Pozdeev Aleksandr Pavlovich,Поздеев Александр Павлович,Zubairov Timur Faizovich,Зубаиров Тимур Фаизович,Belousova Ekaterina Anatolevna,Белоусова Екатерина Анатольевна
申请号：
RU2017101063
公开号：
RU0002651124C1
申请日:
2017.01.11
申请国别(地区):
RU
年份:
2018
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention relates to medicine, namely to orthopedics, and is intended for use in the treatment of congenital false clavicle joint. In the preoperative period performing a computer tomogram of the clavicle in the 3D modeling mode. In the operating room, a longitudinal incision is made in the clavicle projection. Allocating a false joint zone. Sternal and acromial ends of the clavicle separating subperiosteal, including the apex of deformation. Ends of the clavicle bone fragments are resected to the bleeding bone. On the concave surface at the apex of deformation, performing the corticotomy of the bone fragment to 2/3 of its thickness. Then performing its osteoclasis while maintaining the integrity of the underlying cortical plate. Determining the size of the autograft. Producing a bone autograft take up. At that, the taken transplant length is for 1.5–2 cm longer than the length of the diastase between the ends of the clavicle bone fragments. At the ends of the bone autograft, grooves with a depth of 0.7–1 cm and a width corresponding to the transverse dimension of the ends of the bone fragments are formed, thus the autograft obtains the form of the letter "H". Through the bone autograft and retrogradely through the distal fragment, the needle with a two-sided sharpening is brought out. AT that, distal fragment end is immersed into the groove formed in the bone autograft. End of the needle is brought percutaneously outward. Further, the proximal fragment end is immersed into the groove formed in the bone autograft and is antegrade fixed with a spoke to the acromioclavicular articulation. Outstanding from the tissues end of the knitting needle is cut and bent in the form of a hook. Performing the upper limb immobilization for 2 months.EFFECT: method allows to eliminate deformations of the clavicle fragments, provides a stable fixation of bone fragments and the absence of the disease relapses.1 cl, 3 dwgИзобретение относится к медицине, а име
