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METHOD FOR SURGICAL RECONSTRUCTION OF ANTERIOR CRUCIATE LIGAMENT AND ANTEROLATERAL CAPSULAR-LIGAMENTOUS COMPLEX OF KNEE JOINT
METHOD FOR SURGICAL RECONSTRUCTION OF ANTERIOR CRUCIATE LIGAMENT AND ANTEROLATERAL CAPSULAR-LIGAMENTOUS COMPLEX OF KNEE JOINT
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机译：膝关节前交叉韧带和前外侧囊韧带复合体的外科手术重建方法
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摘要
FIELD: medicine.;SUBSTANCE: invention refers to medicine, namely to traumatology and orthopedics. Y-shaped combined graft is formed, consisting of two parts: a non-free vascularized tendon of the semitendinous muscle and a free tendon of the gracilis. Non-free vascularized tendon of the semitendinous muscle is folded three times from its free end to level of 3.5–4 cm from the place of its native attachment on the shin bone. Free tendon of the gracilis is passed through the free portion of the produced loop, opposite to the place of attachment of the unfilled transplant on the shin bone. Tibial and femoral bone canals are formed. Transplant is delivered through the tibial canal into the femoral canal through its free portion, the non-free portion of the transplant is placed inside the joint and in the bone canals, and the free ends of the Y-shaped graft from the tendon of the gracilis are brought out through the femoral canal. Intra-articular portion of the transplant is pulled over the free ends and fixed with an interferential screw in the bone canal in the femoral bone with bending the knee joint at a right angle and an average rotated position of the shin. Lateral extraartarticular tenodes is performed with free ends of Y-shaped graft, in tuberculum Gerdy, an inclined tangential canal is formed on an anteriorly external surface of the tibial condyle; the free ends of the Y-shaped transplant are cross-wound under an external lateral ligament and brought into this canal towards each other. In the position of knee joint knee flexion to 165–140 degrees and the middle rotated position of the shin, the free ends of the Y-shaped combined graft are pulled and fixed with knot non-absorbable sutures to each other in form of 8-shaped loop, after that, the non-free portion of the single Y-shaped graft is additionally fixed in the tibial by an interferential screw.;EFFECT: method provides higher reliability of complex knee joint stabilization with reconstruction of an anterior cruciate ligament and an anterior-lateral capsular-ligamentous complex by independent, optimum balance and stability of the joint, stretching parts of a single Y-shaped combined graft from tendons of semitendinous muscle and gracilis.;1 cl, 1 ex
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机译：技术领域：发明：物质是指医学，即创伤学和骨科。形成Y形联合移植物，由两部分组成：半腱肌的非游离血管化肌腱和and肌的游离肌腱。半游离肌的非游离血管化肌腱从其自由端折叠三倍，至其在胫骨上天然附着部位的水平3.5–4 cm。 cil突的游离肌腱穿过产生的环的自由部分，与未填充的移植物在胫骨上的附着位置相反。形成胫骨和股骨骨管。移植物通过胫骨管的自由部分通过胫骨管输送到股骨管，移植物的非自由部分放置在关节内和骨管中，Y形移植物的自由端从胫骨肌腱开始cil骨通过股管带出。将移植物的关节内部分拉到自由端上，并用干涉螺钉将其固定在股骨的骨管中，同时使膝关节弯曲成直角并保持胫骨的平均旋转位置。外侧关节外腱膜由Y形移植物的自由端构成，在结核菌Gerdy中，在胫骨con的前表面上形成了一个倾斜的切向管。 Y形移植物的自由端在外部外侧韧带下交叉缠绕，并彼此相对进入该管。在膝关节屈曲至165-140度的位置以及胫骨的中间旋转位置时，将Y形联合移植物的自由端拉成并用打结不可吸收的缝合线彼此固定在一起，形式为8-然后，通过干涉螺钉将单个Y形移植物的非自由部分另外固定在胫骨中。效果：该方法通过重建前交叉韧带和一个前交叉韧带，提高了复杂膝关节稳定的可靠性。通过独立，最佳的关节平衡和稳定性使前外侧囊状韧带复合物从半腱肌和腹肌肌腱的单个Y形联合移植物中拉伸部分; 1 cl，1 ex
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