FEDERALNOE GOSUDARSTVENNOE BJUDZHETNOE UCHREZHDENIE "NAUCHNYJ TSENTR ZDOROVJA DETEJ" ROSSIJSKOJ AKADEMII MEDITSINSKIKH NAUK (FGBU "NTSZD" RAMN)
发明人:
MALAKHOV OLEG ALEKSEEVICH,Малахов Олег Алексеевич,TRANKOVSKIJ SERGEJ EVGENEVICH,Транковский Сергей Евгеньевич,UNANJAN KAREN KARLENOVICH,Унанян Карен Карленович
申请号：
RU2012151149/14
公开号：
RU0002501532C1
申请日:
2012.11.29
申请国别(地区):
RU
年份:
2013
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention refers to medicine, namely to traumatology and orthopaedics, and may be used in pelvic osteotomy in treating dysplastic acetabulum in the children suffering infantile cerebral paralysis. The method consists in iliac osteotomy along a coxal line, displacement of a distal fragment outwards, forwards and downwards and further wire fixation of the achieved position. The intertrochanteric detorsion varus osteotomy of a femoral bone and angle plate fixation follow for a mildly affected hip. A bone fragment of a pre-set size is saw out to be further used as an autograft. It is placed in a projection of the further pelvic osteotomy on the opposite extremity for a muscle fascia for preservation into an expected operation site. At the second stage, the severely affected extremity is operated 3 weeks later. For this purpose the preserved autograft is removed from soft tissues in performing the pelvic osteotomy in a projection of the section. That is followed by the Solters pelvic osteotomy using the autograft for formation of an acetabular roof.EFFECT: using the given invention provides stabilising the milder joint at the first stage, thereby ensuring and preserving an adequate amount of the autograft material, at the second stage - creating adequately covered femoral head using the pre-formed autograft, simultaneously equalising the difference of leg length it is useful to implement the given technique in the patients with infantile cerebral paralysis, suffering double asymmetrical hip joint involvement.3 dwg, 1 exИзобретение относится к области медицины, а именно к травматологии и ортопедии, и может найти применение при остеотомии таза в случаях дисплазии вертлужной впадины у детей с ДЦП. Способ заключается в остеотомии подвздошной кости по безымянной линии, смещении дистального фрагмента кнаружи, кпереди и книзу и последующей фиксацией достигнутого положения спицами. При этом на бедре с легким поражением проводят межвертельную деторсионн
