METHOD OF TREATING DECOMPENSATED FORMS OF HABITUAL SHOULDER DISLOCATION AND APPARATUS FOR IMPLEMENTATION THEREOF Russian patent published in 2011 - IPC A61B17/56 

FIELD: medicine.

SUBSTANCE: group of inventions refers to medicine, particularly to traumatology and orthopaedics and aims at eliminating long-repeated shoulder dislocations. Pins are delivered through an acromion process, a proximal, average and distal humeral bone. Nails are inserted in a head of humerus. Supports of a transosseous apparatus are applied, and a shoulder joint is fixed in a position of internal rotation of a shoulder. It is followed with subcapital osteotomy within a surgical neck of humerus. External rotation of a distal fragment of the bone is performed to tighten soft tissues of the shoulder joint and to create valgus of the fragment at an angle 160-165 degrees. The support is attached in the proximal shoulder to the support in the middle shoulder with using threaded rods with hinge joints inserted in a projection of an osteotomy level. On the second postoperative day, three times a day for 20-25 minutes isometric gymnastics of a rotator cuff joint combined with electric stimulation of shoulder abductor muscles, biceps muscle of arm is applied. Then 2-3 weeks after dismounting the support of a shoulder girdle, active working out of the joint is started. An apparatus comprises the acromion process support and distal humeral shaft support each of which represents an arch, and is provided with the middle shoulder support and proximal shoulder support each of which represents an arch. The proximal shoulder support is inclined 45-60° to the middle shoulder support and attached thereto by the threaded rods with the hinge joints. On the acromion process support, ends of two parallel pins with thrust plates are fixed. The proximal shoulder support comprises at least three nails with osteoinductive coated cantilever pin. The proximal shoulder support is parallel to the acromion process support by the threaded rods. The middle shoulder support and distal humeral shaft support are coupled by the threaded tie bolts.

EFFECT: invention enables postoperative transposition of the humerus, consistency of a joint space of the shoulder joint, higher osteoinduction of the humerus, elimination of the barriers to rotation of the humerus within subcapital osteotomy, reduced operative injures.

2 cl, 1 ex, 4 dwg