federalnoe gosudarstvennoe byudzhetnoe uchrezhdenie "Natsionalnyj meditsinskij issledovatelskij tsentr travmatologii i ortopedii imeni R.R. Vredena" Ministerstva zdravookhraneniya Rossijskoj Federatsi
发明人:
Marchenko Ilya Vladimirovich (RU),Марченко Илья Владимирович (RU),Dokolin Sergej Yurevich (RU),Доколин Сергей Юрьевич (RU),Kochish Aleksandr Yurevich (RU),Кочиш Александр Юрьевич (RU),Kuzmina Vladisla
申请号：
RU2019135795
公开号：
RU0002725277C1
申请日:
2019.11.06
申请国别(地区):
RU
年份:
2020
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention relates to medicine, in particular to traumatology and orthopedics, and can be used in treating patients with chronic forms of anterior recurrent instability of the shoulder joint, characterized by the presence of adjoining defects of articular process of the scapula and head of humerus. Arthroscopic transposition of the osteotomized fragment of the coracoid process of scapula into the bone tissue defect on the anterior surface of the articular process of the scapula with its subsequent fixation by screws through the pre-drilled canals in both matched bone formations is performed from three arthroscopic ports and additionally forming a suprapectoral, lower anterolateral, medial, supracoracoid and additional posterior arthroscopic ports. Preparation of an implant bone site is performed, a splint is formed through the whole thickness of the subscapular muscle between its upper and middle thirds in the lateral direction of the combined tendon of the short head of biceps and coracohumeral muscle. Osteotomy of the coracoid process of the scapula is performed； then an osteotomous fragment of the coracoid process of the scapula is brought out through the additional medial port on the front surface of the thorax and two parallel channels are formed in it. First element of the guide is installed so that its hook-shaped working part is hooked and immobilized the above articular process. Second component of the guide is installed through an additional posterior port and two parallel channels are formed with the help of the patient in the area of the prepared implant bone site. Flexible conductors are delivered through parallel bone channels formed in the articular process of the scapula and a pre-cleavage in the subscapular muscle. Osteotomous fragment of the coracoid process of the scapula is placed on the conductors, passing through the bone channels, displaced into the area of the prepared implant bone site and fixed in the optimal posit
