fragment of gastrocnemius muscle tendon, the formed flap is applied on the selected perforated vessel without traumatizing from the anterior side the subcutaneous neurovascular fascicle, after which the flap is rotated by 170°…180°, so that the tendon fragment included in the flap may cover the defect between the ends of the patellar tendon and are sutured to the ends of the tendon fragment the ends of the patellar tendon, and then the wound is sutured in layers.Invenţia se referă la medicină, în special la traumatologie şi chirurgia plastică şi poate fi utilizată pentru plastia cu lambou vascularizat a defectului septic de tendon patelar.Esenţa invenţiei constă în aceea că se efectuează examenul dopplerografic pentru stabilirea proiecţiei vaselor perforante ale arterei tibiale posterioare, se determină proiecţia celei mai apropiate de defect artere perforante, se determină dimensiunile lamboului preconizat în dependenţă de dimensiunile defectului, se efectuează o incizie longitudinală elipsoidală cu partea convexă până la 1 cm de vasul perforant selectat, se continuă incizia în direcţie distală cu modelarea unui lambou, care include pielea, fascia de învelis şi un fragment de 1x5 cm de tendon al muşchiului gastrocnemian, lam
