FIELD: medicine.
SUBSTANCE: method for restoring the extensor apparatus of the knee joint during extensive resections of the proximal tibia with endoprosthetics performed for a tumour lesion, including replacing the post-resection defect of the tibia with an endoprosthesis with non-free plasty with an axial muscle flap from the medial head of the gastrocnemius muscle, characterized by fixing a part of the titanium mesh on the proximal module of the tibial component of the endoprosthesis, the mesh should be sufficient in length to make one complete revolution around the endoprosthesis module, a part of the mesh is left unattached, then the patellar ligament remaining after tumour resection is sutured to the fixed part of the titanium mesh, which is pulled to full extension in the knee joint during contraction quadriceps femoris muscle, then the patellar ligament is covered with the remaining part of the titanium mesh cloth, after which all layers of the titanium mesh and its own ligament at the patella are stitched together, and then covered from the outside with a transplanted axial muscle flap from the medial head of the gastrocnemius muscle.
EFFECT: effective restoring the extensor apparatus of the knee joint.
1 cl, 7 dwg, 1 ex
Title | Year | Author | Number |
---|---|---|---|
TECHNIQUE FOR AUTOGRAFTING OF ANTERIOR KNEE JOINT AFTER REPLACEMENT ARTHROPLASTY | 2009 |
|
RU2393800C1 |
METHOD FOR PREVENTION OF POPLITEAL VASCULAR-NERVE BUNDLE TRAUMA IN ENDOPROSTHESIS REPLACEMENT FOR PRIMARY AND METASTATIC INVOLVEMENT OF DISTAL FEMUR | 2020 |
|
RU2729728C2 |
METHOD FOR REVISION KNEE JOINT REPLACEMENT IN METAEPIPHYSEAL DEFECTS OF TIBIA AND EXTENSION APPARATUS DEFICIENCY | 2023 |
|
RU2821767C1 |
METHOD OF AUTOPLASTY OF OWN LIGAMENT OF WHIRLBONE AFTER ENDOPROSTHESIS REPLACEMENT OF KNEE JOINT | 2006 |
|
RU2343862C2 |
METHOD OF TREATING PATIENTS WITH REUMATOIDAL ARTHRITIS WITH FIXED VALGUS AND STABLE FLEXION CONTRACTURE OF KNEE JOINT | 2008 |
|
RU2373876C1 |
METHOD FOR PERFORMING EXPOSURE DURING PRIMARY TOTAL KNEE ARTHROPLASTY | 2022 |
|
RU2802423C1 |
METHOD FOR RECONSTRUCTION OF PROXIMAL PART OF FEMUR FOR EXOPROSTHESIS WITH HIP JOINT AND IMPLANT (VERSIONS) FOR ITS IMPLEMENTATION | 2023 |
|
RU2819998C2 |
PATELLAR LIGAMENT AUTOPLASTY METHOD | 2022 |
|
RU2791888C1 |
METHOD OF SURGICAL TREATMENT OF MALIGNANT NEOPLASMS WITH LESIONS OF THE DISTAL FEMUR WITH RESECTION OF THE FEMUR AND ARTHROPLASTY OF THE KNEE JOINT USING A SEMI-TIED ENDOPROSTHESIS | 2020 |
|
RU2746526C1 |
METHOD FOR KNEE REPLACEMENT IN RHEUMATOID ARTHRITIS | 2021 |
|
RU2766805C1 |
Authors
Dates
2023-03-07—Published
2022-06-27—Filed