Federalnoe gosudarstvennoe byudzhetnoe obrazovatelnoe uchrezhdenie vysshego obrazovaniya "Rossijskij natsionalnyj issledovatelskij meditsinskij universitet im. N.I. Pirogova" Ministerstva zdravookhran
发明人:
Egiazaryan Karen Albertovich,Егиазарян Карен Альбертович,Lazishvili Guram Davidovich,Лазишвили Гурам Давидович,Ratev Andrej Petrovich,Ратьев Андрей Петрович,Sirotin Ivan Vladimirovich,Сиротин Иван Вла
申请号：
RU2017112434
公开号：
RU0002636856C1
申请日:
2017.04.12
申请国别(地区):
RU
年份:
2017
代理人:
摘要：
FIELD: medicine.SUBSTANCE: using a drill with a diameter 4.3 mm a channel at the base of the coracoid process is formed between the attachment points of conical and trapezoidal ligaments. Two "block systems" are modelled, each of which includes a non-absorbable, woven, polyester thread with diameter of 1 mm and two support platforms in the form of titanium buttons with four holes in sizes of 4×12 mm each, for that holdout platforms of "block-systems " are bound, carrying out the thread through their central holes in two plies and leaving the thread ends from one side. The holdout platform of each "block-system" is introduced into the previously formed channel. Two through channels are formed with drill with a diameter 4.3 mm in the collarbone at the places of attachment to it of conical and trapezoidal ligaments. Remaining holdout platforms of each "block-system" are passed through the channels formed in collarbone from the bottom up, for that the loop is conducted through the channels in collarbone with the help of Deschamps needle, leaving its ends out of the wound, the loop is tied with thread, previously conducted through the unengaged hole of holdout platform, remaining holdout platforms are egested through the collarbone channels by pulling the ends of the loop thread, conducting one holdout platform in each channel. Holdout platforms pull together among themselves by uneven tension of ends of "block-system" threads, ensuring the removal of dislocation and reduced acromioclavicular joint fixation. The ends of threads are connected by 3 nodes.EFFECT: method helps to achieve both vertical and horizontal stability in acromioclavicular joint, to reduce the risk of relapse.2 dwgИзобретение относится к травматологии и ортопедии и может быть применимо для оперативного лечения вывиха акромиального конца ключицы. При помощи сверла диаметром 4,3 мм формируют канал в основании клювовидного отростка между местами прикрепления конической и трапециевидной связок. Моделируют
