| 摘要 |
FIELD: medicine, in particular, traumatology and orthopedics; applicable in treatment of fractures of long bones and their consequences by the method of perosseous osteosynthesis. SUBSTANCE: new distinguishing features are introduced into the known method of treatment of damaged long bones by introduction of perosseous members in proximal and distal fragments in zones with minor displacement of skin in bending-unbending motions of adjacent joints excluding zones of location of neurovascular members. Preliminarily determined are zones of introduction of perosseous members on identical segment of intact healthy limb. In this case, marked on surface of skin of every level for introduction of perosseous members are curves of skin position at zero position of joint. Then all possible types of motion of adjacent joints are performed with maximum amplitude and marking on skin of curved lines indicating the skin displacement with respect to bone for each motion separately. Then distance between curve and other marked curved lines is measured and minimum distance curves is found which is used for fining the optimal point for introduction of perosseous members. In this case, with revealing at the same level of counterlateral points with respect to bone, wire is introduced and if such points are absent, screwed rod or cantilevered wire is used. The device has plate with fixing belts and motion measurement devices. The device distinguishing feature consists in that secured to plate is post hinged to telescopic bar having support with slider on its opposite end and tube hinged to it with source of radiation, for instance, in the form of filament lamp. EFFECT: reduced term of treatment due to early recovery of motions in adjacent joints and prophylaxis of infectious diseases. 2 cl, 13 dwg8
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