METHOD FOR TREATMENT OF CONGENITAL ANOMALY OF PELVIC RING DEVELOPMENT IN BLADDER EXSTROPHY Russian patent published in 2022 - IPC A61B17/56 A61B17/58 A61B17/00 

FIELD: medicine; traumatology; orthopedics.

SUBSTANCE: markers – injection needles are installed in the projection of sacroiliac joints, in parallel to them, retreating from sacroiliac joints by 5 mm laterally. Two mini-incisions-punctures of the skin are made in middle parts of upper and lower thirds of iliac bones, in parallel to markers. Posterior cortectomy and partial intersection of fibers of the posterior portion of sacroiliac joint ligaments are performed through mini-incisions by a child chisel, tangentially to the bone, in a cranial and caudal direction until the merge of lines of posterior cortectomy. Three rods are inserted through ridges to a depth of 4 mm into the body of the iliac bone with the orientation to vertebrae S2, S3. The first rod is installed in the area of the anterior superior spine of the iliac bone, the other two are installed, respectively, 1.5 cm and 3 cm proximally. A device is assembled on semicircular supports, interconnected by threaded rods located above the pelvis at a distance of 3 cm from each other, in parallel, in a horizontal plane. Dynamically replenished compression is created in a frontal plane, bringing supports together along rods, upon reaching a gap between pubic bones of 2 cm and reduction in tension of soft tissues in this area. After urological plastic surgery of the anterior wall of the bladder and the anterior abdominal wall, pubic bones are finally brough together under visual control.

EFFECT: method allows for the reduction, up to elimination, in rigidity of the pelvic ring, which is the cause of recurrences of diversion in the pubic joint, provision of high efficiency of anatomical reduction of the pelvic ring and its stabilization allowing the activization of a patient the day after the operation, minimization in traumatization of the spongy component of the bone, provision of minimal mechanical impact on the iliac bone in the reduction of the pelvic ring.

1 cl, 4 dwg, 1 ex