Federalnoe gosudarstvennoe byudzhetnoe uchrezhdenie "Natsionalnyj meditsinskij issledovatelskij tsentr travmatologii i ortopedii imeni R.R. Vredena" Ministerstva zdravookhraneniya Rossijskoj Federatsi
发明人:
Kogan Pavel Gennadevich (RU),Коган Павел Геннадьевич (RU),Lyakh Aleksej Romanovich (RU),Лях Алексей Романович (RU),Stafeev Dmitrij Viktorovich (RU),Стафеев Дмитрий Викторович (RU),Lasunskij Sergej Ana
申请号：
RU2020103917
公开号：
RU0002729019C1
申请日:
2020.01.28
申请国别(地区):
RU
年份:
2020
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention refers to medicine, namely to traumatology and orthopedics, and can be used for surgical management of chronic fractures and massive bone defects of articular process of scapula accompanying development of anterior instability of shoulder joint. Performing the free plasty with the bone autograft extracted from the iliac wing in the form of a conditional right triangular prism, both bases and one lateral facet of which are represented by a spongy bone, and two lateral facets – with a cortical bone. Autograft is adapted by a side facet represented by a spongy bone to a prepared bone bed in a defect area on an articular process of the scapula and fixed with a screw directed from the front backwards through the upper part of the located in front lateral edge of the bone autograft to the articular process of the scapula. Further, a bone bed is prepared on said autograft face to remove a cortical plate throughout its lower part. That is followed by adapting an osteotomised fragment of the coracoid process with a set of tendons and fixing with a screw directed from the front back through the previously installed autograft into the articular process of the scapula.EFFECT: method provides stabilization of a shoulder joint and prevention of occurrence of dislocations of a humerus by replenishment of a massive bone defect of an articular process of a scapula.1 cl, 7 dwg, 1 tbl, 1 exИзобретение относится к медицине, а именно к травматологии и ортопедии, и может быть использовано при оперативном лечении застарелых переломов и массивных костных дефектов суставного отростка лопатки, сопровождающихся развитием передней нестабильности плечевого сустава. Выполняют свободную пластику костным аутотрансплантатом, выделенного из крыла подвздошной кости в виде условной правильной треугольной призмы, оба основания и одна боковая грань которой представлены губчатой костью, а две боковые грани - кортикальной костью. Аутотрансплантат адаптируют боковой гра
