SURGICAL MANAGEMENT OF PATIENTS WITH PATELLAR LIGAMENT RUPTURE Russian patent published in 2020 - IPC A61B17/56 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, particularly to traumatology and orthopedics, and can be used for surgical management of patients with patellar ligament rupture. Transverse bone tunnels are formed within the lower pole of the patella and tuberosity of the tibia. Tender tendon and the tendon of the semitendinous muscle are sampled on a distal base without cutting off from the attachment point to the tibia to preserve nutrition. Proximal end of the tendon of the tender muscle is delivered through the bone tunnels in the patella and the tuberosity of the tibia X-shaped, followed by a bone fixation by the button on the medial side of the tibia. Proximal end of the tendon of the semitendinous muscle is passed through the proximal portion of the patellar ligament and the proximal end of the tendon is anchored to its distal end and the distal end of the tendon of the tender muscle. Locked suture of the patellar ligament is performed.

EFFECT: method allows to preserve patellar elasticity and mobility during movement, provides stable fixation of autotendons and reinforcement of the interrupted patellar ligament of the patellar band due to a combination of methods of the declared method, which enables the patient to begin active dosed movements in the knee joint and reduce the length of the restorative treatment.

1 cl, 1 ex, 1 dwg