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METHOD FOR TEMPORARY MINIMALLY INVASIVE FIXATION OF MULTIPLE AND FLOATING RIB FRACTURES

机译：临时性多发性肋骨骨折的固定方法

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FIELD: medicine.;SUBSTANCE: invention refers to medicine, namely to surgery, and can be used for temporary minimally invasive stabilization of multiple and floating rib fractures. A line of fractures of the body of the ribs is used, which is determined by ultrasonic examination. Further, soft tissues are incised 5 cm long perpendicular to the intercostal space line. Then, fractures of 2-3 adjacent ribs are selected from this incision; 7–8 cm from the fracture line, on the side of the anterior end puncture through the soft tissues outside the region of the incision, a guide is placed on the rib at angle of 20–30° to its plane. Further, through the guide in the cortical layer of the external surface of the rib, hole 2 mm deep with diameter of 2 mm is drilled with a drill with a limiter. Then the drill is removed, and K-wire 1.5×250 mm is brought into the guide tube into the formed hole. Using the drill, the wire is advanced intramedullary in the spongy substance to the fracture line. After manual reduction and comparison of fragments under visual control, the wire is introduced into spongy substance with a fragment of posterior end of rib at distance of not less than 7–8 cm. Remaining on surface of skin part of the pin on the side of front end of rib fragments is fixed under protective dressing. Then soft tissues are closed in layers.;EFFECT: method enables stabilizing movable fragments of ribs with low traumatic injuries, restoring biomechanics of respiratory movements, providing early activation of the affected individuals and thereby reducing a rate of complications on the part of the breast organs.;1 cl, 4 dwg, 1 ex
机译：技术领域本发明涉及医学，即外科手术，并且可以用于临时性微创稳定多发性和漂浮性肋骨骨折。使用的是肋骨的骨折线，这是通过超声检查确定的。此外，垂直于肋间隙线切开5cm长的软组织。然后，从该切口中选择2-3个相邻肋骨的骨折。在距骨折线7–8 cm处，在前端穿刺一侧穿过切口区域外部的软组织，将导向器放置在肋骨上，与肋骨平面成20–30°角。此外，通过带有肋骨的钻头，通过肋骨外表面皮质层中的导向器，钻出2mm深，直径2mm的孔。然后取下钻头，并将1.5×250 mm的K线插入导管中形成的孔中。使用钻头，将海绵状物质中的金属丝推进髓内，到达骨折线。手工压制并在视觉控制下比较碎片后，将金属丝引入海绵状物质中，其肋骨后端的一段距离应不少于7-8 cm。保留在肋骨碎片前端侧的销子皮肤部分表面上的保护性敷料下。然后软组织被分层封闭;效果：该方法能够稳定创伤低的肋骨活动片段，恢复呼吸运动的生物力学，提早激活受影响的个体，从而降低乳腺器官并发症的发生率。; 1 cl，4 dwg，1 ex

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