SAVUSHKIN METHOD OF SURGICAL REPAIR OF EXTENSOR TENDONS BY TENDON SUTURE Russian patent published in 2020 - IPC A61B17/56 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to traumatology and orthopaedics, and can be used as tendon suture for tendons, sliding of which does not occur in tendon canal. Fracture reduction and osteosynthesis, "refreshing" of ends of the injured tendon are performed. Transverse sheath is made at the end of the tendon. Needle is pricked in vertical direction from top to bottom, from the edge of tendon 4–6 mm, with the needle passing through the centre of the tendon or from the proximal or distal ends of the tendon. Needle is pricked in on the second end of tendon 4–6 mm from its edge in a direction from below upwards, passing in the centre of the tendon and coming out on its opposite side. Further, the first end of the tendon is pricked in from the first prick in, 1–2 mm distal from the tendon rupture point in the horizontal direction, with the suture passing in the centre of the tendon. Then, the second end of the tendon is pricked in the horizontal direction on the thread exit thread of the same name, needle prick is performed 1–2 mm distally from the point of rupture, and the suture is delivered through the middle of the tendon. Sutures are tightened with free tension of tendon till contact of tendon ends and surgical knot is performed. Passage of the thread through the centre of the tendon forms an overlap of the thread inside the tendon in mutually perpendicular directions with the possibility of reducing a weakening of the tendon with a suture.

EFFECT: method enables reducing the length of the operation and accelerating the healing, as well as simplifying the technique of the tendon suturing ensured by the declared techniques.

1 cl, 5 dwg, 4 ex