METHOD FOR SURGICAL ANATOMIC-FUNCTIONAL REPAIR OF WRIST JOINT IN INJURED RADIAL BONE Russian patent published in 2015 - IPC A61B17/56 

FIELD: medicine.

SUBSTANCE: invention refers to traumatology and orthopaedics and can be used for the surgical anatomic-functional repair of a wrist joint in an injured radial bone. The method involves corticotomy with an osteoclasis, the radial bone distraction by transosseous osteosynthesis in an external fixation device to recover a length of the radial bone, the following osteotomy and manual reduction of the bone fragments of the distal epiphysial cartilage of the radial bone at the level of an incorrectly united fracture of the epiphysial cartilage of the radial bone. An osteotomy region is fixed with an angularly stable plate. After the distal epiphysial cartilage of the radial bone is united in a combination with removing an external plate, a tendon autograft is formed of an ulnar extensor tendon in the form of a split of no more than 40 mm long to be cut off in the proximal direction from the main tendon stem of the ulnar extensor perpendicularly to the tendon fibres. A canal is formed in the distal epiphysial cartilage of the radial bone in a saggital plane from the back surface of the radial bone to the palm (front) surface. A free end of the tendon autograft is delivered into the canal from the back to front surfaces, wound about the radial bone as a loop, and then the tendon autograft is pulled and sutured on the radial bone transosseously. A 1.5 mm pin is delivered through the distal epiphysial cartilage of both forearms with ensuring the rotational motions to be avoided for the period of at least 3 weeks.

EFFECT: method enables reducing a risk of contractures, reducing a risk of dislocation of the head of the humerus.

1 ex, 9 dwg