SU1228839A1 - Method of plasty of anterior cruciate ligament of knee joint - Google Patents

Description

eleven

The invention relates to medicine, namely to traumatology and orthopedics,

The purpose of the invention is to increase the strength of graft fixation, simplify operations.

The method is carried out as follows.

The knee joint is widely opened with a Pair operative access and by means of a thorough audit it establishes the damage. First, the existing damage in the joint is eliminated and only then proceed to the restoration of the torn ligament:

with a 10 mm diameter plate, channels are conducted into the inner condyle of the tibia and into the outer muscle of the femur;

in a diametral arrangement on either side of the external opening of the channel, an awl conducts two openings 3 of the cortical layer to secure the 8-shaped silk ligature;

cut out a strip from the edge of the incision of the quadriceps tendons; . 80-100 mm long. and up to 10-12 mm thick,

silk ligatures are attached to the ends of the strips, which serve to hold the bone graft and graft

the free section of the tendons is led to the channels from the bottom up, and in the editor E. Chizhmar Order 2333/3

Compiled by S. Merkulov

Tehred I.Popovich Proofreader S.Cherni

Circulation 660 Subscription VNIIPI USSR State Committee

for inventions and discoveries 113035 Moscow, Zh-35, Raushsk nab., 4/5

Production and printing company, Uzhgorod, st. Project, 4

288392

In the case of the rupture of the ligament at the base, the strip is led from top to bottom, inside the torn ligament, its output through the channel of the external condyle of the thigh to

Level 5 of the cortical layer;

the end of the cruciate ligament stump is folded to the autograft, the latter is pulled with the straightened tibia, after which, 8 different eyelids are attached to the bone with different silk ligature; lower end of tension and also attached to bone

Layered seams joint tightly closed. Leg fix gypsum

15 at an angle of 170 at the knee for 5 weeks. After a specified period, the plaster belt is removed and the patient proceeds to exercise therapy.

The proposed method is easy to perform, it is not technically complicated, additional cuts are not made, other anatomical forms are not weakened. The autograft does not need special treatment than it does.

25 there is a shortening of the production time for the operation and a reduction in the consumption of the surgical material.

With this method of restoring the cruciate ligament of the knee joint, the treatment time is less than with other methods (by an average of 1 month), and the results are more stable

Claims (1)

METHOD FOR PLASTIC ANTERIOR CROSS LIGGING OF THE KNEE JOINT by forming a free autograft from the tendon, extending the canals at the joint ends of the femur and tibia, conducting the autograft into the canals and fixing its ends on the bones, characterized in that the transplantation has the purpose of simplifying the transplant and increasing the strength form a graft from the edge of the quadriceps femoris muscle, fix the autograft to the bone with an 8-shaped silk ligature, drawn through two diametrically placed conjugated holes in the cortical layer on both sides of the outer duct openings "