Federalnoe gosudarstvennoe byudzhetnoe uchrezhdenie "Rossijskij ordena Trudovogo Krasnogo Znameni nauchno-issledovatelskij institut travmatologii i ortopedii im. R.R. Vredena" Ministerstva zdravookhra
发明人:
Konovalchuk Nikita Sergeevich,Коновальчук Никита Сергеевич,Sorokin Evgenij Petrovich,Сорокин Евгений Петрович,Fomichev Viktor Andreevich,Фомичев Виктор Андреевич,Chugaev Dmitrij Valerevich,Чугаев Дмит
申请号:
RU2017121099
公开号:
RU0002661705C1
申请日:
2017.06.15
申请国别(地区):
RU
年份:
2018
代理人:
摘要:
FIELD: medicine.SUBSTANCE: invention relates to medicine, in particular to traumatology and orthopedics, and is intended for use in surgical treatment of patients with improperly consolidated calcaneus fractures. Rod-screw is introduced into the frontal calcaneal fragment, obtained by osteotomy, parallel to the osteotomy plane, in the direction corresponding to the direction of displacement of the rear calcaneal fragment, determined in the course of preoperative planning, nut is screwed thereon and a cube retainer is inserted by the end hole, the free edge of the retainer is oriented to the calcaneal tuberosity and fixed in this position by a second nut. Rod-screw is further inserted into the rear calcaneal fragment through a selected retainer guide hole. Nut is further screwed onto the second rod-screw to the level of the nut of the first rod-screw, after removing the retainer. After that, it is finally fixed with the nut on the first rod, and then, rotating the nut on the rod-screw inserted into the rear calcaneal fragment, said fragment is shifted to the planned distance. And under the control of the EOC, comparisons of lateral cortical plates of the rear and frontal calcaneal fragments are added, after which the metalloesteosynthesis is performed with screws.EFFECT: method allows the most accurate restoration of the calcaneus shape due to a controlled reposition of calcaneal fragments, when performing oblique corrective osteotomy along the fracture consolidation line, in a strictly defined plane and to the required distance.1 cl, 16 dwg, 1 exИзобретение относится к медицине, в частности к травматологии и ортопедии, и предназначено для использования при оперативном лечении пациентов с консолидированными в неправильном положении переломами пяточной кости. В полученный в результате остеотомии передний фрагмент пяточной кости параллельно плоскости остеотомии вводят стержень-шуруп в направлении, соответствующем направлению смещения заднего фрагмента пяточной кости,