METHOD FOR SURGICAL TREATMENT OF CHRONIC AND REPEATED DISRUPTION OF DISTAL TENDON OF BICEPS Russian patent published in 2021 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, in particular to traumatology and orthopedics and shoulder surgery. The transplant of the tendon of the long fibula muscle, which is formed in the form of the letter «Y», the split ends of which are cut, is used. The cutaneous section is made on the rear surface of the forearm and in the lower third of the shoulder is proximal to the region of the ulna bend above the area of disruption of the distal tendon of the biceps muscle. The distal tendon of the bicep is isolated. A guide screw with the eye is marked on the palmar surface of the forearm in the projection of the spine tuberosity of the radius with an outlet to the rear surface of the forearm, then a skin cut is made at the marking point. Furthermore, a skin incision is made on the rear surface of the forearm in the area of the output of the guide-spoke with the ear in such a way that the beam bone is boosted in such a way that a through channel is formed and a skin incision is made in the rear surface of the forearm in the area of the outlet of the guide-spoke with the ear. In the eye of the guide-spoke, the threads of the wound end of the autotransplant of the tendon of the long fibula muscle are carried out, then the guide-spoke with the ear are carried out through the through channel in the tube of the radius tube and are removed into the skin incision on the rear surface of the forearm. The strands at the end of the auto-transplant tendon of the long fibula muscle are carried out through the cortical button and a self-tightening loop is formed. The distal tendon of the biceps is then isolated. The splitting ends of the autotransplant and the distal tendon of the biceps on both sides of the arm are removed from the skin section above the radius bosom. The self-tightening loop at the end of the autotransplant of the tendon of the long fibula muscle is tightened through the skin incision on the rear surface of the forearm, moving the cortical button to the thrust into the cortical layer of the radius, placing it in a horizontal position.

EFFECT: method enables reducing the risk of detachment and restoring the correct anatomical fixation of the distal tendon of the biceps by means of an intracanal method for fixing the autotransplant, which results in a high level of integration of the tendril tissue, and the use of a cortical catch on an adjustable self-tightening loop, creating adequate tension in the area where the autotransplant passes into the abdomen of the distal tendon of the biceps.

1 cl, 6 dwg, 1 ex