SHATOKHIN VLADIMIR DMITRIEVICH,Шатохин Владимир Дмитриевич,PUSHKIN SERGEJ JUREVICH,Пушкин Сергей Юрьевич,SHATOKHIN DMITRIJ VLADIMIROVICH,Шатохин Дмитрий Владимирович,AKSENOV SERGEJ ALEKSANDROVICH,Аксё
申请号：
RU2012153310/14
公开号：
RU0002503424C1
申请日:
2012.12.10
申请国别(地区):
RU
年份:
2014
代理人:
摘要：
FIELD: medicine.SUBSTANCE: group of inventions refers to medicine, namely to traumatology and orthopaedics and can find application in treating multiple and floating ribs and breastbone fractures. A method involves the fixation of rib fragments to a plate laid on a rib frame across the injured ribs held by the uninjured breastbones. An external surface of the rib is exposed within the locations of monocortical fixators. A tunnel is formed in a subcutaneous fat of the chest across the ribs along the plate to place the plate pre-shaped after the chest. The plate is perpendicular to the ribs covering the upper and lower uninjured ribs, as well as one or more ribs at the top of rib valve. An external cortical bone layer is drilled in the rib or breastbone together with a guide hole on both sides of the plate alongside the monocortical fixators. The monocortical fixators are inserted into the guide holes in the plate and into the bone holes tangentially and alongside the intramedullary canal. The fixators are bent above the plate surface and fixed using the fastening elements. The plate is fixed first onto the uninjured ribs, and then on the injured ribs. The plate to be used has a number of threaded holes, wherein the fastening elements that are a screw bolt and a washer provided with parallel fixator grooves to be fixed on the plate of the monocortical fixators, are placed.EFFECT: using the given group of the invention enables achieving the reliable fixation providing patients mobility and self-care.2 cl, 5 dwgГруппа изобретений относится к области медицины, а именно к травматологии и ортопедии, и может найти применение при лечении множественных и флотирующих переломов ребер и грудины. Способ включает фиксацию отломков ребер к пластине, уложенной на реберный каркас поперек поврежденных ребер с опорой на неповрежденные кости грудной клетки. При этом в местах установки монокортикальных фиксаторов обнажают наружную поверхность ребра, после чего в подкожной клетчатке грудн
