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METHOD FOR SURGICAL TREATMENT OF PATIENTS WITH LATERAL INSTABILITY OF THE ANKLE JOINT

机译:踝关节横向不稳定性的患者外科手术治疗方法

摘要

FIELD: medicine, traumatology; orthopedics.;SUBSTANCE: invention relates to medicine, especially to traumatology and orthopedics, and can be used for surgical treatment of lateral instability of the ankle joint. The autograft of the semitendinousus muscle is taken, the free ends of the graft are stitched with threads, stretched and passed through a closed loop of the bone retainer. A through channel is formed in the neck of talus bone, a through L-shaped channel in the distal epiphysis of fibula and a through channel in the center of calcaneus body. The loop of autograft folded in half on a bone retainer is passed through the formed channel in the neck of talus bone from the outside to the inside and fixed with a bone retainer from the inside of the bone. Then, the ends of the autograft are sequentially carried out through an L-shaped channel in distal epiphysis of fibula and a through channel in the calcaneus. Foot is moved to a neutral position. Ends of the autograft are stretched and fixed in channel of the calcaneus from the outside to the inside with an interference screw. ;EFFECT: method provides lateral stability of ankle joint, anatomicity while maintaining the normal biomechanics of structures stabilizing the joint, as well as reliable fixation of autograft after its optimal tension due to formation of channels for carrying out autograft at the sites of proximal and distal ligament attachment and the use of a bone retainer and interference screw. ;1 cl, 1 dwg, 1 ex
机译:现场:医学,创伤学;骨科;物质:发明涉及药物,尤其涉及创伤学和骨科,可用于踝关节的横向不稳定性的外科治疗。采取了肌肉肌的自体移植物,移植物的自由端用螺纹缝合,拉伸并通过骨保持器的闭环。通过通道形成在骨灰骨的颈部,在腓骨的远端骨骺中的通过L形通道和锥体的中心的通道。在骨保持器上折成一半的自体移植物的环通过骨骼颈部的形成通道从外部到内侧,并从骨内侧用骨保持器固定。然后,通过L形通道顺序地通过腓骨骨骺的L形通道顺序地进行,并且在旋转器中的通道。脚被移动到中立位置。自自动移植物的末端从外部向内侧拉伸并固定在锥体的通道中,具有干涉螺钉。效果:方法提供踝关节的横向稳定性,同时保持稳定接头的结构的正常生物力学,以及在其最佳张力之后可靠地固定在其最佳张力之后,因为用于在近端和远端的部位进行自动移植的通道。韧带附件和使用骨保持器和干涉螺钉。 ; 1 cl,1 dwg,1 ex

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