| 摘要 |
FIELD: medicine.SUBSTANCE: invention refers to medicine, particularly traumatology. At inveterate rupture of tendon, minimally invasive modified front axillary approach is fulfilled of not more than four centimetres length along anterior wall of axillary crease. Topographic reference point for such incision at inner side is lateral edge of torn and retracted greater pectoral muscle. Then muscle belly in muscular-tendon transition area is separated, followed by dissection in lateral direction together with transition of pectoral fascia into shoulder fascia, and combined tendon and fascial complex is excised as laterally as possible. For reinsertion, said complex is used as plastic material for extension of tendon of greater pectoral muscle. Then reinsertion of tendon is performed between attachment points of broadest back muscle and long head of arm biceps muscle, towards small tubercle crest of humerus, with at least two preset anchor holders using locking seam with three tiers loops, then layer by layer wound closure is made. In particular, duplication of cicatricial regenerated local tissues, cicatricial changed paratenon, is used as plastic material, and “Krakow” seam as locking seam.EFFECT: method enables to adapt tendon to bone without excess tension, accelerate rehabilitation of patient, minimise intraoperative and postoperative complication risks.3 cl, 16 dwg, 1 ex |
