FIELD: medicine.
SUBSTANCE: invention refers to medicine, namely to traumatology and orthopaedics, and can be used for plasty of humeral head bone defects in posterior blocked humeral dislocations. Articular surfaces of the head of humerus are approached; open elimination of dislocation is performed; intact articular surface is lifted and nonviable cartilage tissue is removed. Allograft based on spongy and cortical bone tissues is formed or fragmented, then placing in the area of the formed defect of the subchondral layer and impregnated with platelet lysate. Two biodegradable pins are introduced through the allograft parallel to each other and along the articular surface of the humeral head.
EFFECT: method provides replacement of bone tissue deficiency in the area of fracture with deep defects of fresh and old blocked back dislocations of shoulder with restoration of proper cartilaginous surface of shoulder in combination with restoration of head geometry, reduced risk of retainers migration due to bone allograft fixation using bidegraded pins, which create a support for the subchondral layer of the repaired surface of the head and prevent its deformation in the postoperative period, and use of thrombocyte lysate to enhance osteoconductive and osteoinductive properties.
2 cl, 6 dwg, 1 tbl, 2 ex
Title | Year | Author | Number |
---|---|---|---|
METHOD FOR TREATING COMPLEX FRACTURES OF PROXIMAL HUMERUS | 2019 |
|
RU2721936C1 |
ALLOGENIC COMBINED BONE GRAFT FOR TREATING COMPLEX FRACTURES OF THE PROXIMAL HUMERUS, A METHOD FOR PREPARING IT | 2019 |
|
RU2721873C1 |
METHOD OF OSTEOSYNTHESIS IN FRACTURES OF PROXIMAL HUMERUS | 2019 |
|
RU2712298C1 |
METHOD FOR RECOVERY OF SPHERICITY OF HEAD OF HUMERUS IN SURGICAL TREATMENT OF PATIENTS WITH CHRONIC DISLOCATIONS OF SHOULDER | 2019 |
|
RU2731525C1 |
METHOD OF SURGICAL TREATMENT OF POSTERIOR INSTABILITY OF SHOULDER JOINT IN PATIENTS WITH SPASTIC PARALYSIS OF UPPER EXTREMITIES | 2020 |
|
RU2736695C1 |
METHOD FOR SURGICAL TREATMENT OF AN OSTEOCHONDRAL DEFECT OF THE HUMERAL HEAD IN CHRONIC POSTERIOR DISLOCATION OF THE SHOULDER | 2022 |
|
RU2793794C1 |
METHOD OF REVERSE SHOULDER ARTHROPLASTY IN PATIENTS WITH POST-TRAUMATIC BONE DEFICIENCY OF PROXIMAL HUMERUS USING PERSONALIZED 3D AUGMENT OF PROXIMAL HUMERUS | 2023 |
|
RU2810943C1 |
METHOD OF TREATING INTRAARTICULAR FRACTURES OF PROXIMAL HUMERUS | 2020 |
|
RU2740851C1 |
METHOD OF FILLING MASSIVE BONE DEFECT OF ARTICULAR PROCESS OF SCAPULA IN SURGICAL TREATMENT OF ANTERIOR INSTABILITY OF SHOULDER JOINT | 2020 |
|
RU2729019C1 |
ENDOPROSTHESIS AND METHOD FOR SETTING THE ORGAN- SAVING ENDOPROSTHESIS OF METADIAPHYSEAL PART OF THE HUMERUS | 1997 |
|
RU2155547C2 |
Authors
Dates
2024-12-16—Published
2024-04-04—Filed