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WAY STAGE BILATERAL hip arthroplasty with bilateral dysplastic coxarthrosis With complete dislocation and high OFFSET femoral heads

机译:方式分期双侧髋关节置换术伴双侧增生性副关节炎,完全脱位,股骨头偏高

摘要

1. A method for one-stage bilateral hip replacements with bilateral dysplastic coxarthrosis both with congenital dislocation of the hips, comprising imposing external fixation device, bringing down the thigh and installation of components of the endoprosthesis, characterized in that the intersecting spokes is carried out with a tipped through the upper, anterior iliac spine, the upper posterior iliac spine and intersecting spokes through the lower third of the thigh bones, needles, conducted through the iliac bone is fixed in the machine and arcs Izarov spokes conducted through the lower third of the femoral bone, are fixed in the rings apparatus Ilizarov rings and arcs Ilizarov interconnected by threaded rods, from the second day after the operation start relegation femurs by distraction until a normal level arrangement femoral heads relative to the acetabulum Next, without removing the imposed external fixing device, skeletal traction system mounted on each limb on one of the spokes, held in the lower third of the femur to spine, hereinafter produce dismantling external fixation device, leaving only the knitting needle on which is mounted a system of skeletal traction is then performed maintaining the achieved position skeletal traction until healing spoke wounds and then produce single-step bilateral hip arthroplasty as follows: the operation is carried out in the patient supine on operating table, perform anterior-lateral approach to the hip joint, exposing the proximal part of the femur, the cutter
机译:1.一种双侧先天性髋关节脱位合并双侧增生性髋关节炎的双阶段髋关节置换的方法,包括施加外固定装置,放下大腿并安装假体的部件,其特征在于,进行交叉的辐条穿过前上棘,后上棘和穿过大腿下部三分之一的交叉辐条,穿过through骨进行的穿刺针固定在机器中,而伊扎洛夫辐条穿过下部的三分之一进行固定股骨被固定在环装置Ilizarov环和Ilizarov圆环中,并通过螺纹杆相互连接,从手术开始第二天开始,通过牵张降级股骨直到相对于髋臼的股骨头水平放置正常。固定装置,骨骼牵引系统安装在一根辐条的每个肢体上,固定在股骨下半部至脊柱,此后产生可拆卸的外部固定装置,仅留下安装有骨骼牵引系统的编织针,然后保持骨骼牵引的位置,直到治愈辐条伤口,然后产生单步骤双侧髋关节置换术如下:在患者的手术台上仰卧进行手术,对髋关节进行前外侧入路,暴露股骨的近端部分,切开器

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