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СПОСОБ ХИРУРГИЧЕСКОГО ЛЕЧЕНИЯ ПРИВЫЧНОГО ВЫВИХА ПЛЕЧА
专利权人:
Романченко Александр Васильевич (RU)
发明人:
Романченко Александр Васильевич (RU)
申请号:
RU2011130814/14
公开号:
RU2011130814A
申请日:
2011.07.22
申请国别(地区):
RU
年份:
2013
代理人:
摘要:
FIELD: medicine.SUBSTANCE: invention relates to field of medicine, namely to traumatology and orthopedics and can be used in operative treatment of habitual shoulder dislocation. Patient is laid on healthy side. Distraction of joint is performed by application of load 3-4 kg on arm axis with slight outward rotation. After that, punctures are made to provide posterior and anterior accesses into joint cavity. Posterior access is provided by about 5 mm puncture, which is started 1.5-2 cm lower and 1 cm more medially that posterior angle of acromial process of scapula and directed ventrally with reference to apex of coracoid process. Anterior access is provided with puncture 1.0 cm more laterally and 1.0 cm downward from apex of coracoids process. Anterior access is provided by puncture 1.0 cm more laterally and 1.0 cm downward from apex of coracoids process. After that, arthroscope is introduced into joint through posterior access. Its arthroscopy is carried out in physiological solution, forced into joint cavity under pressure 60 mm of water column, during which subacromial space is examined. After that, canal for introduction of working instrument is formed with realisation of lateral access, which is made after bringing extremity by up to 3 cm long cut in projection of subtubercular zone of shoulder to lower part of greater tubercle. Tendon bed is opened. Tendon is brought outwards to make formation of bone canal more convenient. After that, conductor is installed on exposed bone tissue. Tubular guide of conductor is oriented at point, located on the line, which connects upper point of intertubercular sulcus and lower point of anatomical neck of humeral bone to 1/3 of said line length from its upper point. Pin is passed through conductor in direction of joint surface of humeral bone head in such a way that its longitudinal axis coincides with direction of axis of scapula body, on which axis of blind bone canal, made in skeleton bone, closest to joint, will be locate
来源网站:
中国工程科技知识中心
来源网址:
http://www.ckcest.cn/home/

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