Obshchestvo s ogranichennoj otvetstvennostyu "OSTEOMED-M"
发明人:
Pronskikh Andrej Aleksandrovich,Пронских Андрей Александрович,Agadzhanyan Vagram Vaganovich,Агаджанян Ваграм Ваганович,Pronskikh Aleksandr Andreevich,Пронских Александр Андреевич,Kholyavkin Dmitrij An
申请号：
RU2018101490
公开号：
RU0002661565C1
申请日:
2018.01.16
申请国别(地区):
RU
年份:
2018
代理人:
摘要：
FIELD: medicine.SUBSTANCE: group of inventions relates to traumatology and orthopedics and can be used to treat multiple fractures of the posterior segments of the ribs leading to segment flotation. After determining the fixation points, a longitudinal cutaneous incision up to 8 cm is performed in the projection of the planned points on the site of the lesion located cranially. Soft tissues are diluted, open reposition is performed using clamps, and the costal pleura is peeled off the upper edge of the rib. Bend the first plate along the front surface of the rib and bend the curved plate with the edge hooks over the upper edge of the rib and tighten it from all sides. Drilled channels for the introduction of screws are drilled through the threaded conductor holes of the curved plate and the ribs are fixed. Then, at the damage site located caudally, the same actions are repeated, bending the second plate. Connect the plates and a pre-curved guide rod, which is subcutaneously, subfascially controlled by an electron-optical transducer in the direction of cranial caudal. Fix guide rod with threaded clamps on the middle of the plates, carry out intraoperative endovideotoracoscopic x-ray control of reposition and fixation and sew the wound layer by layer with the leaving of wound silicone drainage.EFFECT: group of inventions ensures achievement of a strong fixation of flotating fractures of the posterior segments of the ribs without additional traumatization of soft tissues and damage to the muscular framework.3 cl, 2 dwgГруппа изобретений относится к травматологии и ортопедии и может быть использована для лечения множественных переломов задних отрезков ребер, приводящих к флотации сегмента. После определения мест фиксации в проекции намеченных точек на участке повреждения, расположенном краниально, выполняют продольный кожный разрез до 8 см. Мягкие ткани разводят, проводят открытую репозицию с помощью зажимов и отслаивают костальную плевру от верхнего края ребра. Изгибаю
