METHOD OF SURGICAL APPROACH TO WHIRLBONE OF HIP JOINT Russian patent published in 2010 - IPC A61B17/56 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to traumatology, orthopaedics and rehabilitation, to methods of surgical approach to whirlbone of hip joint. The method involves a skin incision on the front one-third of iliac crest with turning downwards along a front surface of hip to the level of a base of greater trochanter. There is a penetration between tailor's muscle and tensor muscle of fascia lata with uncovering anterior iliac spine. It is combined with an arciform incision in a projection of anterior iliac crest in the length 15-18 cm. It is followed with blunt and sharp penetration between tailor's muscle and tensor muscle of fascia lata. Tailor's muscle is taken aside medially, while tensor muscle of fascia lata is taken aside laterally and backwards, without crossing neurovascular endings on an anteroexternal surface of hip joint. It is followed with blunt penetration between iliopsoas muscle and anterior gluteus medius muscle and gluteus minimus muscle. Herewith, iliopsoas muscle is taken aside medially together with a femoral neurovascular bunch. Gluteus medius muscle and gluteus minimus muscle are taken aside ectad and backwards with superior gluteal neurovascular bunch. Rectus muscle of thigh uncovered in the wound bottom is taken aside inwards with uncovering a layer of prejoint fat as an internal reference point to find a hip joint capsule. It is followed with T-dissection of the hip joint capsule with its base to cotyloid cavity along a front surface with uncovering a femoral head to be dislocated from cotyloid cavity into the wound. The wound is closed layer-by-layer and simultaneously uncrossed muscles and neurovascular bunch taken aside are placed in their anatomic positions.

EFFECT: enabled approach to the front surface of hip joint without crossing and damaging the muscles with simultaneous bypass in approach of all greater neurovascular endings along the anteroexternal surface of hip joint, simultaneously reducing time of the patient's rehabilitation.

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