FIELD: medicine.
SUBSTANCE: invention refers to medicine, namely traumatology and orthopaedics and may be used for elimination of an ulnar flexure setting accommodating ulnar wrist deviation in the patients with infantile cerebral paralysis. A longitudinal section is made on a flexor surface of forearm. It is followed by m.flexor carpi ulnaris separation, dissection away from an attachment point and mobilisation to distal and middle one-third of forearm. A linear section is made in a distal one-third of a back surface of forearm. The tendon m.extensor carpi radialis brevis and longus are separated. The ulnar wrist deviation is eliminated, and the ulnar joint is straightened at 20 degrees. The ulnar joint is fixed with two K-wires. The tendon m.flexor carpi ulnaris is brought in a subfasial canal onto the back surface of forearm and fixed to the tendons m. extensor carpi radialis brevis and longus. Duplication is created on the tendons m. extensor carpi radialis brevis and longus in the proximal direction from the grafting point.
EFFECT: method provides elimination of the ulnar flexion and setting, ensuring possibilities for active ulnar straightening, prevented developing relapse.
2 dwg
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Authors
Dates
2013-02-20—Published
2011-07-01—Filed