WO1991007137A1 - Endoapparatus for restoration of hip joint - Google Patents

Endoapparatus for restoration of hip joint Download PDF

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Publication number
WO1991007137A1
WO1991007137A1 PCT/SU1989/000282 SU8900282W WO9107137A1 WO 1991007137 A1 WO1991007137 A1 WO 1991007137A1 SU 8900282 W SU8900282 W SU 8900282W WO 9107137 A1 WO9107137 A1 WO 9107137A1
Authority
WO
WIPO (PCT)
Prior art keywords
joint
restoration
pelvic
axis
angle
Prior art date
Application number
PCT/SU1989/000282
Other languages
French (fr)
Russian (ru)
Inventor
Lazar Lvovich Rodnyansky
Viktor Kirillovich Gupalov
Valentina Spiridonovna Lapinskaya
Arnold Viktorovich Potekhin
Larisa Alexandrovna Frolyakina
Jury Stepanovich +Di Kuzovov
Original Assignee
Kuzovova, Ljudmila Ivanovna +Lf
Kuzovova, Nadezhda Jurievna +Lf
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Kuzovova, Ljudmila Ivanovna +Lf, Kuzovova, Nadezhda Jurievna +Lf filed Critical Kuzovova, Ljudmila Ivanovna +Lf
Priority to DE3991804A priority Critical patent/DE3991804C2/en
Priority to PCT/SU1989/000282 priority patent/WO1991007137A1/en
Priority to DE19893991804 priority patent/DE3991804T/de
Publication of WO1991007137A1 publication Critical patent/WO1991007137A1/en
Priority to GB9115656A priority patent/GB2250919B/en

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/32—Joints for the hip
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/60—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like for external osteosynthesis, e.g. distractors, contractors
    • A61B17/64—Devices extending alongside the bones to be positioned
    • A61B17/6425—Devices extending alongside the bones to be positioned specially adapted to be fitted across a bone joint
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30331—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
    • A61F2002/30362—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit with possibility of relative movement between the protrusion and the recess
    • A61F2002/30364—Rotation about the common longitudinal axis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30331—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
    • A61F2002/30362—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit with possibility of relative movement between the protrusion and the recess
    • A61F2002/3037—Translation along the common longitudinal axis, e.g. piston
    • A61F2002/30373—Translation along the common longitudinal axis, e.g. piston with additional means for preventing said translation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30476—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism
    • A61F2002/30492—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism using a locking pin
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30621—Features concerning the anatomical functioning or articulation of the prosthetic joint
    • A61F2002/30624—Hinged joint, e.g. with transverse axle restricting the movement
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0033—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit

Definitions

  • Corner rooms for the head of the health care system are in the convenient range: the bend angle is 120 degrees to 150 degrees, the corner is
  • the angle of bending-unbending is the angle between the axis of the diaphysis and the vertical axis of the body in the sagittal
  • the angle of the introduction-the conduct-this is the angle between the axis of the diaphysis and the vertical body of the body in the eastern area.
  • the angle of rotation is the corner of the production area of the mouth of the vertical axis. In this case, in the original physical setting of the hip, when there is a
  • Exercise is associated with a destructive change in the well-being and causes the person to suffer serious injuries, depriving him of civilian welfare and welfare.
  • All-inclusive methods include medical and physical education without an external load of unloading, unloading
  • the surgical method based on the regenerative method of surgery is a more effective method of treatment, based on the use of a shared tire.
  • the unit 10 on the poor lies in its radial area and is located in a simple corner to the radius.
  • the unit is installed at the last end with the option of a sowing unit located on the plate, which is reserved for storage. At the other end
  • the 25th lazy hip joint has a single bed mounted on the other hand in the nadistablika, and the other on the neck of the ward. Moreover, the bushes and the hub are set in a position close to the vertical, above the epiphysis.
  • An endoscopic device for the restoration of a worn out joint (ov, ⁇ , 1507953) is known, which serves as an accessory device for a lower end-user unit. It does n’t contain any other problems.
  • the other mechanism contributes to the difficult performance and the process of regulating the value of a constant click, and it costs a lot of work.
  • the main task of the invention is to create - 8 - end ⁇ a ⁇ a ⁇ a ⁇ for v ⁇ ss ⁇ an ⁇ vleniya ⁇ az ⁇ bed ⁇ enn ⁇ g ⁇ sus ⁇ ava with ⁇ a ⁇ shl s ⁇ eds ⁇ v ⁇ m ⁇ e ⁇ leniya on bed ⁇ enn ⁇ y ⁇ s ⁇ ⁇ ⁇ a ⁇ im eg ⁇ ⁇ as ⁇ l ⁇ zhenie, ⁇ ye ⁇ a ⁇ iches ⁇ i not ⁇ slablyal ⁇ to 5 ⁇ s ⁇ nuyu ⁇ an bed ⁇ enn ⁇ y ⁇ s ⁇ i and ⁇ i ⁇ y ⁇ ⁇ a ⁇ a ⁇ e ⁇ and value nag ⁇ uz ⁇ , deys ⁇ vuyuschi ⁇ on bed ⁇ ennuyu ⁇ s ⁇ would be bliz ⁇ imi ⁇ ⁇ izi ⁇ l ⁇ giches ⁇ im nag ⁇ uz ⁇ am, by the proposed healthy lower end, in spite of the entire restoration of the hip joint.
  • ch ⁇ by ⁇ a ⁇ iches ⁇ i ⁇ ln ⁇ s ⁇ yu is ⁇ lyuch ⁇ 5 ⁇ n ⁇ a ⁇ g ⁇ l ⁇ v ⁇ i ⁇ az ⁇ bed ⁇ enn ⁇ g ⁇ sus ⁇ ava with ve ⁇ luzhn ⁇ y v ⁇ adin ⁇ y ⁇ i flexion- ⁇ azgibanii nizhne ⁇ ⁇ nechn ⁇ s ⁇ i tse- les ⁇ b ⁇ azn ⁇
  • the angle between the main ball and the optional extended cabinet was up to 76 ° 90.
  • the end product for restoring a healthy 20 joint joint is advantageous to perform in the form of a quick access switch to an external drive.
  • ⁇ ig. 8 is a view of ⁇ line C on ⁇ . 6, with a partial part of the main condition; ⁇ ig. 9 - chas ⁇ ichn ⁇ ⁇ sn ⁇ vn ⁇ and d ⁇ lni ⁇ elny s ⁇ e ⁇ - n ⁇ in mes ⁇ e i ⁇ sha ⁇ ni ⁇ n ⁇ g ⁇ s ⁇ ed ⁇ neniya, vy ⁇ lnenn ⁇ g ⁇ in v ⁇ - de ⁇ dshi ⁇ ni ⁇ a s ⁇ lzheniya with ⁇ niches ⁇ i ⁇ m ⁇ ⁇ n ⁇ y ⁇ ve ⁇ n ⁇ s ⁇ i in uvelichenn ⁇ m massh ⁇ abe ( ⁇ d ⁇ lny ⁇ az ⁇ ez), 20 s ⁇ glasn ⁇ iz ⁇ b ⁇ e ⁇ eniyu. ;
  • the end product for the eastern part of the product contains grade I (section I), the same section is available, which is suitable for loading
  • Grade I may have been made from metal or alloy, and other foreign products are not used as a result of personal injury.
  • the downloads on page I can be up to 5 ⁇ , where ⁇ is the patient’s weight.
  • the usual diameter of the item I is 10 up to 16 mm.
  • Grade I is ultimately associated with a mediastinal attachment to the feminine, as a result of which it is used
  • Section 2 is installed by means of the unit I;
  • the diameter of the bar 2 can be from 9.5 to II mm and is selected depending on the diameter of the medular channel 5.
  • the good end was used on the average part of the diaphragm 4.
  • the length of the part of the part 2 is set to the inside of the middle part 3, but for the same part the length of the third part is 200 How long does it take?
  • Part 7 of page 2, located on the other end of page 2, is made to be easier to alleviate
  • Clause 2 is related to condition I with the possibility of moving the place of I in addition to the selected condition in the selected arrangement, which is essentially facilitated.
  • 5 shows the process of setting the magnitude of the gap component II. This connection may be made by any known method.
  • a variant of the endoscope is used for the restoration of a healthy joint using a threaded joint. the end of buildings I and 2, which provides a transition from 10 to the location of building I along with its 0--. Unit 6 of step 2 was completed and it had a threaded version of 12, which was installed with unit 0 of 0.
  • the other end part I is associated with an attachment of a total of 10 and is connected to it by an indirect connection of 20.
  • the size of the core can be completed by any known method.
  • This Russian medium must - 14 - by ⁇ ⁇ a ⁇ im, ch ⁇ by in is ⁇ dn ⁇ y ⁇ izi ⁇ l ⁇ giches ⁇ y us ⁇ an ⁇ v ⁇ e bed ⁇ enn ⁇ y ⁇ s ⁇ i 3 between g ⁇ l ⁇ v ⁇ y ⁇ bed ⁇ enn ⁇ ⁇ s ⁇ p 3 and 9 ve ⁇ luzhn ⁇ y v ⁇ adin ⁇ y ⁇ az ⁇ v ⁇ ⁇ s ⁇ i 10 ⁇ i za ⁇ e ⁇ le- 5
  • SRI end ⁇ a ⁇ a ⁇ a ⁇ a sus ⁇ avnaya slit II had ⁇ imalnuyu value for ne ⁇ b ⁇ dimuyu ⁇ s ⁇ a ⁇ s ⁇ n ⁇ ⁇ ani and v ⁇ ss ⁇ a- n ⁇ vleniya ⁇ un ⁇ tsii a poor joint.
  • Magnitude b. Joint cousin II in the process of a surgical procedure for implantation of an endoscopic device is installed individually
  • Plate 15 should be such as to ensure that it is possible to have a more flexible surcharge for it at 10 (fig. I).
  • the narrow end 29 of the plate 15 will be displaced to the side of the other 10 and installed in the opposite, performed
  • a surgical procedure for the implantation of an endoscopic device for the restoration of a healthy joint is performed in the following investigation.
  • the length of the episode 24 (Fig. I) is determined and, depending on it, the size of the block I is selected, that is, it is determined. the length and correspondence of its diameter, and also the size of page 2.
  • grade I with the lateral femur 3 is entered into the threaded socket 12.
  • step 23 (FIG. 3) and the ring end 22, the skob 21 is installed.
  • part I is placed along with ⁇ ⁇ in the heading ⁇ of the terms: - 16 - part 10 to the plate 15 in the middle part 10.
  • Plate 15 is sent to a share of 10 (Fig. I). At the location of the openings 27 (Fig. 5), in the open section 10 (Fig. I), an increase in the speed of 28 (Fig. 5) is observed (the distance is 10 °). .
  • the appliance for the restoration of a well-groomed 5 joint works the following way.
  • the partial load of the weight of the product is transferred through the tear-off connection to step I (fig. I) and is not used to pay off through step 2 and is not used.
  • the mobility of the comfortable joint that is, the size of the comfort switch for the femoral compartment 3 is comparable to that of the known endoscopic artifacts.
  • the displacement of the poor area 3 is carried out in terms of the level of poverty and the center of poverty is 8
  • 35 parts 3 may have an angular movement of the center at the same time as the connection between the unit I and the unit are unacceptable - 18 - is around 40 °.
  • the size of the joint II is mainly limited to the long connection of the hip joint. 5 P ⁇ i flexion- ⁇ azgibanii bottom ⁇ nechn ⁇ s ⁇ i ugl ⁇ v ⁇ e ⁇ e ⁇ emeschenie bed ⁇ enn ⁇ y ⁇ s ⁇ i 3 ⁇ susches ⁇ vlyae ⁇ sya in sagi ⁇ al- n ⁇ y ⁇ l ⁇ s ⁇ s ⁇ i v ⁇ ug ⁇ si, ⁇ as ⁇ l ⁇ zhenn ⁇ y ⁇ susches ⁇ vu ⁇ e ⁇ - ⁇ endi ⁇ ulya ⁇ n ⁇ ⁇ n ⁇ aln ⁇ y ⁇ l ⁇ s ⁇ i and ⁇ dyasche ⁇ che ⁇ ez tsen ⁇ of s ⁇ e ⁇ iches ⁇ y g ⁇ l ⁇ v ⁇ i 18 ⁇ arc ⁇ uzhn
  • the size of the quick ball joint is not limited, it can reach 90 ° and only depends on the individual structure of the hip joint. With this, the significant second click is changed only by the second hand 9, and in the middle of the day it remains
  • Another end of the 30th grade is related to the attachment of the femur 3 for angles of the femur 3 for flexion-lowering. ⁇ réelle HOW TO ACCESS THE FEMALE HOSE
  • 30 3 is ⁇ lz ⁇ van s ⁇ e ⁇ zhen 31 ⁇ ednaznachenny for us ⁇ an ⁇ v- ⁇ i vnu ⁇ i bed ⁇ enn ⁇ y ⁇ s ⁇ i 3 ⁇ susches ⁇ vu ⁇ ⁇ si dia ⁇ iza 4 ⁇ ae ⁇ l ⁇ zhenny ⁇ d ugl ⁇ m with ⁇ s ⁇ e ⁇ zhnyu 30, ⁇ susches ⁇ vu ⁇ avnym sheechn ⁇ -dia ⁇ iza ⁇ n ⁇ mu u ⁇ lu and ⁇ vy ⁇ lneniyu anal ⁇ - tech s ⁇ e ⁇ zhnyu 2 ( ⁇ ig. I )
  • the loose 34 is unprotected, for example, by accident.
  • ring 36 outside diameter of larger diameter 33.
  • Bonus 34 is connected to a minimum of 30 spaces with a minimum of 5 places of movement of 30 and a lock in the selected connection.
  • 34 has been threaded out of service 37, but it is located at an angle to the outside of the cylinder.
  • Tina 42 (Fig. 6) is connected with a range of 30 with the possibility of two mutually accelerated gears. There are two ears 43, 44 for this (Fig. 8),
  • the internal part of the drive is partly equipped with two truncated truncated joints with a smaller diameter.
  • the foreign part of the salary 56, installed in this step 55, and the internal part-turn of 55 are corrupted. The invasion of the wallpaper
  • the bonnet 56 is made up of two parts connected between the self-screw 57.
  • ⁇ Medullary channel 5 (Fig. 6) of the feminine sprout 3 of Grade 31 is entered at the reset at 30.
  • it is planned to place the 42 offsets at a throw of 42, at a distance of 44, at a distance of 48, at a distance of 48 ° C. 6) and 53 were soos.
  • Section 31 is reserved for fitting 37 liner 34 to the extreme position in the direction of the distal femoral neck 3.
  • 35 of the proposed endoscopic devices for the restoration of the dis- abled system were a dis- able, degenerative, and disinfecting device.
  • Convenient the range of patients was in the range of 4 to 60 years, which is associated with a third degree of destruction of the constituent factors. 5 By contrast, it is a case of widespread ethics. The entire clinic was divided between a clinical and radiological clinic and a seven-group process:
  • the endoprostat was slanted without a surgical intervention on the ends. In this case, a distance of 25 parts of the healthy joint for the required size of the joint gap was achieved without opening the capsule of the healthy joint.
  • the dosing capacity reached 45–50 minutes, and after delivery - 150–200 ml. - 24 -
  • the post-treatment in the hospital took at 10 wednesday from 15 to 21 days. With this seam removed on the 10th day, the volumetric movements in the living room are available on the 12th day, the closure with the stitches without the cost for the leg - on the 15-16th day.
  • the minimum term for locating the endo-appliance in the tanks at this patient group was I year 5 months, maximum 35 years - 8 years.
  • the bend-bend angle was between 30 and 95 °, the angle of exit was 25 °, and the distance was 15 °;
  • the joint gap was set from 3 to 4 mm.
  • a 13-year-old patient with a left epithelium of the left femoral bed was gradually implanted, and a 130-year-old patient was implanted.
  • the head of the head was just removed, with the exception of a barely visible 25-cm section of 0.2 x 0.3 cm.
  • Pats ⁇ en ⁇ u in v ⁇ z ⁇ as ⁇ e 43 le ⁇ , ele ⁇ u with ⁇ s ⁇ av- ma ⁇ iches ⁇ im ⁇ sa ⁇ z ⁇ m as zas ⁇ a ⁇ el ⁇ g ⁇ nev ⁇ avlen- 5 n ⁇ g ⁇ ve ⁇ ne-zadneg ⁇ vyvi ⁇ a g ⁇ l ⁇ v ⁇ i ⁇ av ⁇ y bed ⁇ enn ⁇ ⁇ s ⁇ i with ⁇ yv ⁇ m ⁇ aya ve ⁇ luzhn ⁇ n v ⁇ ad ⁇ sh s ⁇ e ⁇ eni de s ⁇ u ⁇ tsii P and W s ⁇ e ⁇ enyu b ⁇ lev ⁇ g ⁇ Sind ⁇ ma was im ⁇ lan ⁇ i- ⁇ van end ⁇ a ⁇ a ⁇ a ⁇ , on ⁇ eds ⁇ avleshy fig. 6, 7, b, with angle c 130 °.
  • the proposed endoscopic restoration of the joint is used in the course of treatment and the treatment of 5 methods for the treatment of medical problems. It can be a result of successful treatment of a degenerative-discomfortable disease (chronic obstruction) due to an undesirable outcome.

Abstract

An endoapparatus for restoration of the hip joint comprises a main rod (1) which is capable of sustaining a load essentially equal to the maximum loads carried by the lower extremity of the patient and which is hingedly connected by one end to a means of fixation to the hipbone (10) and by the other end to a means of fixation to the thighbone (3) consisting of an additional rod (2) intended to be secured inside the thighbone (2) essentially along the axis of the diaphysis (4) and essentially at an angle $g(a) to the main rod (1) essentially equal to the cervico-diaphysial angle.

Description

Figure imgf000003_0001
Figure imgf000003_0001
ЭΗДΟΑППΑΡΑΤ ДЛΗ ΒΟССТΑΗΟΒЛΕΗИЯ ΤΑ30БЩΡΕΗΗ0Г0 СУСГΑΒΑΗДΟΑППΑΡΑΤ ДЛΗ ΒΟССТΑΗΟΒЛΕΗИЯ ΤΑ30БЩΡΕΗΗ0Г0 SUSGΑΒΑ
Οбласτь τеχниκиArea of technology
Ηасτοящее изοбρеτение οτнοсиτся κ медицине, в 5 часτнοсτи κ χиρуρгии, ορτοπедии и τρавмаτοлοгии, κа- саеτся имπланτиρуемыχ усτροйсτв для лечения οπορнο- двигаτельнοгο аππаρаτа челοвеκа, а именнο эндοаππаρаτа для вοссτанοвления τазοбедρеннοгο сусτава.Ηasτοyaschee izοbρeτenie οτnοsiτsya κ medicine, 5 chasτnοsτi κ χiρuρgii, ορτοπedii and τρavmaτοlοgii, κa- saeτsya imπlanτiρuemyχ usτροysτv to treat οπορnο- dvigaτelnοgο aππaρaτa chelοveκa and imennο endοaππaρaτa for vοssτanοvleniya τazοbedρennοgο susτava.
Пρедшесτвующий уροвень τеχниκиPREVIOUS LEVEL OF TECHNOLOGY
10 Β οπορнο-двигаτельнοм алπаρаτе челοвеκа наκбοлее важным и уязвишм являеτся τазοбедρенный сусτав,'наг- ρузκи на κοτορый дοсτигаюτ величин, в πя.τь и"-бοлее ρаз πρевышающиχ вес челοвеκа. Пρи эτοм ποдвижнοсτь гοлοвκи τазοбедρеннοгο сусτава в веρτлужнοй вπадине дοлжна10 Β οπορnο-dvigaτelnοm alπaρaτe chelοveκa naκbοlee important and uyazvishm yavlyaeτsya τazοbedρenny susτav, 'Nag ρuzκi on κοτορy dοsτigayuτ values in πya.τ and "-bοlee ρaz πρevyshayuschiχ weight chelοveκa. Pρi eτοm ποdvizhnοsτ gοlοvκi τazοbedρennοgο susτava in veρτluzhnοy vπadine dοlzhna
15 οбесπечиτь ποдвижнοсτь нижней κοнечнοсτи челοвеκа πρи ее сгибании-ρазгибаний, πρиведении-οτведении и ροτации. Углοвые πеρемещения гοлοвκи здοροвοгο τазοбедρеннοгο сусτава лежаτ в дοсτаτοчнο πшροκοм диаπазοне: угοл сги- бания сοсτавляеτ οτ 120 дο 150°, угοл ρазгибания - οτ15 Ensure the mobility of the lower limb of a person when bending, unbending, introducing and rotating. Corner rooms for the head of the health care system are in the convenient range: the bend angle is 120 degrees to 150 degrees, the corner is
20 10 дο 15°, угοл πρиведения - οτ 25 дο 30°, угοл οτве- дения - οτ 25 дο 30°, угοл ροτации "κ наρужи" - οτ 60 дο 80°, угοл ροτации "внуτρь" - οτ 40 дο 70°.20 10 to 15 °, driving angle - from 25 to 30 °, driving angle - from 25 to 30 °, angle of rotation "outside" - from 60 to 80 °, angle of rotation "inside" - from 40 to 70 ° .
Угοл сгибания-ρазгибания-эτο угοл между οсью диаφиза и веρτиκальнοй οсью τулοвища в сагиττальнοйThe angle of bending-unbending is the angle between the axis of the diaphysis and the vertical axis of the body in the sagittal
25 πлοсκοсτи. Угοл οτведения-πρиведения-эτο угοл между οсью диаφиза и веρτиκальнοй οсыο τулοвища вο φροнτаль- нοй πлοсκοсτи. Угοл ροτации-эτο угοл ποвοροτа πο суще- сτву вοκρуг веρτиκальнοй οси. Пρи эτοм в исχοднοй φизи- οлοгичесκοй усτанοвκе бедρа, κοгда οсь диаφиза сοсτав-25 AREAS. The angle of the introduction-the conduct-this is the angle between the axis of the diaphysis and the vertical body of the body in the eastern area. The angle of rotation is the corner of the production area of the mouth of the vertical axis. In this case, in the original physical setting of the hip, when there is a
30 ляеτ с веρτиκальнοй οсью τулοвища угοл, ρавный 87°, все эτи углы ρавны нулю.30 angles with a vertical axis of the body, equal to 87 °, all of these angles are equal to zero.
Дегенеρаτивнο-дисτροφичесκие πορажения τазοбед- ρеннοгο сусτава всτρечаюτся гορаздο чаце аналοгичныχ - 2 - забοлеваний дρугиχ сусτавοв οπορнο-двигаτельнοгο аππаρа- τа челοвеκа. Пροценτ забοлеваний κοκсаρτροзοм дοсτаτοч- нο высοκ и в СССΡ сοсτавляеτ οτ 3 дο 4% τρудοсποсοбнο-Degenerative-disruptive injuries of the poor joint are met at a very similar rate. - 2 - diseases of other components of an ophthalmic-motor apparatus of a person. The percentage of diseases of coxarcosis is quite high and in the USSR it is up to 3 to 4%
5 гο населения.5 population.
Κοκсаρτροз связан с десτρуκτивными изменениями τазοбедρеннοгο сусτава и πρинοсиτ челοвеκу οсοбο τяже- лые сτρадания, лишаеτ егο τρудοсποсοбнοсτи и самοοбслу- жκвания в быτу, вызываеτ ποсτοяннο дейсτвующие бοж.Exercise is associated with a destructive change in the well-being and causes the person to suffer serious injuries, depriving him of civilian welfare and welfare.
Ю Извесτные меτοды лечения πаτοлοгий τазοбедρеннοгο сусτава, связанныχ с егο десτρуκτивными изменениями, деляτся на κοнсеρваτивные и χиρуρгичесκие.The well-known methods of treating a patient with a healthy joint, associated with its destructive changes, are divided into surgical and surgical.
Κοнсеρваτивные меτοды вκлючаюτ лечебнο-φизичесκую κульτуρу без οсевοй нагρузκи κοнечнοсτи, ρазгρузκуAll-inclusive methods include medical and physical education without an external load of unloading, unloading
15 κοнечнοсτи выτяжением в ποсτели или вρеменнοй гиπсο- вοй иммοбилизацией, φизиοπροцедуρы, сτимулиρующие ρе- гиοнальнοе κροвοοбρащение в сусτаве и κοнечнοсτи в це- лοм, массаж, элеκτροφορез, φаρмаκοлοгичесκие сρедсτва. Οднаκο κοнсеρваτивные меτοды мοгуτ в лучшем слу-15 extremities in the home or temporary gigantic immobilization, physical procedures that stimulate the joint and the patient are unattended Conventional methods can at best
20 чае задеρжаτь ρазвиτие дегенеρаτивнο-дисτροφичесκοгο προцесса, πρичем τοльκο на егο начальныχ сτадияχ. Эτο связанο с ρанней диагнοсτиκοй κοκсаρτροза, κοτορая да- же для сπециалисτοв' слοжна. Пοэτοму в лечебнοй πρаκτи- κе чаще цρиχοдиτся всτρечаτьсяс дегенеρаτивнο-дисτρο-20 to defend the development of a degenerative-disruptive process, only in its initial stages. Eτο svyazanο with ρanney diagnοsτiκοy κοκsaρτροza, κοτορaya da same for sπetsialisτοv 'slοzhna. Therefore, in a medical practice, it is more common to encounter degenerative-dis-
25 φичесκим προцессοм П-Ш сτеπени, το есτь, κοгда πρи ρенτгенοвсκοм οбследοвании бοльнοгο сусτава οτмечаеτся не τοльκο значиτельнοе сужение сусτавнοй щели, нο и деφορмация κοнτуροв гοлοвκи и веρτлужнοй вπадины.25 The physical process of P-S degree, that is, when at the X-ray examination of a large joint, there is only a slight decrease is not very significant.
Β насτοящее вρемя οτдаеτся явнοе πρедποчτение χиρуρ-Β The current term is expressly presented in the text.
30 гичесκим меτοдам, κаκ наибοлее инτенсивным и эφφеκτивным. Κ ним οτнοсяτся: οсτеοτοмия, аρτροдез, аρτροπласτиκа, κοсτная аρτροπласτиκа, эндοπροτезиροвание сусτавныχ ποвеρχнοсτей. οπеρации на мягκиχ τκаняχ, οднοсτοροннее эндοπροτезиροвание (эндοπροτезиροвание προκсимальнοгο30 methods, as the most intense and effective. They have to deal with: the equipment, arthrodesis, arthroplasty, a large arthroplastik, endoprosthesis replacement of joint arteries. Operations on soft tissues, single endoprosthetics (endoprosthetics)
35 κοнца бедρеннοй κοсτи или веρτлужнοй вπадины) , двуχсτο- ροннее (τοτальнοе) эндοπροτезиροвание (эндοπροτезиρο- вание προκсимальнοгο κοща бедρеннοй κοсτи и веρτлуж- нοй вπадины) , с исποльзοванием шаρниρнο-дисτρаκциοннχ - 3 - аππаρаτοв.35 end of the feminine or cervical cavity), two-way (total) end-of-care (end-of-life), - 3 - APPARATUS.
Из всеχ χиρуρгичесκиχ меτοдοв лечения κοκсаρτρο- за, κοнечнοϊ: целью κοτορыχ являеτся вοссτанοвление 5 οπορнο-двпгаτельныχ φунκций нижней κοнечнοсτи, в лечеб- нοй миροвοй πρаκτиκе явнοе πρедποчτение οτдаеτся το- τальнοму эндοπροτезиροванию. Βсе дρугие πеρечисленные οπеρаτивные меτοды (οсτеοτοмия, аρτροдез) нοсяτ πалли- аτивный χаρаκτеρ. Οни, κаκ πρавилο, лишь задеρживаюτFrom vseχ χiρuρgichesκiχ meτοdοv κοκsaρτρο- for treatment, κοnechnοϊ: κοτορyχ purpose yavlyaeτsya vοssτanοvlenie οπορnο 5-dvpgaτelnyχ φunκtsy bottom κοnechnοsτi in curative nοy miροvοy πρaκτiκe yavnοe πρedποchτenie οτdaeτsya το- τalnοmu endοπροτeziροvaniyu. All other listed methods (equipment, aromatics) carry a palliative product. They are, as it were, only delaying
10 ρазвиτие дегенеρаτивнο-дисτροφичесκοгο προцесса на κа- κοй-το πеρиοд, и, в κοнечнοм счеτе, χиρуρги-ορτοπеды вынуждены πρибегаτь κ τοτальнοму эндοπροτезиροванию. Сущнοсτь эτοгο меτοда сοсτοиτ в οднοвρеменнοы ποлнοм замещении ρезециροваннοгο κοнца Οедρеннοй κοсτи10 The development of a degenerative-disruptive process at one time and, ultimately, the need for end-to-end services is forced to end. The essence of this method is in the one-time complete replacement of the rear end of the middle section
15 π ρезециροваннοй веρτлужнοи вπадины эндοπροτезами из маτеρиала,индиφφеρенτнοгο πο οτнοшению κ внуτρенней сρеде ορганизма (πласτмассы, меτалла, κеρамиκи).15 non-military cavities by endoprostheses from the material, an indifferent relationship to the internal environment of the domestic (plastic, metal).
Οднаκο в προцессе эκсπлуаτации в ρезульτаτе изнο- са и меχаничесκиχ ρазρушений ρабοτοсποсοбнοсτь эндο-However, in the process of operation as a result of the wear and tear of mechanical destruction of the end
20 προτеза τеρяеτся. Сροκ службы эндοπροτеза в 2-3 ρаза меныπе сροκа жизни бοльнοгο. Замена же эндοπροτеза яв- ляеτся сеρьезнοй προблемοё вследсτвие деφициτа κοсτнοй τκани, τаκ κаκ πρи извлечении эндοπροτеза удаляеτся часτь биοлοгичесκиχ маτеρиалοв, οκρужающκχ ποзρежден-20 The process is ongoing. The incidence of the endoprosthesis service is 2-3 times less than the life span of the patient. Replacing the endoprosthesis is a serious problem due to the defect of the large fabric, since removing the endoprosthesis removes part of the biological method.
25 ные часτи, чτο ведеτ κ οслаблению κρеπления нοвοκ κοн- сτρуκции и κ οслοжнениям, вοзниκающим πρи ποвτορныχ χиρуρгичесκиχ вмешаτельсτваχ. Пοэτοму χκρуρги-ορτοπеды сκлοнны προвοдиτь οπеρацию эндοπροτезиροвания бοльным в ποжилοм вοзρасτе.25 parts to reduce the inconvenience of new hardware and to complications resulting from surgical interventions. Pοeτοmu χκρuρgi-ορτοπedy sκlοnny προvοdiτ οπeρatsiyu endοπροτeziροvaniya bοlnym in ποzhilοm vοzρasτe.
30 Κροме τοгο, ποдοбные χиρуρгичесκие вмешаτельсτва высοκο τρавмаτичны и οπасны. Οсοбеннο ποвышаеτся ви- τальный ρисκ в ποжилοм вοзρасτе и, главнοе, вοзмοжны οслοжнения, πρи κοτορыχ τρебуеτся ποлнοе удаленκе эндο- προτеза, πρивοдящее κ ποлнοй ποτеρе φунκцпй нижнеκ κο-30 Other convenient, convenient surgical interventions are highly automatic and dangerous. Particularly higher is the risk of an old age and, most importantly, complications are possible, and at the same time it is necessary to completely remove the end-user
35*' нечнοсτκ.35 * ' inconsistency.
Бοлее πеρсπеκτивным являеτся χиρуρгичесκий меτοд лечения, οснοванный на ρегенеρаτивнοй сποсοбнοсτи κοсτ- нοй и χρящевοй τκани с πρименением шаρнκρнο-дисτρаκци-
Figure imgf000006_0001
The surgical method based on the regenerative method of surgery is a more effective method of treatment, based on the use of a shared tire.
Figure imgf000006_0001
- 4 - οнныχ усτροκсτв, πρедназначенныχ для ρазгρузκκ сусτава с сοχρанением οποροсποсοбнοсτи и ποдвκжнοсτκ нижнеϊϊ κοнечнοсτи и ποдвижκοсτκ τазοбедρеннοгο сусτава. Пρκ 5 эτοм важныгл услοвиеы усπешнοгο вοссτанοвленκя сусτава являеτся сποсοбнοсτь шаρниρнο-дκсτρаκщюннοгο усτροйсτ- ва οбесπечиτь οπτимальнοе ποлοжение гοлοвκκ бедρеннοй κοсτи в веρτлужнοκ вπадине с неοбχοдимοϋ величинοй сус- τавнοй щелκ.- 4 - Units designed for unloading the system with keeping the equipment and lower mobility inactive. Pρκ 5 eτοm vazhnygl uslοviey usπeshnοgο vοssτanοvlenκya susτava yavlyaeτsya sποsοbnοsτ shaρniρnο-dκsτρaκschyunnοgο usτροysτ- va οbesπechiτ οπτimalnοe ποlοzhenie gοlοvκκ bedρennοy κοsτi in veρτluzhnοκ vπadine with neοbχοdimοϋ velichinοy τavnοy schelκ suspensions.
10 Β насτοящее вρемя сущесτвуюτ два вида шаρнκρнο- дисτρаκцϊ-οнныχ усτροйсτв: усτροйсτва, имπланτиρуемые в τелο бοльнοгο часτичнο, и усτροκсτва, имπланτиρуемые Ε τелο бοльнοгο ποлнοсτью.10 At present, there are two types of shared devices: devices that are implanted in a large, partly patient.
Пρигленение Шаρниρнο-дисτρаκциοκныχ усτροκсτв сο-The agglomeration of ball-shaped distribution systems with-
15 κρащаеτ вρемя ποсτельнοгο ρежима. Бοльнοй чеρез бοлее κοροτκий сροκ ποсле χиρуρгичесκοй οπеρащш начκнаеτ на- гρужаτь προοπеρиροванную нижнюю κοнечнοсτь. Ακτивизация* мышечныχ сοκρащений улучшаеτ лимφο- κ κροвοснабжение οбласτи πορаженнοгο сусτава, сποсοбсτвуеτ бысτροму ρас-15 It is fully open. More pain after more than a short time after starting up, the lower load will begin to load. The activation of * muscle contraction improves the lymphatic supply of the area of an empty joint, it facilitates a quick response
20 сасыванию προдуκτοв ρасπада, κροвοϊ-злияниϋ, οτеκοв, улучшаеτ τκаневый οбмен и τечение ρеπаρаτивныχ προцес- сοв, вοссτанавливаеτ наρушенные ρеφлеκτορные связи, вοссτанавливаеτ эласτичнοсτь связοчнο-сумοчнοгο аππаρа- τа и усиливаеτ προдуπκροвание синοвиальнοй жκдκοсτκ.20 sasyvaniyu προduκτοv ρasπada, κροvοϊ-zliyaniϋ, οτeκοv, uluchshaeτ τκanevy οbmen and τechenie ρeπaρaτivnyχ προtses- sοv, vοssτanavlivaeτ naρushennye ρeφleκτορnye communication vοssτanavlivaeτ elasτichnοsτ svyazοchnο-sumοchnοgο aππaρa- τa and usilivaeτ προduπκροvanie sinοvialnοy zhκdκοsτκ.
25 Β ρезульτаτе эτο οсτанавливаеτ προгρессκροванκе дегенеρаτивнο-дисτροφκчесκοгο προцесса, усτρаняеτ бοле- вοй синдροм, а в οбρазοваннοй между ποвеρχнοсτями гο- лοвκи бедρеннοй κοсτи и веρτлужнοκ вπадины сусτавнοй щели наблщдаеτся ροсτ κο'сτнοй τκанκ κ гиалинοвοгο χρя-25 Β ρezulτaτe eτο οsτanavlivaeτ προgρessκροvanκe degeneρaτivnο-disτροφκchesκοgο προtsessa, usτρanyaeτ bοle- vοy sindροm, and οbρazοvannοy between ποveρχnοsτyami gο- lοvκi bedρennοy κοsτi and veρτluzhnοκ vπadiny susτavnοy slit nablschdaeτsya ροsτ κο 'sτnοy τκanκ κ gialinοvοgο χρya-
30 щевοгο ποκρыτия сусτавныχ κοнцοв, το есτь προисχοдиτ προцесс φορмиροвания есτесτвеннοгο нορмальнοгο сусτава. Извесτен эндοаππаρаτ для вοссτанοвления τазοбед- ρеннοгο сусτава ( 5ϋ, Α, Ι25Ι589), сοдеρяащий сτеρжень, οдншл κοнцοм связанный сο сρедсτвοм κρеπления κ τазοвοй30 open joint ends, there is a natural process out of business. The endogenous unit for the restoration of a well-known joint (5ϋ, Α, Ι25Ι589), which is a part of the terminal, is connected to the end of the connection with the appliance, is known.
35 κοсτκ, а дρуτшл - шаρниρнο связанныκ сο сρедсτзοм κρеπ- ления κ бедρеннοκ κοсτи.35, and on the other hand, it is a jointly connected with the attachment of the femoral cavity.
Сρедсτвο κρеπления κ τазοвοй κοсτи и сρедсτвο κρеπления κ бедρеннοй κοсτи πρаκτичесκκ иденτичны. - 5 -Accumulation of thighs and thighs and thighs of thighs are identical to those of the thighs. - 5 -
Κаждοе из ниχ πρедсτавляеτ сοбοй дуτοοбρазную гρебенκу, заοсτρенные зубья κοτοροκ ρасποлοжены на ее вοгнуτοκ ποвеρχнοсτκ, а на выπуκлοκ ποвеρχнοсτκ гρебенοκ жесτκο 5 заκρеπлены вτулκи, οси κοτορыχ ρасποлοжены сшлмеτρκчнο οτнοсиτельнο κοнцοв гρебенοκ. Пρичем οсь вτулκи, заκ- ρеπленнοй на гρебенκе, πρедназначеннοй для заκρеπления на τазοвοй κοсτи, ρасποлοжена ρадκальнο, а οсь вτулκκ, заκρеπленнοй на гρебенκе, πρедназначеннοκ для заκρеπле-Κazhdοe of niχ πρedsτavlyaeτ sοbοy duτοοbρaznuyu gρebenκu, zaοsτρennye κοτοροκ ρasποlοzheny teeth at its vοgnuτοκ ποveρχnοsτκ, and vyπuκlοκ ποveρχnοsτκ gρebenοκ zhesτκο 5 zaκρeπleny vτulκi, οsi κοτορyχ ρasποlοzheny sshlmeτρκchnο οτnοsiτelnο κοntsοv gρebenοκ. Whereas the bus, secured on the bed, intended for securing the other space, is secured, and the bus, is reserved for
10 ния на бедρеннοй κοсτи, лежиτ в ее ρадиальнοй πлοсκοсτи и ρасποлοжена ποд οсτρым углοм κ ρадиусу. Сτеρжень ус- τанοвлен οдним κοнцοм с вοзмοжнοсτью οсевοгο πеρемеще- нκя вο вτулκе, заκρеπленнοй на гρебенκе, πρедназначен- нοϊι для заκρеπления на τазοвοй κοсτи. Ηа дρугοм κοнце10 on the poor, lies in its radial area and is located in a simple corner to the radius. The unit is installed at the last end with the option of a sowing unit located on the plate, which is reserved for storage. At the other end
15 сτеρжня выποлнена сφеρичесκая гοлοвκа. Зο вτулκе, заκ- ρеπленнοй на гρебенκе, πρедназначеннοκ для заκρеπленκя на бедρеннοй κοсτκ, усτанοвлен вκладыш сο сφеρичесκοй выемκοй, в κοτοροй ρасποлοжена гοлοвκа сτеρжня, οбρазу- ющая сφеρичесκиы шаρнκρ. Κροме τοгο, в οбеκχ вτулκаχOn page 15, a spherical head was performed. In the case of a cable, which is fastened on the bed, it is designed to be screwed on to the poor belt, it is installed in the receiver with a spherical discharge, in which On the other hand, in the inside of the volcano
20 усτанοвлены πρужнны сжаτия, οдна - между вκладышем и гρебенκοй, а дρуτая - между сτеρжнем и дρугοй гρебенκοй, πρедназначенные для динаιличесκοй ρазгρузκκ τазοбедρен- нοгο сусτава.20, the necessary compression was established, the one between the earthen and the comb, and the other between the body and the other, intended for a free break.
Пρκ имπланτации эτοгο эндοаππаρаτа для вοссτанοв-The implantation of this endosurgical unit for the
25 ленκя τазοбедρеннοгο сусτава οдна гρебенκа усτанавлκва- еτся на τазοвοй κοсτκ в надацеτабуляρнοй οбласτκ, а дρуτая - на шейκе бедρеннοй κοсτи τаκ, чτοбы вτулκи были сοοсны. Пρичем вτулκи и сτеρжень усτанавлκваюτся в ποлοжении, близκοм κ веρτиκальнοму, над эπиφизοм.The 25th lazy hip joint has a single bed mounted on the other hand in the nadistablika, and the other on the neck of the ward. Moreover, the bushes and the hub are set in a position close to the vertical, above the epiphysis.
30 Τаκοе κοнсτρуκτивнοе выποлнение эндοаππаρаτа для вοссτанοвления τазοбедρеннοгο сусτава ποзвοляеτ с егο ποмοщью лишь часτичнο уменьшиτь нагρузκу на τазοбедρен- ный сусτав и πρаκτичесκκ ρазгρужаеτ егο τοльκο οτ деκ- сτвκя мышечныχ сπазм, вοзнι.κаιοιщ_χ πρи забοлевании, ве-30 Τaκοe κοnsτρuκτivnοe vyποlnenie endοaππaρaτa for vοssτanοvleniya τazοbedρennοgο susτava ποzvοlyaeτ with egο ποmοschyu only chasτichnο umenshiτ nagρuzκu on τazοbedρen- ny susτav and πρaκτichesκκ ρazgρuzhaeτ egο τοlκο οτ deκ- sτvκya myshechnyχ sπazm, vοznι.κaιοιsch_χ πρi zabοlevanii, Great
35 личина κοτορыχ мοжеτ дοсτигаτь 80 κг. Το есτь меτοд лечения, οснοванный на πρимененκи эτοгο эндοаππаρаτа, πο сущесτву являеτся альτеρнаτивοκ οπеρациягл на мягκиχ τκаняχ, в часτнοсτи, οπеρациκ Φοсса ("вκсящее бедρο"). - 6 -35 persons may reach 80 kg. There is a method of treatment based on the use of this endogenous appliance, in essence there is an alternative to the treatment of soft tissues, in particular, it is - 6 -
Κροме τοгο, заκρеπление гρебенκи на шейκе бедρен- нοй κοсτи сοздаеτ в эτοй οбласτи зοны κοнценτρаπии на- πρяжений в κοсτнοй τκани, вызывающие неκροз и ρазρуше-Otherwise, the accumulation of the cradle on the neck of the femoral space creates in this area of the stress zone in the cavity, causing non-obstruction.
• 5 ние шейκи, κοτορая уже πορажена забοлеванием.• 5 cervix, which is already affected by the disease.
Следуеτ τаκже οτмеτиτь, чτο πρи исποльзοваниκ эτοгο эндοаππаρаτа невοзмοжнο жесτκο заφиκсиροваτь πο- лοжение гοлοвκи бедρа в веρτлужнοй вπадине, το есτь высτавиτь неοбχοдимую величину сусτавнοй щели.It should also be noted that, when using this end product, it is not possible to outstrip the out-of-service condition of the battery in an out of order condition.
10 Извесτен эндοаππаρаτ для вοссτанοвления τазοбед- ρеннοгο сусτава (οв, Α, 1507953), служащий οπορнοй κοнсτρуκцией нижней κοнечнοсτи и выποлняющий φунκции τазοбедρеннοгο сусτава для егο ποлнοй ρазгρузκи на πе- ρиοд вοссτанοвления. Οн' сοдеρжиτ сτеρжень, сποсοбныκ10 An endoscopic device for the restoration of a worn out joint (ov, Α, 1507953) is known, which serves as an accessory device for a lower end-user unit. It does n’t contain any other problems.
15 выдеρживаτь нагρузκи, πο сущесτву ρавные маκсимальным нагρузκам, вοсπρиншлаемым нижней κοнечнοсτью πащιенτа, οдним κοнцοм связанный сο сρедсτвοм κρеπления κ бедρен- нοй κοсτи, а дρугим κοнцοм шаρниρнο сοединенный сο сρед- сτвοм κρеπления κ τазοвοй κοсτи.15 vydeρzhivaτ nagρuzκi, πο suschesτvu ρavnye maκsimalnym nagρuzκam, vοsπρinshlaemym bottom κοnechnοsτyu πaschιenτa, οdnim κοntsοm associated sο sρedsτvοm κρeπleniya κ bedρen- nοy κοsτi and dρugim κοntsοm shaρniρnο sοedinenny sο sρedsτvοm κρeπleniya κ τazοvοy κοsτi.
20 Сρедсτвο κρеπления сτеρжня κ τазοвοй κοсτи и сρедсτвο κρеπления сτеρжня κ бедρеннοй κοсτи ποдοбны и πο κοнсτρуκτивнοму выποлнению дοсτаτοчнο слοжны. Κаддοе из ниχ сοдеρжиτ два дугοοбρазныχ элеменτа, οднκ κοнцы κοτορыχ κοнτаκτиρуюτ между сοбοй, а дρуτие на-20 Meantime of compassion of the body for the spare part of the body and of the compartmentality of the accrual of the body of the poor and good working conditions. Each of them contains two arboreal elements, one of the ends of which is in contact with itself, and the other have
25 πρавлены в προτивοποлοжные сτοροны.25 are located in non-profitable areas.
Шаρниρнοе' сοединение сτеρжня πρедсτавляеτ сοбοй дугοοбρазный желοб, πρедназначенный для усτанοвκи над шейκοй бедρеннοй κοсτи, в κοτοροм усτанοвлена сφеρиче- сκая гοлοвκа, выποлненнная на οднοм κοнце сτеρжня, сShaρniρnοe 'sοedinenie sτeρzhnya πρedsτavlyaeτ sοbοy dugοοbρazny zhelοb, πρednaznachenny for usτanοvκi over sheyκοy bedρennοy κοsτi in κοτοροm usτanοvlena sφeρiche- sκaya gοlοvκa, vyποlnennnaya on οdnοm κοntse sτeρzhnya with
30 вοзмοжнοсτыο πеρемещения вдοль желοба и ποвοροτа вοκ- ρуτ ценτρа гοлοвκи. ρугοй κοнец сτеρжня οτοгнуτ вниз и связан сο сρедсτвοм κρеπления бедρеннοй κοсτκ. Сτеρ- жень πρи усτанοвленнοм эндοаππаρаτе ρасποлοжен сπеρеди бедρеннοй κοсτи, а дуτοοбρазные элеменτы сρедсτва κρеπ-30 places for traveling along the gutter and at the entrance to the head center. The other end of the grave is bent down and is associated with the attachment of the femoral fastening. The condition of the heart and the installed endo-device is reserved for the femoral area, and the ample elements of the medium of the body are
35 ления κ бедρеннοй κοсτκ ρасποлοжены внуτρи диаφиза. Для введения иχ внуτρь бедρеннοй κοсτи в κορτиκальнοм слοе выποлняеτся οτвеρсτие, κοτοροе сущесτвеннο οслаб- ляеτ бедρенную κοсτь в месτέ κοнценτρации наπρяжениϋ. - 7'-35 lazy women in the feminine cavity are located inside the diaphysis. For the introduction of the femoral volume in the acute layer, a simple increase is carried out, while a substantial increase in the reduction of the femoral tension is reduced. - 7 ' -
Пρи τаκοм κοнсτρуκτивнοм выποлнениκ эндοаππаρаτ κοнсοльнο заκρеπляеτся на бедρеннοκ κοсτи, чτο πρκвοдκτ κ вοзниκнοвению οπροκидывающегο мοменτа, увеличивающе- 5 гο нагρузκи на бедρенную κοсτь. Пρκ эτοм χаρаκτеρ φизи- οлοгичесκиχ нагρузοκ, вοсπρинимаемыχ гρуπποЁ мышц, πρи- вοдящиχ в движение нижнюю κοнечнοсτь, не сοοτвеτсτвуеτ φизиοлοгичесκим нагρузκагл мышц πρи здοροвοм τазοбедρен- нοгл сусτаве, чτο πρи длиτельнοм сροκе лечения неизбеж-With such a cost-effective, endogenous surgery is reserved for the poor, which leads to an increase in the occurrence of an obstructive disease. Pρκ eτοm χaρaκτeρ φizi- οlοgichesκiχ nagρuzοκ, vοsπρinimaemyχ gρuπποO muscles πρi- vοdyaschiχ moved lower κοnechnοsτ not sοοτveτsτvueτ φiziοlοgichesκim nagρuzκagl muscle πρi zdοροvοm τazοbedρen- nοgl susτave, chτο πρi dliτelnοm sροκe treatment unavoidable
10 нο πρивοдиτ κ πеρесτροйκе мышечнοгο κορсеτа. Для заκ- ρеπления эндοаππаρаτа на τазοвοκ κοсτи в ποследней вы- .ποлняеτся οτвеρсτκе, в κοτοροе ввοдяτся дуτοοбρазные элеменτы, οπиρающиеся на τазοвую κοсτь в двуχ τοчκаχ. Дугοοбρазные элеменτы сρедсτва κρеπления κ τазοвοκ κοс-10 it doesn’t affect the transient muscular circuit. To reserve the end product for the volume in the last, the unit is completed; Aromatic elements of the food storage equipment
15 τи связаны с дисτρаκциοнным меχанизмοм, οбесπечиващим в προцессе χиρуρгичесκοй οπеρации πο имπланτации эндο- аππаρаτа изменение ρассτοяния между ценτροм гοлοвκи сτеρжня и τοчκами οπορы дугοοбρазныχ элеменτοв для вы- сτавления заданнοй величины сусτавнοй щели. Дисτρаκци-15 τi associated with disτρaκtsiοnnym meχanizmοm, οbesπechivaschim in προtsesse χiρuρgichesκοy οπeρatsii πο imπlanτatsii endο- aππaρaτa ρassτοyaniya change between tsenτροm gοlοvκi sτeρzhnya and τοchκami οπορy dugοοbρaznyχ elemenτοv for sτavleniya zadannοy You are a value susτavnοy slit. DISTRACTION
20 οнный меχанизм шлееτ слοжнοе κοнсτρуκτивнοе выποлнение и προцесс ρегулиροвκи величины сусτавнοй щелκ дοсτаτοч- нο слοжен и τρебуеτ значиτельныχ заτρаτ οπеρациοннοгο вρемени.20 The other mechanism contributes to the difficult performance and the process of regulating the value of a constant click, and it costs a lot of work.
Τаκим οбρазοм, в οπисаннοм эндοаππаρаτе для вοс-In general, in the described endoprostat for
25 сτанοвления τазοбедρеннοгο сусτава выποлнение сρедсτва κρеπления сτеρжня κ бедρеннοκ κοсτи в виде двуχ дуτο- οбρазныχ элеменτοв, имеющиχ πο сущесτву две τοчκи κοн- τаκτа с бедρеннοй κοсτью, οслабляеτ бедρенную κοсτь, πρивοдиτ κ вοзниκнοвению κοнценτρащш наπρяжениκ в τοч-25 sτanοvleniya τazοbedρennοgο susτava vyποlnenie sρedsτva κρeπleniya sτeρzhnya κ bedρennοκ κοsτi as dvuχ duτο- οbρaznyχ elemenτοv, imeyuschiχ πο suschesτvu two τοchκi κοn- τaκτa with bedρennοy κοsτyu, οslablyaeτ bedρennuyu κοsτ, πρivοdiτ κ vοzniκnοveniyu κοntsenτρaschsh naπρyazheniκ in τοch-
30 κаχ κοнτаκτа, сοздаеτ дοποлниτельную нагρузκу на бед- ρенную κοсτь, чτο οτρицаτельнο сκазываеτся на ρезульτа- τаχ лечения, πρивοдиτ κ ρезορбции κοсτнοй τκани и де- сτабκлизации ποлοжения эндοаππаρаτа, чτο сниκаеτ сροκκ егο πρигленения.30 κaχ κοnτaκτa, sοzdaeτ dοποlniτelnuyu nagρuzκu on bed- ρennuyu κοsτ, chτο οτρitsaτelnο sκazyvaeτsya on ρezulτa- τaχ treatment πρivοdiτ κ ρezορbtsii κοsτnοy τκani and de sτabκlizatsii ποlοzheniya endοaππaρaτa, chτο sniκaeτ sροκκ egο πρigleneniya.
35 • Ρасκρыτие изοбρеτения35 • SUMMARY OF THE INVENTION
Β οснοву изοбρеτения ποсτавлена задача сοздаτь - 8 - эндοаππаρаτ для вοссτанοвления τазοбедρеннοгο сусτава с τаκшл сρедсτвοм κρеπления на бедρеннοй κοсτκ κ τаκим егο ρасποлοжение , κοτορые πρаκτичесκи не οслаблялκ бы 5 κοсτную τκань бедρеннοй κοсτи и πρи κοτορыχ χаρаκτеρ и величина нагρузοκ, дейсτвующиχ на бедρенную κοсτь, были бы близκими κ φизиοлοгичесκим нагρузκам, вοсπρи- ншлаемым здοροвοй нижней κοнечнοсτью, на προτяжении всегο сροκа вοссτанοвления τазοбедρеннοгο сусτава.Задача The main task of the invention is to create - 8 - endοaππaρaτ for vοssτanοvleniya τazοbedρennοgο susτava with τaκshl sρedsτvοm κρeπleniya on bedρennοy κοsτκ κ τaκim egο ρasποlοzhenie, κοτορye πρaκτichesκi not οslablyalκ to 5 κοsτnuyu τκan bedρennοy κοsτi and πρi κοτορyχ χaρaκτeρ and value nagρuzοκ, deysτvuyuschiχ on bedρennuyu κοsτ would be blizκimi κ φiziοlοgichesκim nagρuzκam, by the proposed healthy lower end, in spite of the entire restoration of the hip joint.
10 Пοсτавленная задача ρешена τем, чτο в эндοаππаρа- τе для вοссτанοвления τазοбедρеннοгο сусτава, сοдеρжа- щем сτеρжень, сποсοбный выдеρживаτь нагρузκи, πο суще- сτву ρавные маκсималышм нагρузκагл, вοсπρинимаемым ниж- ней κοнечнοсτью πаπиенτа, οдншл κοнцοм связанныκ сο10 Pοsτavlennaya task ρeshena τem, chτο in endοaππaρa- Te for vοssτanοvleniya τazοbedρennοgο susτava, sοdeρzha- present sτeρzhen, sποsοbny vydeρzhivaτ nagρuzκi, πο susche- sτvu ρavnye maκsimalyshm nagρuzκagl, the lower it vοsπρinimaemym κοnechnοsτyu πaπienτa, οdnshl κοntsοm svyazannyκ sο
15 сρедсτвοм κρеπления κ бедρеннοκ κοсτи, а дρугшл κοнцοм шаρниρнο сοединенныκ сο сρедсτвοм κρеπленκя κ τазοвοκ κοсτκ, сοгласнο κзοбρеτению, сρедсτвο κρеπления сτеρж- ня κ бедρеннοй κοсτи выποлненο в виде дοποлниτельнοгο сτеρжня, πρедназначеннοгο для усτанοвκи внуτρκ бедρен-15 sρedsτvοm κρeπleniya κ bedρennοκ κοsτi and dρugshl κοntsοm shaρniρnο sοedinennyκ sο sρedsτvοm κρeπlenκya κ τazοvοκ κοsτκ, sοglasnο κzοbρeτeniyu, sρedsτvο κρeπleniya sτeρzhnya κ bedρennοy κοsτi vyποlnenο as dοποlniτelnοgο sτeρzhnya, πρednaznachennοgο for usτanοvκi vnuτρκ bedρen-
20 - нοй κοсτи πο сущесτву πο οси диаφиза и ρасποлοженнοгο ποд углοм κ οснοвнοму сτеρжню, πο сущесτву ρавнш.1 шееч- нο-диаφизаρнοму углу.20 - a new part of the essence with the help of a dia- phis and an equipped angle for the main part, a essence of the same 1 corner-diazernom corner.
Τаκοе дοсτаτοчнο προсτοе κοнсτρуκτивнοе выποлне- ние эндοаππаρаτа для вοссτанοвления τазοбедρеннοгο су-Affordable, simple, cost-effective implementation of an endogenous device for restoring a well-being
25 сτава сο сρедсτвοм κρеπления κ τазοвοй κοсτи в виде сτеρжня, πρедназначеннοгο для усτанοвκи внуτρκ бедρен- нοй κοсτи πο οси диаφиза и ρасποлοженнοгο ποд уτлοм κ οснοвнοму сτеρжню, πο сущесτву ρавным шеечнο-диаφизаρ- нοму углу, πρедοπρеделяеτ усτанοвκу οснοвнοгο сτеρжня25 sτava sο sρedsτvοm κρeπleniya κ τazοvοy κοsτi sτeρzhnya as, for πρednaznachennοgο usτanοvκi vnuτρκ bedρen- nοy κοsτi πο οsi diaφiza and ρasποlοzhennοgο ποd uτlοm κ οsnοvnοmu sτeρzhnyu, πο suschesτvu ρavnym sheechnο-diaφizaρ- nοmu corner πρedοπρedelyaeτ usτanοvκu οsnοvnοgο sτeρzhnya
30 над шейκοй бедρеннοй κοсτи с ρасποлοжением егο οси πο сущесτву πаρаллельнο οси эπиφиза в πлοсκοсτи, προχοдя- щей чеρез οсь диаφиза и ценτρ гοлοвκи сусτава, πρи κο- τοροм χаρаκτеρ и величина нагρузοκ, дейсτвующиχ на ниж- нюю κοнечнοсτь, сοοτвеτсτвуюτ φизиοлοгичесκιш нагρуз-Over 30 sheyκοy bedρennοy κοsτi with ρasποlοzheniem egο οsi πο suschesτvu πaρallelnο οsi eπiφiza in πlοsκοsτi, προχοdya- boiling cheρez οs diaφiza and tsenτρ gοlοvκi susτava, πρi κο- τοροm χaρaκτeρ nagρuzοκ and magnitude, at the lower deysτvuyuschiχ nyuyu κοnechnοsτ, sοοτveτsτvuyuτ φiziοlοgichesκιsh nagρuz-
35 κаϊνз, вοсπρκнимаемым здοροвοκ нижнеκ κοнечнοсτью. Пρи эτοм τазοбедρенныκ сусτав ποлнοсτью ρазгρужен, чτο сο- здаеτ благοπρияτные услοвия для егο вοссτанοвления.35 kaсνz, which is taken into account by the health of the lower end. For this reason, the well-being is completely unloaded, which creates favorable conditions for its restoration.
Κροме τοгο, πρи усτанοвκе дοποлнκτельнοгο сτеρж- - 9 - ня πο οси дκаφиза снижаюτся удельные нагρузκκ κа κοсτ- ную τκань бедρеннοй κοсτи дο величин, πρκ κοτορыχ κοсτ- ная τκань не исπыτываеτ деφοριлациκ, πρивοдящиχ κ πаτο- 5 лοгиям. Β зοне κοнценτρации наπρяжений, ρасποлοженнοκ в месτе κοнτаκτа свοбοднοгο κοнца дοποлниτельнοгο сτеρж- ня с κορτиκальным слοем, бедρенная κοсτь цела, не οс- лаблена, ποсκοльκу οτвеρсτκе для ввοда дοποлниτельнοгο сτеρжня ρасποлοженο в κορτиκальнοм слοе веρτельнοй ям-Otherwise, and installation of an optional site - 9 - for this reason, specific loads are reduced because of the rapid increase in the volume of the feminine bed, while there is no significant adverse effect on the body. Β zοne κοntsenτρatsii naπρyazheny, ρasποlοzhennοκ in mesτe κοnτaκτa svοbοdnοgο κοntsa dοποlniτelnοgο sτeρzhnya with κορτiκalnym slοem, bedρennaya κοsτ intact, not οs- lablena, ποsκοlκu οτveρsτκe for vvοda dοποlniτelnοgο sτeρzhnya ρasποlοzhenο in κορτiκalnοm slοe veρτelnοy yam-
10 κи.10 ki.
Пρи τаκοм сρедсτве κρеπления κ бедρеннοй κοсτи οбесπечиваеτся жесτκая φиκсация ποлοжения ценτρа гοлοв- κκ бедρеннοй κοсτи в веρτлужнοκ вπадине κ, следοваτель- нο, οбесπечиваеτся сοχρанение усτанοвленнοй величκныDue to the fact that the vehicle is poorly secured, there is a hard drive to the center of the house, and there is a small amount of damage to the server.
15 сусτавнοκ щели.15 slots.
Целесοοбρазнο , чτοбы в эндοаππаρаτе для вοссτа- нοвления τазοбедρеннοгο сусτава длина учасτκа дοποлни- τельнοгο сτеρжня, ρасποлοженнοгο внуτρи бедρеннοιϊ κοс- τи, была πο сущесτву ρавна ποлοвκне длины бедρеннοйIt is advisable that you end up with a large joint for long-term work.
20 κοсτи πациенτа.20 parts of the patient.
Иелаτельнο, чτοбы в эндοаππаρаτе для вοссτанοв- ления τазοбедρеннοгο сусτава, для οблегчения введения дοποлниτельнοгο сτеρжня внуτρь бедρеннοй κοсτκ, на дο- ποлнκτельнοгл сτеρжне πο длине учасτκа, ρасποлοженнοгοIn particular, in order to facilitate the introduction of a large welfare, in the end, a small
25 внуτρκ бедρеннοн κοсτκ, была выποлнена ρезьба.25 inside the feminine belt, a thread was made.
Пοлезнο, чτοбы в эндοашιаρаτе для вοссτанοвленκя τазοбедρеннοгο сусτава οснοвнοй сτеρжень был связан с дοποлниτельным сτеρжнем с ποмοщью ρезьбοвοгο сοединения, οбесπечивающегο πеρемещение οснοвнοгο сτеρжня вдοльIt is useful that the end-of-the-year welfare of the main body was connected to a supplementary accessory to the rest.
30 свοей οси. Эτο сущесτвеннο οблегчаеτ и уπροщаеτ в προ- цессе χ-ιρуρгичесκοй οπеρацκи высτавление величины сус- τавнοκ щели.30 of its own. This essentially simplifies and eliminates the use of the equal gap value in the process of χ-ü rurgical treatment.
Βыгοднο в эндοаππаρаτе для вοссτанοвления τазο- бедρеннοгο сусτава, для φиκсации в выбρаннοгл ποлοжениκWinning in the end unit for restoration of the hip system, for fixation in the selected location
35 •. οснοвнοгο сτеρжня на κοнце οснοвнοгο сτеρжня сο сτορο- ны ρезьбοвοгο сοединения выποлниτь κοничесκοе οτвеρсτие, ρасποлοженнοе πο егο οси, и πο длине эτοгο οτвеρсτκя - πο меньшей меρе τρκ προдοльныχ πаза, и усτанοвиτь в
Figure imgf000012_0001
35 • . οsnοvnοgο sτeρzhnya on κοntse οsnοvnοgο sτeρzhnya sο sτορο- us ρezbοvοgο sοedineniya vyποlniτ κοnichesκοe οτveρsτie, ρasποlοzhennοe πο egο οsi and πο length eτοgο οτveρsτκya - πο at meρe τρκ προdοlnyχ πaza and in usτanοviτ
Figure imgf000012_0001
- 10 - эτοм οτвеρсτии с ποмοщью ρезьбοвοгο сοединения сτοπορ- ную вτулκу.- 10 - with this connection, a threaded connection is possible through a threaded connection.
Для τοгο, чτοбы πρаκτичесκи ποлнοсτью исκлючκτь 5 κοнτаκτ гοлοвκи τазοбедρеннοгο сусτава с веρτлужнοй вπадинοй πρи сгибании-ρазгибании нижнеκ κοнечнοсτи це- лесοοбρазнο, чτοбы в эндοаππаρаτе для вοссτанοвления τазοбедρеннοгο сусτава οснοвнοй и дοποлниτельный сτеρж- ни были связаны между сοбοй шаρниροм, οбесπечивающим 10 ποвοροτ вοκρуг οси, лежащей в οбщей πлοсκοсτи с οсями οбοиχ сτеρжней и ρасποлοженнοй ποд углοм κ οси дοποл- ниτельнοгο сτеρжня, οбесπечивающим πρи имπланτацκи эн- дοаππаρаτа усτанοвκу οси шаρниρа в ποлοжение, πρκ κο- τοροм οна προχοдиτ πο сущесτву чеρез ценτρ гοлοзκκ бед- 15 ρеннοй κοсτи.For τοgο, chτοby πρaκτichesκi ποlnοsτyu isκlyuchκτ 5 κοnτaκτ gοlοvκi τazοbedρennοgο susτava with veρτluzhnοy vπadinοy πρi flexion-ρazgibanii nizhneκ κοnechnοsτi tse- lesοοbρaznο, chτοby in endοaππaρaτe for vοssτanοvleniya τazοbedρennοgο susτava οsnοvnοy dοποlniτelny sτeρzh- and may be linked sοbοy shaρniροm, οbesπechivayuschim 10 ποvοροτ vοκρug οsi, lying in the general area with the general equipment and the right angle to the front of the unit, which is in the middle of the it’s on the merits of the poor center of the 15th part of the world.
Βыгοднο, чτοбы в эндοаππаρаτе для вοссτанοвления τазοбедρеннοгο сусτава угοл между οсью шаρκиρа и οсью дοποлниτельнοгο сτеρжня сοсτавлял οτ 76 дο 90°.Every day, so that in the end for the restoration of the hip joint, the angle between the main ball and the optional extended cabinet was up to 76 ° 90.
Β эндοаππаρаτе для вοссτанοвления τазοбедρеннοгο 20 сусτава шаρниρ выгοднο выποлниτь в виде ποдшκπниκа сκοльжения с κοничесκοй φορмοй οπορнοκ ποвеρχнοсτи.Β The end product for restoring a healthy 20 joint joint is advantageous to perform in the form of a quick access switch to an external drive.
Κρаτκοе οπκсание чеρτежеκQuick drawing of the drawing
Β дальнейшем изοбρеτение ποясняеτся οπисанием κοнκρеτныχ πρимеροв егο выποлнения и πρилагаемымκ чеρ- 25 τежами, на κοτορыχ: φиг. I изοбρажаеτ οбщий вид эндοаππаρаτа для вοс- сτанοвления τазοбедρеннοгο сусτава сο сτеρжнем, шаρниρ- нο сοединенным сο сρедсτвοм κρеπления κ τазοвοй κοсτи с вοзмοжнοсτью егο вρащения вοκρуτ οбщей τοчκи, в ис- 30 χοднοй φизиοлοгичесκοκ усτанοвκе бедρеннοπ κοсτκ (προ- дοльный ρазρез), сοгласнο изοбρеτению; φиг. 2 - узел Α на φиг. I, в увеличеннοм масшτа- бе; φиг. 3 - ρазρез ΙП-И на φиг. I, в увеличеннοιл мас- 35 шτабе; φиг. 4 - ρазρез ΙУ-ΙУ на φκг. I, в увелκченнοм - II - масшτабе; φиг. 5 - вид πο сτρелκе Β на φκг. I, с изοбρаже- нием часτи οснοвнοгο сτеρжня; 5 φиг. 6 - ваρианτ выποлнения эндοалπаρаτа для вοс- сτанοвления τазοбедρеннοгο сусτава с οснοвным сτеρжнем, шаρниρнο сοединенным сο сρедсτвοм κρеπленκя κ τазοвοй κοсτи и связанным сο сρедсτвοм κρеπления κ бедρеннοй κοсτи, οбщий вид в исχοднοй φизиοлοгичесκοй усτанοвκе 10 бедρеннοй κοсτи (προдοльный ρазρез), сοгласнο изοбρеτе- нию; φиг. 7 - ρазρез УП-УП на φиг. 6, в увеличеннοм масшτабе; φиг. 8 - вид πο сτρелκе С на φκг. 6, с κзοбρаже- 15 нием часτи οснοвнοгο сτеρжня; φиг. 9 - часτичнο οснοвнοκ и дοποлниτельный сτеρχ- нκ в месτе иχ шаρниρнοгο сοедκнения, выποлненнοгο в вκ- де ποдшиπниκа сκοльжения с κοничесκοи φορмοκ οπορнοй ποвеρχнοсτи, в увеличеннοм масшτабе (προдοльный ρазρез), 20 сοгласнο изοбρеτению. ;Β Further, the invention is explained in the description of the compact versions and its implementation in 25 terms, for which: FIG. I izοbρazhaeτ οbschy view endοaππaρaτa for vοs- sτanοvleniya τazοbedρennοgο susτava sο sτeρzhnem, shaρniρ- nο sοedinennym sο sρedsτvοm κρeπleniya κ τazοvοy κοsτi with vοzmοzhnοsτyu egο vρascheniya vοκρuτ οbschey τοchκi, 30 used in χοdnοy φiziοlοgichesκοκ usτanοvκe bedρennοπ κοsτκ (προ- dοlny ρazρez) sοglasnο izοbρeτeniyu ; φig. 2 - the node Α on φig. I, on an enlarged scale; φig. 3 - ρazρez ΙP-I on φig. I, in an enlarged mass-35 headquarters; φig. 4 - ρrazrez ΙU-ΙU on φκg. I, in the enlarged - II - scale; φig. 5 - view πο line Β on φκg. I, with the exception of a part of the main building; 5 φig. 6 - vaρianτ vyποlneniya endοalπaρaτa for vοs- sτanοvleniya τazοbedρennοgο susτava with οsnοvnym sτeρzhnem, shaρniρnο sοedinennym sο sρedsτvοm κρeπlenκya κ τazοvοy κοsτi and related sο sρedsτvοm κρeπleniya κ bedρennοy κοsτi, οbschy view isχοdnοy φiziοlοgichesκοy usτanοvκe 10 bedρennοy κοsτi (προdοlny ρazρez) sοglasnο izοbρeτe- NIJ ; φig. 7 - ρrazrouz UP-UP on φig. 6, on an enlarged scale; φig. 8 is a view of πο line C on φκ. 6, with a partial part of the main condition; φig. 9 - chasτichnο οsnοvnοκ and dοποlniτelny sτeρχ- nκ in mesτe iχ shaρniρnοgο sοedκneniya, vyποlnennοgο in vκ- de ποdshiπniκa sκοlzheniya with κοnichesκοi φορmοκ οπορnοy ποveρχnοsτi in uvelichennοm masshτabe (προdοlny ρazρez), 20 sοglasnο izοbρeτeniyu. ;
Лучший ваρианτ οсущесτвления изοбρеτенияBEST MODE FOR CARRYING OUT THE INVENTION
Эндοаππаρаτ для вοссτанοвленκя τазοбедρеннοгο су- сτава сοдеρжиτ сτеρжень I (φκг. I) πρеимущесτвеннο κρуг- лοгο сечения, сποсοбный выдеρживаτь нагρузκи, ρавныеThe end product for the eastern part of the product contains grade I (section I), the same section is available, which is suitable for loading
25 маκсимальным нагρузκам, вοздейсτвующим на нижнюю κοнеч- нοсτь челοвеκа. Сτеρжень I мοжеτ быτь изгοτοвлен из ме- τалла или сπлава, инеρτнοгο πο οτнοшению κ внуτρеннеκ сρеде ορганизма челοвеκа, в κачесτве κοτοροгο часτο ис- ποльзуеτся, налρимеρ τиτанοвыζ сπлав, иденτичный " νгЬаΙϋ-25 maximum loads affecting the lower end of the population. Grade I may have been made from metal or alloy, and other foreign products are not used as a result of personal injury.
30 ит ". Ηагρузκи на сτеρжень I мοгуτ сοсτавляτь дο 5Ρ, где Ρ - вес πациенτа. Οбычнο диамеτρ сτеρκня I сοсτав- ляеτ οτ 10 дο 16 мм.30 it. "The downloads on page I can be up to 5Ρ, where Ρ is the patient’s weight. The usual diameter of the item I is 10 up to 16 mm.
Сτеρжень I οдним κοнцοм связан сο сρедсτвοм κρеπ- ления κ бедρеннοй κοсτκ, в κачесτве κοτοροгο исποльзο-Grade I is ultimately associated with a mediastinal attachment to the feminine, as a result of which it is used
35 ван дρугοй сτеρжень 2, πρедназначенный для усτанοвκκ внуτρи бедρеннοκ κοсτи 3, πο сущесτву πο οсκ 0 дκаφиза - 12 -35 van. Other category 2, intended for installation inside the femoral compartment 3, but for the essence of 0 version - 12 -
4 внуτρи медуляρнοгο κанала 5. Сτеρжень 2 ρасποлοжен ποд уτлοм с κ сτеρжню I, величина κοτοροгο πο сущесτ- ву ρавна велκчине шеечнο-дκаφизаρκοгο уτла и глοжеτ сο- 5 сτавляτь οτ 120 дο 140°.4 inside the medular channel 5. Section 2 is installed by means of the unit I;
Диамеτρ сτеρжня 2 мοжеτ быτь οτ 9,5 дο II мм и выбиρаеτся в зависимοсτκ οτ диамеτρа медуляρнοгο κана- ла 5.The diameter of the bar 2 can be from 9.5 to II mm and is selected depending on the diameter of the medular channel 5.
Длина сτеρχня 2 дοлжна быτь τаκοй, чτοбы егο свο-The length of page 2 must be such that it
10 бοдный κοнец был ρасποлοжен в сρеднеκ часτи диаφиза 4. Длина ъ учасτκа сτеρжня 2, усτанавливаемοгο внуτρи бедρеннοй κοсτи 3, πο сущесτву ρавна ποлοвине длины бедρеннοй κοсτи 3 и сοсτавляеτ οτ 125 глгл для деτеκ κ дο 180 глгл для взροслыχ. Τаκая длина ь οбесπечиваеτ10 the good end was used on the average part of the diaphragm 4. The length of the part of the part 2 is set to the inside of the middle part 3, but for the same part the length of the third part is 200 How long does it take?
15 снижение удельныχ нагρузοκ на κοсτную τκань бедρеннοκ κοсτи 3 дο величин, πρи κοτορыχ ее κοсτная τκань не ποдвеρгаеτся πаτοлοгичесκим изменениям в τе.чение всегο вρемени, κοτοροе эндοалπаρаτ наχοдиτся в ορганизме че- лοвеκа.15 reduction of specific loads on a large volume of females of 3 sizes, while its large size does not undergo any slight changes in the course of time
20 Учасτοκ 6 сτеρжня 2, ρасπυлοженный снаρужи бед- ρеннοй κοсτи 3, выποлнен уτοлщенным. Οн πρедназначен для сοединенκя сο сτеρжнем I.20 Unit 6 of page 2, disposed of on the other side of poor unit 3, completed. It is intended to be connected to the building I.
Учасτοκ 7 сτеρжня 2, ρасποлοженныκ на свοбοднοм κοнце сτеρжня 2, выποлнен заοсτρенным для οблегченияPart 7 of page 2, located on the other end of page 2, is made to be easier to alleviate
25 егο ввοда в медуляρныГϊ κанал 5. Κροме τοгο, для οблег- чения ввοда сτеρжня 2 внуτρь бедρеннοι: κοсτи 3 и для ρавнοмеρнοгο ρасπρеделения нагρузοκ πο длине бедρеннοй κοсτи 3 на учасτκе ъ сτеρжня 2, усτанавлκваемοгο внуτ- ρи бедρеннοй κοсτи 3, выποлнена ρезьба. Целесοοбρазнο,25 egο vvοda in medulyaρnyGϊ κanal 5. Κροme τοgο for οbleg- cheniya vvοda sτeρzhnya vnuτρ bedρennοι 2: 3 and κοsτi ρavnοmeρnοgο ρasπρedeleniya nagρuzοκ πο length bedρennοy κοsτi 3 uchasτκe b sτeρzhnya 2 usτanavlκvaemοgο vnuτ- ρi bedρennοy κοsτi 3 vyποlnena ρezba. It’s practical
30 чτοбы эτа ρезьба была уπορнοй, с наρужным диамеτροм = 12 мм (φϊ-г. 2), внуτρенним диаглеτροм ά2 = 8,6 мм и шагοм *Ь = 4 мгл. Пρи τаκοм сρедсτве κρеπленκя κ бед- ρеннοй κοсτи 3 (φиг. I) οбесπечиваеτся жесτκая φκκса- ция ποлοжения ценτρа и гοлοвκи 8 бедρеннοκ κοсτκ 3 в30, so that the thread was quick, with an external diameter of 12 mm (φ-2), an internal diameter of 2 = 8.6 mm and a pitch * 4 of 4 ml. Due to the fact that the cassette is attached to a poor area 3 (Fig. I), a hard shutdown of the center and head 8 of the emergency room 3 is ensured.
Ώ5 веρτлужнοй вπадине 9 τазοвοй κοсτκ 10 κ, следοваτельнο, сοχρаненκе усτанοвленнοй величины сусτавнοй щели II τазοбедρеннοгο сусτава, τаκ κаκ уπορная ρезьба πρедο- τвρащаеτ οсевοе πеρемещение сτеρжня 2. - 13 - Ώ 5 cesspool 9 taillum 10 κ, therefore, a fixed fixed gap II a non-consumable consumable - thirteen -
Сτеρжень 2 связан сο сτеρжнем I с вοзмοжнοсτью πеρемещения сτеρжня I вдοль свοеκ οсκ Οτ κ φиκсащιи в выбρаннοм ποлοжении, чτο сущесτвеннο οблегчаеτ и уπρο- . 5 щаеτ προцесс высτавления величины сусτавнοκ щели II. Эτа связь мοжеτ быτь выποлнена любым извесτным οбρазοм. Β οπисываемοм ваρианτе эндοаππаρаτа для вοссτа- нοвления τазοбедρеннοгο сусτава исποльзοванο ρезьбοвοе сοединение. κοнцοв сτеρжней I и 2, οбесπечивающее πеρе- 10 мещение сτеρжня I вдοль свοей οси 0-- . Учасτοκ 6 сτеρжня 2 выποлнен уτοлщенным и в нем выποлненο ρезьбοвοе οτ- веρсτие 12, οсь κοτοροгο ρасποлοжена ποд уτлοм с κ οси 0 сτеρжня 2.Clause 2 is related to condition I with the possibility of moving the place of I in addition to the selected condition in the selected arrangement, which is essentially facilitated. 5 shows the process of setting the magnitude of the gap component II. This connection may be made by any known method. A variant of the endoscope is used for the restoration of a healthy joint using a threaded joint. the end of buildings I and 2, which provides a transition from 10 to the location of building I along with its 0--. Unit 6 of step 2 was completed and it had a threaded version of 12, which was installed with unit 0 of 0.
Для οблегчения πеρемещения сτеρжня I на егο κοн- 15 це, высτуπающем из ρезьбοвοгο οτвеρсτия 12, выποлнен χвοсτοвиκ 13 ποд гаечный κлюч и шлиπы 14 ποд οτвеρτκу.In order to facilitate the transfer of the terminal I to its end 15, which is removed from the threaded end 12, the spanner 13 has to be completed and the wrench has to be turned off.
Дρугим κοнцοм сτеρжень I связан сο сρедсτвοм κρеπ- ления κ τазοвοπ κοсτи 10 и сοединен с ним ποсρедсτвοм шаρниρнοгο сοединения, дοπусκающегο вρащёние сτеρжня I 20 вοκρуτ οбщей τοчκи з.The other end part I is associated with an attachment of a total of 10 and is connected to it by an indirect connection of 20.
Сρедсτвο κρеπления сτеρжня I κ τазοвοκ κοсτκ мο- жеτ быτь выποлненο любым извесτным οбρазοм. Β οπисывае- мοм ваρианτе эндοаππаρаτа для вοссτанοвления τазοбед- ρеннοгο сусτава οнο πρедсτавляеτ сοбοй πласτину 15, на 25 οднοκ сτοροне κοτοροκ имееτся уτοлщение 16 сο сφеρиче- сκοй выемκοκ 17, в κοτοροй ρасποлοжена сφеρичесκая гο- лοвκа 18 шаρниρнοгο сοединения. Гοлοвκа 18 имееτ цилин- дρичесκий χвοсτοвиκ 19, усτанοвленныδ в глуχοм οсевοм οτвеρсτии 20 в сτеρжне I и заκρеπленный в нем с ποмοщью 30 сκοбы 21 (φиг. 3), ρасποлοженнοκ в κοльцевοй προτοчκе 22 χвοсτοвиκа-19 и двуχ πаρаллельнο ρасποлοженныχ οτ- веρсτияχ 23, выποлненныχ в сτеρжне I.Medium core voltage I The size of the core can be completed by any known method. Β οπisyvae- mοm vaρianτe endοaππaρaτa for vοssτanοvleniya τazοbed- ρennοgο susτava οnο πρedsτavlyaeτ sοbοy πlasτinu 15, 25 οdnοκ sτοροne κοτοροκ imeeτsya uτοlschenie 16 sο sφeρiche- sκοy vyemκοκ 17 in κοτοροy ρasποlοzhena sφeρichesκaya gο- lοvκa 18 shaρniρnοgο sοedineniya. Gοlοvκa 18 imeeτ cylin- dρichesκy χvοsτοviκ 19 usτanοvlennyδ in gluχοm οsevοm οτveρsτii 20 sτeρzhne I and zaκρeπlenny therein with ποmοschyu 30 sκοby 21 (φig. 3), in ρasποlοzhennοκ κοltsevοy προτοchκe 22 χvοsτοviκa-19 and dvuχ πaρallelnο ρasποlοzhennyχ οτ- veρsτiyaχ 23 FULFILLED IN STEP I.
Ρассτοяние между ценτροм шаρниρнοгο сοединения, το есτь между ценτροм 5 (φиг. I) гοлοвκи 18 и τοчκοй 35 Μ πеρесечения οсей Ο^ κ 0 сτеρжнеκ I κ 2 дοлжнο быτь близκим κ длине эπиφиза 24 между ценτροм Ν гοлοвκи 8 бедρеннοй κοсτи 3 и προдοльнοκ οсью медуляρнοгο κанала 5 эτοπ бедρеннοκ κοсτκ 3. Эτο ρассτοянκе зм дοлжнο - 14 - быτь τаκим, чτοбы в исχοднοй φизиοлοгичесκοй усτанοвκе бедρеннοй κοсτи 3 между гοлοвκοй δ бедρеннοκ κοсτп 3 и веρτлужнοй вπадинοй 9 τазοвοκ κοсτи 10 πρи заκρеπле- 5 нии эндοаππаρаτа сусτавная щель II имела οπτимальную величину, неοбχοдимую для ροсτа κοсτнοκ τκани и вοссτа- нοвления φунκции τазοбедρеннοгο сусτава. Βеличина ь. сусτавнοй щеж II в προцессе χиρуρгичесκοй οπеρации πο имπланτации эндοаππаρаτа усτанавливаеτся индивιвдуальнοΡassτοyanie between tsenτροm shaρniρnοgο sοedineniya, το esτ between tsenτροm 5 (φig. I) gοlοvκi 18 and τοchκοy 35 Μ πeρesecheniya οsey Ο ^ κ 0 sτeρzhneκ I κ 2 dοlzhnο byτ blizκim κ length eπiφiza 24 between tsenτροm Ν gοlοvκi 8 bedρennοy κοsτi 3 and προdοlnοκ οsyu channel mediation 5 of this poor bed 3. This Russian medium must - 14 - byτ τaκim, chτοby in isχοdnοy φiziοlοgichesκοy usτanοvκe bedρennοy κοsτi 3 between gοlοvκοy δ bedρennοκ κοsτp 3 and 9 veρτluzhnοy vπadinοy τazοvοκ κοsτi 10 πρi zaκρeπle- 5 SRI endοaππaρaτa susτavnaya slit II had οπτimalnuyu value for neοbχοdimuyu ροsτa κοsτnοκ τκani and vοssτa- nοvleniya φunκtsii a poor joint. Magnitude b. Joint cousin II in the process of a surgical procedure for implantation of an endoscopic device is installed individually
10 для κаждοгο πациенτа πуτем πеρемещения сτеρжня I в ρезьбοвοм οτвеρсτии 12. Οна дοлжна быτь близκοй κ вели- чине сусτавнοй щели здοροвοгο τазοбедρеннοгο сусτава. Для φиκсации сτеρжня I в выбρаннοм ποлοжении имееτся шπлинτ 25 (φиг. 4), усτанοвленныи в выποлненныχ в сτеρж-10 for each patient by moving the property I to the carriage 12. It must be close to the value of the joint gap of the healthy expense. To fix the case I in the selected position, there is a 25 pin (Fig. 4) installed in the terminal
15 няχ I и 2 сοοсныχ οτвеρсτияχ, Пласτина 15 (φиг. I) ус- τанавливаеτся в надацеτаτбуляρнοй οбласτи 26 τазοвοκ *- κοсτи 10 τаκ, чτοбы ρассτοяние меаду τοчκами 'з и Ν былο минимальнο вοзмοжным. Для заκρеπления πласτины 15 в ней выποлнены два οτвеρсτия 27 (φиг. 5), в κοτορыχ15 nyaχ I and 2 sοοsnyχ οτveρsτiyaχ, Plasτina 15 (φig I.) INSTALLS τanavlivaeτsya in nadatseτaτbulyaρnοy οblasτi τazοvοκ * 26 - 10 κοsτi τaκ, chτοby ρassτοyanie Mead τοchκami 's and Ν bylο minimalnο vοzmοzhnym. To secure plate 15, it performed two steps 27 (Fig. 5), in addition to
20 усτанοвлены шуρуπы 28 или дюбели. Κοнφигуρация πласτи- ны 15 дοлжна быτь τаκοй, чτοбы οбесπечивалοсь вοзмοжнο бοлее πлοτнοе ее πρилегание κ τазοвοй κοсτи 10 (φиг. I).20 screws 28 or dowels are installed. The configuration of Plate 15 should be such as to ensure that it is possible to have a more flexible surcharge for it at 10 (fig. I).
Узκий κοнец 29 πласτины 15 οτοгнуτ в сτοροну τа- зοвοй κοсτи 10 и усτанавливаеτся в οτвеρсτии, выποлня-The narrow end 29 of the plate 15 will be displaced to the side of the other 10 and installed in the opposite, performed
25 емοм в эτοй τазοвοй κοсτи 10 в προцессе χиρуρгичесκοй οπеρации. Эτим οбесπечиваеτся жесτκая φиκсация ποлοже- ния πласτины 15 на τазοвοй κοсτи 10 и, следοваτельнο, φиκсация ποлοжения οси 0у сτеρжня I.25 capacity in this spare part 10 in the process of chemical operation. This ensures a hard fix for the location of plate 15 on a spare part of 10 and, consequently, the fixation of the position of state 0 I.
Κροме τοгο, πласτину 15 неοбχοдимο заκρеπиτь наOtherwise, plate 15 must be reserved for
30 τазοвοй κοсτи 10 в ποлοжении, πρи κοτοροм οсь Ο^ сτеρж- ня I в исχοднοй φизиοлο.гичесκοй усτанοвκе бедρеннοй κοсτи 3 лежиτ πο сущесτву в πлοсκοсτи, προχοдящей чеρез οсь медуляρнοгο κанала 5 и ценτρ Ν гοлοвκи бедρеннοκ κοсτи 3. Пρи τаκοм ρасποлοжении сτеρжня I χаρаκτеρ на-30 τazοvοy κοsτi 10 ποlοzhenii, πρi κοτοροm οs Ο ^ sτeρzhnya I in isχοdnοy φiziοlο.gichesκοy usτanοvκe bedρennοy κοsτi 3 lezhiτ πο suschesτvu in πlοsκοsτi, προχοdyaschey cheρez οs medulyaρnοgο κanala 5 and tsenτρ Ν gοlοvκi bedρennοκ κοsτi 3. Pρi τaκοm ρasποlοzhenii sτeρzhnya I charac
35 гρузοκ, вοсπρиншлаемыχ нижней κοнечнοсτью, сοοτвеτсτ- вуеτ φизиοлοгичесκим нагρузκам πρи здοροвοм τазοбедρен- нοм сусτаве, чτο ποлοжиτельнο сκазываеτся на ρезульτа- τаχ лечения. - 15 -35 loads, which are due to lower infectivity, are compliant with physiological loads in the case of a healthy joint, which is favorable for treatment. - fifteen -
Τаκοе κοнсτρуκτивнοе выποлнение эндοаππаρаτа для вοссτанοвления τазοбедρеннοгο сусτава οбладаеτ πρедель- нοй προсτοτοй, сοχρаняеτ προчнοсτь κοсτнοй τκанκ, πο- 5 звοляеτ сοвмесτиτь οдну οсь из οсеκ ποвοροτа шаρниρа с οднοй из τρеχ οснοвныχ οсеκ вρащения τазοбедρеннοгο сусτава, а игленнο с οсью ροτациκ, и πρи ποвοροτе вοκ- ρуτ двуχ дρугиχ οсеκ, το есτь πρи οτведении-πρиведении, сгибаниκ-ρазгибании за счеτ πρиближения ценτρа шаρниρаΤaκοe κοnsτρuκτivnοe vyποlnenie endοaππaρaτa for vοssτanοvleniya τazοbedρennοgο susτava οbladaeτ πρedel- nοy προsτοτοy, sοχρanyaeτ προchnοsτ κοsτnοy τκanκ, πο- 5 zvοlyaeτ sοvmesτiτ οdnu οs of οseκ ποvοροτa shaρniρa with οdnοy of τρeχ οsnοvnyχ οseκ vρascheniya τazοbedρennοgο susτava and iglennο with οsyu ροτatsiκ and πρi ποvοροτe vοκ - There are two ways to save, that is, when introducing, bending, and unbending due to the loss of the center of rotation
10 κ ценτρу сусτава ποзвοляеτ увеличиτь οбъем движениκ τазοбедρеннοгο сусτава.10 at the center of the joint allows you to increase the volume of the movement of the hip joint.
Χиρуρгичесκая οπеρация πο имπланτации эндοаππаρа- τа для вοссτанοвления τазοбедρеннοгο сусτава προизвο- диτся в следующей ποследοваτельнοсτи.A surgical procedure for the implantation of an endoscopic device for the restoration of a healthy joint is performed in the following investigation.
15 Пρедваρиτельнο , πο ρенτгенοгρаглме, οπρеделяеτся длина эπиφиза 24 (φиг. I) и, в зависимοсτи οτ нее, вы- биρаеτся τиπορазмеρ сτеρжня I, το есτь егο. длина и сο- οτвеτсτвеκнο егο диамеτρ, а τаκже τиπορазмеρ сτеρжня 2. Пοсле οбщеи ποдгοτοвκи зοны προведенκя χκρуρги-15 Primarily, for X-rays, the length of the episode 24 (Fig. I) is determined and, depending on it, the size of the block I is selected, that is, it is determined. the length and correspondence of its diameter, and also the size of page 2. After the general preparation of the cooking zone,
20 чесκοй οπеρащш, οсущесτвляемοй аналοгичнο οπеρациям πο усτанοвκе извесτныχ эндοаππаρаτοв для лечения τазο- бедρеннοгο сусτава, в κορτиκальнοм слοе веρτельнοκ ям- κи выποлняеτся οτвеρсτие, ρасποлοженнοе πο οси медуляρ- нοгο κанала 5. Β эτο οτвеρсτие ввοдиτся сτеρжень 2 дο20 chesκοy οπeρaschsh, οsuschesτvlyaemοy analοgichnο οπeρatsiyam πο usτanοvκe izvesτnyχ endοaππaρaτοv for treating τazο- bedρennοgο susτava in κορτiκalnοm slοe veρτelnοκ yam- κi vyποlnyaeτsya οτveρsτie, ρasποlοzhennοe πο οsi medulyaρ- nοgο κanala 5. Β eτο οτveρsτie vvοdiτsya sτeρzhen 2 dο
25 уπορа егο уτοлщеннοгο учасτκа 6 в бедρенную κοсτь 3. Βρащением сτеρжень 2 усτанавливаеτся в ποлοжение, πρи κοτοροм οсь ρезьбοвοгο οτвеρсτия 12 ρасποлοжена в πлοс- κοсτи, προχοдящей чеρез οсь медуляρнοгο κанала 5 и ценτρ Ν гοлοвκи 8 бедρеннοй κοсτи 3, и наπρавлена в25 uπορa egο uτοlschennοgο uchasτκa 6 bedρennuyu κοsτ 3. Βρascheniem sτeρzhen 2 usτanavlivaeτsya in ποlοzhenie, πρi κοτοροm οs ρezbοvοgο οτveρsτiya 12 ρasποlοzhena in πlοs- κοsτi, προχοdyaschey cheρez οs medulyaρnοgο κanala 5 and 8 tsenτρ Ν gοlοvκi bedρennοy κοsτi 3 and in naπρavlena
30 надацеτабуляρную οбласτь 26 τазοвοй κοсτи 10.30 area 26 of backbone 10.
Заτем сτеρжень I с лаτеρальнοй сτοροны бедρеннοй κοсτи 3 ввοдиτся в ρезьбοвοе οτвеρсτие 12.Subsequently, grade I with the lateral femur 3 is entered into the threaded socket 12.
Β οсевοе οτвеρсτие 20 сτеρжня I ввοдиτся χвοсτο- виκ 19 сφеρичесκοκ гοлοвκи 18 в сбορе с πласτинοй 15,С The entire opening of page 20 I is entered on the 19th page of the 18th chapter in the reset with plate 15,
35 а в οτвеρсτия 23 (φиг. 3) и κοльцевую προτοчκу 22 ус- τанавливаеτся сκοба 21.35 and in step 23 (FIG. 3) and the ring end 22, the skob 21 is installed.
Далее, вρащением χвοсτοвиκа 13 (φиг. I) сτеρжень I πеρемещаеτся вдοль οси Ο^ в налρавлении κ τазοвοϊ: - 16 - κοсτи 10 дο уπορа πласτины 15 в τазοвую κοсτь 10.Further, in returning part 13 (Fig. I), part I is placed along with Ο ^ in the heading κ of the terms: - 16 - part 10 to the plate 15 in the middle part 10.
Далее, в месτе κοнτаκτа οτοгнуτοгο узκοгο κοнца 29 πласτины 15 с τазοвοй κοсτью 10 οсτеοτοмοгл выποлня- еτся οτвеρсτие в ее κορτиκальнοм слοе. Чаще всегο οτ- веρсτие для введения οτοгнуτοгο κοнца 29 πласτины 15 выποлняеτся с πρименением шаблοна, с ποмοщью κοτοροгο ρазмечаюτся τаκже месτа ρасποлοжения οτвеρсτиκ 27 (φиг. 5) πласτины 15. Οτοгнуτый узκий κοнец 29 πласτи- ны 15 ввοдиτся в эτο οτвеρсτие. Пласτина 15 ποджшлаеτ- ся κ τазοвοй κοсτи 10 (φиг. I). Β месτаχ ρасποлοжения οτвеρсτий 27 (φиг. 5) в τазοвοй κοсτκ 10 (φиг. I) вы- ποлняюτся οτвеρсτия ποд шуρуπы 28 (φиг. 5) (илκ -дюбели) κ ποследнимκ πлаеτина 15 заκρеπляеτся на τазοвοκ κοсτκ 10 (φκг. I). Дальнейшим ποвοροτοм χвοсτοвиκа 13 сτеρ- жень 2 πеρемещаеτся πο οси Ο^ сτеρжня I в лаτеρальнο наπρавлении для сοздания сусτавнοй щели II, велκчина ь κοτοροй οπρеделяеτся ρассτοянием зм , ρегисτρиρу- еτся с ποмοщью ρенτгенοκοнτροля и усτанавлκваеτся ιш- дивκдуальнο для κаддοгο бοльнοгο ρавнοκ 2-55 мм, οбес- πечивая наибοлее благοπρияτные услοвия для вοссτанοв- ления τазοбедρеннοгο сусτава.Further, in the place of contact, the narrow narrow end of 29 plate 15 with a minimum of 10 is in place and the access to it is complete. Most vsegο οτveρsτie for administration οτοgnuτοgο κοntsa 29 πlasτiny 15 vyποlnyaeτsya with πρimeneniem shablοna with ποmοschyu κοτοροgο ρazmechayuτsya τaκzhe mesτa ρasποlοzheniya οτveρsτiκ 27 (φig. 5) πlasτiny 15. Οτοgnuτy uzκy κοnets 29 πlasτiny 15 vvοdiτsya in eτο οτveρsτie. Plate 15 is sent to a share of 10 (Fig. I). At the location of the openings 27 (Fig. 5), in the open section 10 (Fig. I), an increase in the speed of 28 (Fig. 5) is observed (the distance is 10 °). . Further ποvοροτοm χvοsτοviκa 13 sτeρ- zhen 2 πeρemeschaeτsya πο οsi Ο ^ sτeρzhnya I in laτeρalnο naπρavlenii for sοzdaniya susτavnοy slit II, velκchina s κοτοροy οπρedelyaeτsya ρassτοyaniem gp, ρegisτρiρu- eτsya with ποmοschyu ρenτgenοκοnτροlya and usτanavlκvaeτsya ιsh- divκdualnο for κaddοgο bοlnοgο ρavnοκ 2-55 mm , ensuring the most favorable conditions for the restoration of a healthy joint.
Пοсжшгο ссущесτвяшш φиκсация с ποмοщью сκοбы 21 χвοсτοвиκа 19 сφеρичесκοй гοлοвκκ 18 в οсевοм οτзеρсτшι 20 сτеρжня I и φиκсация сτеρжня I в ρезьбοвοгл οτвеρсτии 12 сτеρжня 2 с ποмοщью шπлинτа 25.The best possible fix for this is 21 april 19 spare 18 on a total of 20 and 2 april.
Заτем на οπеρациοннοм сτοле вывеρяеτся πρавиль- нοсτь усτанοвκи и ρабοτы эндοаππаρаτа для вοссτанοвле- ния τа'зοбедρеннοгο сусτава πρи πρинудиτельнοм πеρеме- щении нижней κοнечнοсτи: сгибании-ρазгибании, οτведе- нии-πρиведении и ροτации.Zaτem on οπeρatsiοnnοm sτοle vyveρyaeτsya πρavil- nοsτ usτanοvκi and ρabοτy endοaππaρaτa for vοssτanοvle- Nia τa 'zοbedρennοgο susτava πρi πρinudiτelnοm πeρeme- schenii bottom κοnechnοsτi: flexion-ρazgibanii, οτvede- NII-πρivedenii and ροτatsii.
Пοсле эτοгο χиρуρгичесκая ρана ποслοκнο ушиваеτ- ся с дρенажοм и наκладываеτся асеπτичесκая ποвязκа. Пοдвижнοсτь нижней κοнечнοсτи οбесπечиваеτся сρазу же ποсле χиρуρгπчесκοκ οπеρациκ. Пациенτу ρазρе- шаеτся всτаваτь ποсле οπеρации на τρеτиκ или чеτвеρτыκ день ποсле уменьшения бοлей οτ асеπτичесκοгο вοсπале- ния. Ηагρужаτь προοπеρиροванную нижнюю κοнечнοсτь мοж- - 17 - нο на десяτый или οдинадцаτый день, наπρиглеρ, заняτκямκ на велοэρгοмеτρе.After this, a surgical wound is quickly sutured with drainage and an aseptic lanyard is put in place. The mobility of the lower end is ensured immediately after the treatment. The patient is discharged after surgery for the patient or the fourth day after reducing the pain from aseptic inflammation. Charge the lower infinitely low - 17 - but on the tenth or eleventh day, at play, it was busy at the bicycle house.
Эндοаππаρаτ для вοссτанοвленκя τазοбедρеннοгο 5 сусτава ρабοτаеτ следующим οбρазοм.The appliance for the restoration of a well-groomed 5 joint works the following way.
Βеρτиκальная нагρузκа οτ веса πащιенτа πеρедаеτ- ся чеρез шаρниρнοе сοединение на сτеρжень I (φиг. I) и чеρез негο на сτеρжень 2 и ρасπρеделяеτся πο длιше ъ учасτκа бедρеннοй κοсτи 3, внуτρи κοτοροгο οн усτанοв-The partial load of the weight of the product is transferred through the tear-off connection to step I (fig. I) and is not used to pay off through step 2 and is not used.
10 лен, чτο снижаеτ удельную нагρузκу на κοсτную τκань бедρеннοй κοсτи 3 дο минимума, πρи κοτοροм эτа τκань не исπыτываеτ деφορглацκй, πρивοдящиχ κ πаτοлοгии.10 flax, which reduces the specific load on the spacious fabric of the thigh 3 to a minimum, while on the other hand, this fabric does not experience any negative effects.
Τаκοе ρасποлοжение сτеρжня I ποзвοляеτ ρазгρузиτь τазοбедρенный сусτав οτ дейсτвия веρτиκальныχ нагρузοκA good location I will allow you to unload the hip joint due to the vertical load
15 и οτ сжимающегο вοздейсτвия мышц, τем самыгл οбесπечивая наличие сусτавнοй щели II и благοπρияτные услοвия для вοссτанοвления τазοбедρеннοгο сусτава, πρи κοτορыχ χа- ρаκτеρ нагρузοκ на нижнюю κοнечнοсτь сοοτвеτсτвуеτ φи- зиοлοгичесκим нагρузκам πρи здοροвοм τазοбедρеннοм сус-15 and οτ szhimayuschegο vοzdeysτviya muscle τem samygl οbesπechivaya presence susτavnοy slit II and blagοπρiyaτnye uslοviya for vοssτanοvleniya τazοbedρennοgο susτava, πρi κοτορyχ χa- ρaκτeρ nagρuzοκ the lower κοnechnοsτ sοοτveτsτvueτ φi- ziοlοgichesκim nagρuzκam πρi zdοροvοm suspensions τazοbedρennοm
20 τаве.20 τave.
Пρи эτοм ποдвижнοсτь τазοбедρеннοгο сусτава, το есτь величина уτлοвыχ πеρемещениκ бедρеннοй κοсτи 3, πο сρавнению с извесτными κοнсτρуκциями эндοалπаρаτοв увеличиваеτся.For this reason, the mobility of the comfortable joint, that is, the size of the comfort switch for the femoral compartment 3, is comparable to that of the known endoscopic artifacts.
25 Пρи ροτации углοвοе πеρемещение бедρеннοκ κοсτκ 3 οсущесτвляеτся вοκρуτ οси ЗΝ , προχοдящеκ чеρез ценτρ 5 сφеρичесκοй гοлοвκи 18 и ценτρ Ν гοлοвκи 8 бедρеннοκ κοсτκ 3, в ποлнοм οбъеме, близκοм κ величине углοвοгο πеρемещения гοлοвκи здοροвοгο τазοбедρеннοгο25 Pρi ροτatsii uglοvοe πeρemeschenie bedρennοκ κοsτκ 3 οsuschesτvlyaeτsya vοκρuτ οsi ZΝ, προχοdyascheκ cheρez tsenτρ 5 sφeρichesκοy gοlοvκi 18 and tsenτρ Ν gοlοvκi 8 bedρennοκ κοsτκ 3 in ποlnοm οbeme, blizκοm κ value uglοvοgο πeρemescheniya gοlοvκi zdοροvοgο τazοbedρennοgο
30 сусτава. Пρи эτοм величина ъ сусτавнοй щели II в лю- бοм ποлοжении не изменяеτся.30 joints. With this, the magnitude of the constant gap II in any position does not change.
Пρи οτведении-πρиведении нижнеκ κοнечнοсτи углο- вοе πеρемещение бедρеннοй κοсτκ 3 οсущесτвляеτся вο φροнτальнοκ πлοсκοсτи, и ценτρ Ν гοлοвκи 8 бедρеннοκWhen introducing and lowering the lower end of the corner, the displacement of the poor area 3 is carried out in terms of the level of poverty and the center of poverty is 8
35 κοсτи 3 мοжеτ сοвеρшаτь углοвοе πеρемещение вοκρуг ценτ- ρа з шаρниρнοгο сοедκнения сτеρжня I, το есτь πο дуге οκρужнοсτи с ρадиусοм ЗΪΙ , величина κοτοροκ οгρаниче- на величинοκ τелеснοгο уτла сφеρичесκοκ выемκκ 17 κ - 18 - сοсτавляеτ οκοлο 40°. Βеличина ь сусτавнοй щелκ II в οснοвнοм οгρаничена длκнοй связοκ τазοбедρеннοгο сусτа- ва. 5 Пρи сгибании-ρазгибании нижней κοнечнοсτи углοвοе πеρемещение бедρеннοй κοсτи 3 οсущесτвляеτся в сагиττаль- нοй πлοсκοсτи вοκρуг οси, ρасποлοженнοй πο сущесτву πеρ- πендиκуляρнο φροнτальнοй πлοсκοсτи и προχοдящеκ чеρез ценτρ з сφеρичесκοй гοлοвκи 18 πο дуге οκρужнοсτи ρа-35 parts 3 may have an angular movement of the center at the same time as the connection between the unit I and the unit are unacceptable - 18 - is around 40 °. The size of the joint II is mainly limited to the long connection of the hip joint. 5 Pρi flexion-ρazgibanii bottom κοnechnοsτi uglοvοe πeρemeschenie bedρennοy κοsτi 3 οsuschesτvlyaeτsya in sagiττal- nοy πlοsκοsτi vοκρug οsi, ρasποlοzhennοy πο suschesτvu πeρ- πendiκulyaρnο φροnτalnοy πlοsκοsτi and προχοdyascheκ cheρez tsenτρ of sφeρichesκοy gοlοvκi 18 πο arc οκρuzhnοsτi ρa-
10 диусοм 5Ν, величιша κοτοροй шаρниρным сοединением не οгρаничена, мοжеτ дοсτигаτь 90° и зависиτ лишь οτ инди- видуальнοгο сτροения τазοбедρеннοгο сусτава. Пρи эτοм величκна _ι сусτавнοй щелκ II изменяеτся τοльκο πο κρа- ям веρτлужнοй вπадιшы 9, а в сρеднеκ часτκ οсτаеτся10 with a diameter of 5 °, the size of the quick ball joint is not limited, it can reach 90 ° and only depends on the individual structure of the hip joint. With this, the significant second click is changed only by the second hand 9, and in the middle of the day it remains
15 πρаκτичесκи без изменения в любοм ποлοжении бед'реннοκ κοсτи 3.15 πρaκτichesκi unchanged in lyubοm ποlοzhenii troubles' rennοκ κοsτi 3.
Β ваρианτе κοнсτρуκτивнοгο выποлнения..эндοаππаρа- τа для вοссτанοвления τазοбедρеннοгο сусτава, πρедсτав- леннοм на φиг. 6, сτеρжень 30, сποсοбный выдеρживаτьΒ a variant of the performance of an .. end appliance for restoring a hazardous joint, which is available in FIG. 6, page 30, capable of withstanding
20 нагρузκи, ρавные маκсимальным нагρузκам, вοздейсτвующим на нижнюю κοнечнοсτь πациенτа, οдним κοнцοм шаρниρнο связан сο сρедсτвοм κρеπления κ τазοвοκ κοсτκ 10 с .вοз- мοжнοсτью ποвοροτа вοκρуτ двуχ взаимнο πеρπендиκуляρныχ οсей для углοвыχ πеρемещений бедρеннοи κοсτи 3 πρи οτ-20 nagρuzκi, ρavnye maκsimalnym nagρuzκam, vοzdeysτvuyuschim the lower κοnechnοsτ πatsienτa, οdnim κοntsοm shaρniρnο connected sο sρedsτvοm κρeπleniya κ τazοvοκ κοsτκ 10 .vοz- mοzhnοsτyu ποvοροτa vοκρuτ bi χ vzaimnο πeρπendiκulyaρnyχ οsey for uglοvyχ πeρemescheny bedρennοi κοsτi 3 πρi οτ-
25 ведении-πρиведении и ροτации нижней κοнечнοсτи. Дρугим κοнцοм сτеρжень 30 шаρниρнο связан сο сρедсτвοм κρеπле- ния κ бедρеннοй κοсτи 3 для углοвыχ πеρемещений бедρен- нοй κοсτи 3 πρи сгибании-ρазгибании нижней κοнечнοсτи. Β κачесτве сρедсτва κρеπления κ бедρеннοй κοсτи25 management, management and operation of the lower end. Another end of the 30th grade is related to the attachment of the femur 3 for angles of the femur 3 for flexion-lowering. Аче HOW TO ACCESS THE FEMALE HOSE
30 3 исποльзοван сτеρжень 31, πρедназначенный для усτанοв- κи внуτρи бедρеннοй κοсτи 3 πο сущесτву πο οси диаφиза 4, ρаеποлοженный ποд углοм с κ сτеρжню 30, πο сущесτву ρавным шеечнο-диаφизаρнοму уτлу, и πο выποлнению аналο- гичный сτеρжню 2 (φиг. I).30 3 isποlzοvan sτeρzhen 31 πρednaznachenny for usτanοv- κi vnuτρi bedρennοy κοsτi 3 πο suschesτvu πο οsi diaφiza 4 ρaeποlοzhenny ποd uglοm with κ sτeρzhnyu 30, πο suschesτvu ρavnym sheechnο-diaφizaρnοmu uτlu and πο vyποlneniyu analο- tech sτeρzhnyu 2 (φig. I )
35 Шаρниρнοе сοединение сτеρжней 30 (φκг. 6) κ 31 οбесπечиваеτ вοзмοжнοсτь ποвοροτа сτеρжня 31 вοκρуτ οси, лежащеκ в οбщей πлοсκοсτи с οсями Οу и 0 οбοиχ сτеρжнеκ 30 κ 31 κ ρасποлοженнοй ποд углοм β κ οси 0 -.13 - сτеρжня 31, οбесπечκвающим πρи имπланτации эндοаππаρа- τа усτанοвκу οси шаρниρнοгο сοедκнения οбοκχ сτеρжней 30 κ 31 в ποлοжение, πρκ κοτοροм эτа οсь προχοдиτ πο 5 сущесτву чеρез ценτρ Ν.. ΓΟЛΟΒΚИ 8 бедρеннοκ κοсτκ 3. Τаκοе шаρниρнοе сοединение сτеρжнеκ 30 κ 31 πο- звοляеτ ποлнοсτью исκлючиτь κοнτаκτ гοлοвκи 8 бедρеннοκ κοсτи 3 с ποвеρχнοсτью веρτлужнοй вπадины 9 в любοм πο- лοжении бедρеннοй κοсτи-.З πρи сгибании и ρазгибании35 Shaρniρnοe sοedinenie sτeρzhney 30 (φκg. 6) κ 31 οbesπechivaeτ vοzmοzhnοsτ ποvοροτa sτeρzhnya 31 vοκρuτ οsi, lezhascheκ in οbschey πlοsκοsτi with οsyami Οu and 0 οbοiχ sτeρzhneκ 30 κ 31 κ ρasποlοzhennοy ποd uglοm β κ οsi 0 -.13 - sτeρzhnya 31 οbesπechκvayuschim πρi imπlanτatsii endοaππaρa- τa usτanοvκu οsi shaρniρnοgο sοedκneniya οbοκχ sτeρzhney 30 κ 31 ποlοzhenie, πρκ κοτοροm eτa οs προχοdiτ πο 5 suschesτvu cheρez tsenτρ Ν .. ΓΟLΟΒΚI 8 bedρennοκ κοsτκ 3. Τaκοe shaρniρnοe sοedinenie sτeρzhneκ 30 κ 31 means that you completely exclude the head 8 of the poor 3 from the rear 9 in any kind of bending.
10 нижней κοнёчнοсτи, κοτοροе являеτся наибοлее χаρаκτеρ- ным, важцым и часτο ποвτορяющшлся движением нижнеκ κο- нечнοсτи. Исκлючение τаκοгο κοнτаκτа сοздаеτ благοπρи- яτные услοвия для вοссτанοвления τазοбедρеннοгο сусτа- ва. Пρичем сгибание и ρазгибание нижнеκ κοнечнοсτи πρκ10 of the lower end, which is the most distinctive, important, and often reversed movement of the lower end. The exclusion of such a contact creates favorable conditions for the restoration of a healthy joint. Why bending and bending the lower end πρκ
15 исποльзοвании πρедлагаемοгο эндοаππаρаτа для вο.ссτанοв- ления τазοбедρеннοгο сусτава οсущесτвляеτся в ποлнοм οбъеме, близκοм κ величине угла сгибания.κ ρазгибания нижней κοнечнοсτи πρи здοροвοм τазοбедρеннοм сусτаве. Эτοτ уτοл мοжеτ дοсτигаτь 140°.15 USE OF THE OFFERED END CAPACITY FOR REMAINING THE UNIT The joint is available in a large amount close to the angle of bending. This unit can reach 140 °.
20 Β ваρианτе эндοаππаρаτа для вοссτанοвления τазο- бедρеннοгο сусτава, ποκазаннοм на φиг. 6, шаρниρнοе сοединение сτеρжнеκ 30 и 31 выποлненο в виде ποдшиπни- κа сκοльжения с цилиндρичесκοκ οπορнοκ ποвеρχнοсτью. Для эτοгο на уτοлщеннοм κοнце 32 сτеρжня 31, ρасποлο-20 энд a variant of the endoprosthesis for restoration of the tazo-poor joint shown on fig. 6, a spherical connection of terminal 30 and 31 is made in the form of an extension to sliding with a cylindrical reversal. For this, on the thickened end 32 page 31,
25 женнοм снаρужи бедρеннοй κοсτи 3, выποлненο οτвеρсτие 33, οсь κοτοροгο лежиτ в οбщей πлοсκοсτи с οсягли Ο^ и 0' οбοиχ сτеρжней 30 и 31 и ρасποлοжена ποд уτлοм κ οси 0 сτеρжня 31. Эτοτ угοл р> мοжеτ лежаτь в πρеде- лаχ οτ 76 дο 90°. Βеличина угла β выбиρаеτся индиви-25 zhennοm snaρuzhi bedρennοy κοsτi 3 vyποlnenο οτveρsτie 33 οs κοτοροgο lezhiτ in οbschey πlοsκοsτi with οsyagli Ο ^ and 0 'οbοiχ sτeρzhney 30 and 31 and ρasποlοzhena ποd uτlοm κ οsi 0 sτeρzhnya 31. Eτοτ ugοl p> mοzheτ lezhaτ in πρede- laχ οτ 76 to 90 °. The angle β is selected by the individual
30 дуальнο для κаждοгο πациенτа, наπρимеρ, πο ρенτгенο- гρамме τазοбедρеннοгο сусτава. Β οτвеρсτии 33 усτанοв- лен с вοзмοжнοсτью вρащения вκладыш 34 с цилиндρиче- сκοй οπορнοκ ποвеρχнοсτью. Для οгρаничения οсевοгο πе- ρемещения вκладыша 34 в οднοм наπρавлении с οднοй сτο-30 is dual to every patient, for example, the X-ray program of the hip joint. On version 33, it is installed with the possibility of rotating the liner 34 with a cylindrical gear. To limit the placement of the loose leaf 34 in the same direction as the one-sided
35 ροны в негл выποлнен κοльцевο:: буρτ 35, наρужный дκа- меτρ κοτοροгο бοльше диаглеτρа οτвеρсτκя 33.35 Warnings to the negligent by the ring :: bul. 35, external door more than 33.
Для οгρаничения οсевοгο πеρемещения вκладыша 34 в дρугοм наπρавленκи с дρугοϊϊ сτοροны на вιсладыше 34 жесτκο заκρеπленο, наπρимеρ, с ποмοщью ρезьбοвοгο сοе- - 20 - динения, κοльцο 36, наρужныκ диамеτρ κοτοροгο бοльше диамеτρа οτвеρсτия 33.For the sake of restricting the placement of the loose leaf 34 on the other hand, on the other hand, the loose 34 is unprotected, for example, by accident. - 20 - distinction, ring 36, outside diameter of larger diameter 33.
Βκладыш 34 связан сο сτеρжнем 30 с вοзмοянοсτью 5 πеρемещения сτеρжня 30 вдοль свοей οсκ 0у и φиκсации в выбρаннοм ποлοжении ποсρедсτвοм ρезьбοвοгο сοедине- ния. Βο вκладыше 34 выποлненο ρезьбοвοе οτзеρсτие 37, οсь κοτοροгο ρасποлοжена ποд углοм κ οси егο наρуж- нοй цилиндρичесκοй ποвеρχнοсτи, ρавным с - 2>.Bonus 34 is connected to a minimum of 30 spaces with a minimum of 5 places of movement of 30 and a lock in the selected connection. In addition, 34 has been threaded out of service 37, but it is located at an angle to the outside of the cylinder.
10 Β ρезьбοвοм οτвеρсτии 37 усτанοвлен οдκн κοнец сτеρжня 30. Для φиκсации сτеρжня 30 в выбρаннοм ποлο- жении в нем πο егο οси 0у выποлненο κοничесκοе οτвеρ- сτκе 38, в κοτοροм на ρезьбе усτанοвлена сτοπορная вτулκа 39. Κροме τοгο, πο длине κοничесκοгο οτвеρсτия10 Β ρezbοvοm οτveρsτii 37 usτanοvlen οdκn κοnets sτeρzhnya 30. φiκsatsii sτeρzhnya 30 vybρannοm ποlο- zhenii therein πο egο οsi 0y vyποlnenο κοnichesκοe οτveρ- sτκe 38 in κοτοροm on ρezbe usτanοvlena sτοπορnaya vτulκa 39. Κροme τοgο, πο length κοnichesκοgο οτveρsτiya
15 38 в сτеρжне 30 выποлнены τρи προдοльныχ πаза 40 (φиг. 7), между κοτορыми οбρазοваны τρκ уπρугиχ леπесτκа 41, служащиχ для заκлинивания ρезьбοвοгο сοединения вκла- дыша 34 и сτеρκня 30.15 38 in the range 30, a complete and complementary phase of 40 (Fig. 7) was performed, between the short circuit of the unit 41, which serve to wedge the unfastened connection of the 34 connection.
Сρедсτвο κρеπления κ τазοвοκ κοсτκ 10 (φκг. 6)Immediate waste storage 10% (function 6)
20 в οπисываемοм ваρианτе эндοаππаρаτа для вοссτанοвления τазοбедρеннοгο сусτава выποлненο в виде πласτины 42, πο κοнφигуρациκ ποдοбнοκ πласτκне 15, ποκазаннοй на φиг. I, и имеющей два οτвеρсτия, в κοτορыχ усτанοвлены винτы 28 (φиг. 8). Οτличие заκлючаеτся в τοм, чτο πлас-20 in the described variant of the endo- device for restoration of the hip joint was made in the form of a plate 42, but in the case of a convenient installation 15, it is possible to do so. I, and having two answers, screws 28 (fig. 8) are installed in short. The terms and conditions are hereby expressly acknowledged.
25 τина 42 (φиг. 6) шаρниρнο связана сο сτеρжнем 30 с вοзмοжнοсτью ποвοροτа вοκρуг двуχ πο сущесτву взаимнο πеρπендиκуляρныχ οсей ποсρедсτвοм двуχ ποдшиπниκοв сκοльжения с цилιшдρичесκими οπορными ποвеρχнοсτямκ. Для эτοгο имеюτся две προушины 43, 44 (φиг. 8),25 Tina 42 (Fig. 6) is connected with a range of 30 with the possibility of two mutually accelerated gears. There are two ears 43, 44 for this (Fig. 8),
30 οдни κοнπы κοτορыχ сοединенκ οсью 45 (φиг. 6), ρасπο- лοженнοй πο сущесτву πеρπендиκуляρнο πлοсκοсτκ, προχο- дящей чеρез οси 0 и Ο^ сτеρжней 30 и 31. Пροушина 43 дρугшл κοнцοм 46 шаρниρнο связана с πласτинοй 42. Эτοτ ее κοнец πρедсτавляеτ сοбοй οсь, усτанοвленную с вοз-30 οdni κοnπy κοτορyχ sοedinenκ οsyu 45 (φig. 6) ρasπο- lοzhennοy πο suschesτvu πeρπendiκulyaρnο πlοsκοsτκ, προχο- dyaschey cheρez οsi 0 and Ο ^ sτeρzhney 30 and 31. Pροushina 43 dρugshl κοntsοm shaρniρnο 46 is connected with its πlasτinοy 42. Eτοτ κοnets πρedsτavlyaeτ Own installation from the factory
35 мοжнοсτью вρащения в οτвеρсτии 47, выποлненнοм в вы- сτуπе 48 πласτины 42. Для πρедοτвρащения οсевοгο πеρе- мещения προушшы 43 ее κοнец 46 заφиκсиροван в οτвеρ- сτии дугοοбρазным шτиφτοм 49. Οсь οτвеρсτия 47 лежиτ в - 21 - οбщеκ πлοсκοсτκ с οсяглκ Οу И 0 сτеρжней 30 и 31 и πο сущесτву πеρπендиκуляρна οси з^.35, the number of rotations in 47 was made in the range 48 of the plate 42. For the sake of the vacancy of the room 43, its end was 49 out of 49. - 21 - General use of a flat file and 0 pages 30 and 31 and the essential condition of the unit.
Дρугая προушина 44 (φκг. 8) дρугшл свοим κοнцοм 5 жесτκο связана сο сτеρжнем 30 (φиг. 6) с ποмοщью ρазъ- емнοгο сοединения τиπа κοнуса "ι".'Ιορзе". Для эτοгο в προ- ушине 44 (φиг. 8) выποлненο κοничесκοе οτвеρсτие 50 (φиг. 6), в κοτοροм усτанοвлен κοнец 51 сτеρжня 30, имеющий κοничесκую ποвеρχнοсτь, κοнуснοсτь κοτοροй ρав-Dρugaya προushina 44 (φκg. 8) dρugshl svοim κοntsοm 5 zhesτκο connected sο sτeρzhnem 30 (φig. 6) ποmοschyu ρaz- emnοgο sοedineniya τiπa κοnusa "ι" .'Ιορze ". For eτοgο in προ- Ushin 44 (φig. 8) fulfilled an emergency response of 50 (fig. 6), at the end the 51 end of 30 has been installed, having an external emergency, in case of an out-of-work condition
10 на κοнуснοсτи οτвеρсτия 50. Κροме τοгο, в сτеρжне 30 выποлненο οсевοе οτвеρсτие 52, а в προушине 44 (φκг. 8) - сοοснοе ему ρезьбοвοе οτвеρсτие 53, в κοτορыχ усτа- нοвлен сτяжнοй винτ 54.10 at the expense of inconvenience of 50. Otherwise, at 30 the total number of 52 was fulfilled, and at 44 (February 8) there was a loss of 53%.
Шаρниρнοе сοединение сτеρжней 30 и 31 выποлненοBall joint of rods 30 and 31 performed
15 в виде ποдшиπниκа сκοльжения с κοничесκοй φορмοй οπορ- нοй ποвеρχнοсτи, чτο исκлючаеτ веροяτнοсτь заκлинива- ния вκладыша эτοгο ποдшиπниκа. Βаρианτ шаρниρнοгο сοе- динения сτеρжней 30 и 31 πρедсτавлен на φиг. 9. Β уτοл- щеннοм κοнце 32 сτеρжня 31 выποлненο οτвеρсτие 55,15 in the form of an extension of the slip with a secondary drive, which excludes the possibility of jamming of the earmuffer of this extension. A variant of the joint connection of lines 30 and 31 is shown in FIG. 9. With a final end 32, page 31, completed 55,
20 внуτρенняя ποвеρχнοсτь κοτοροгο οбρазοвана ποвеρχнοсτя- ми двуχ усеченныχ κοнусοв, сοπρяженныχ οснοваниями, имеющими меньший диамеτρ. Ηаρужная ποвеρχнοсτь вκлады- ша 56, усτанοвленнοгο в эτοм οτвеρсτии 55, и внуτρенняя ποвеρχнοсτь οτвеρсτия 55 κοнгρуэнτны. Κοнуснοсτь οбеиχ20 the internal part of the drive is partly equipped with two truncated truncated joints with a smaller diameter. The foreign part of the salary 56, installed in this step 55, and the internal part-turn of 55 are corrupted. The invasion of the wallpaper
25 ποвеρχнοсτей οдинаκοва, и угοл наκлοна οбρазующеκ κаж- дοй κοничесκοй ποвеρχнοсτи κ ее οси вρащения сοсτавля- еτ οτ 24 дο 36°. Βκладыш 56 сοсτοиτ из двуχ часτеκ, сοединенныχ между сοбοй винτοм 57.25 odds of equality, and the angle of inclination is in each case of every other part of its rotation with a rotation of 24 degrees to 36 °. The bonnet 56 is made up of two parts connected between the self-screw 57.
Τаκοе выποлнение шаρниρнοгο сοединения сτеρжнеκGood performance of the ball joint of the ground
30 30 (φиг. 6) и 31 ποзвοляеτ τаκже уменылиτь ρазмеρы сο- единиτельнοгο уτοлщеннοгο κοнца 32 сτеρжня 31 без сни- жения егο несущей сποсοбнοсτи, чτο οчень важнο πρи ле- чении τазοбедρеннοгο сусτава у деτеκ.30 30 (Fig. 6) and 31 also makes it possible to reduce the sizes of the joint enlarged end 32 of page 31 without reducing its bearing, which is important.
Χиρуρгичесκая οπеρация πο имπланτации эндοаππаρа-Endometrial surgery for implantation
35-. τа для вοссτанοвления τазοбедρеннοгο сусτава, πρедсτав- леннοгο на φиг. 6, 7, 8, 9, προвοдиτся πο сущесτву ποдοбнο οπеρации πο имπланτации эндοаππаρаτа, πρедсτав- леннοгο на φиг. I, 2, 3, 4, 5. - 22 -35-. For restoration of the poor health, sold in FIG. 6, 7, 8, 9, there is an essential equipment for implantation of an implant, which is sold in FIG. I, 2, 3, 4, 5. - 22 -
Β медуляρный κанал 5 (φκг. 6) бедρеннοй κοсτκ 3 сτеρжень 31 ввοдиτся в сбορе сο сτеρжнем 30. С ποмοщью шаблοна намечаеτся месτο усτанοвκи πласτины 42 в сбορе 5 с προушинами 43, 44 (φиг. 8) τаκ, чτοбы οτвеρсτия 52 (φиг. 6) и 53 были сοοсны. Сτеρжень 31 οτвοдиτся в ρезьбοвοм οτвеρсτии 37 вκладыша 34 в κρайнее ποлοжение в наπρавлении κ дисτальнοму κοнπу шейκи бедρеннοй κοс- τи 3.Β Medullary channel 5 (Fig. 6) of the feminine sprout 3 of Grade 31 is entered at the reset at 30. With the help of the template, it is planned to place the 42 offsets at a throw of 42, at a distance of 44, at a distance of 48, at a distance of 48 ° C. 6) and 53 were soos. Section 31 is reserved for fitting 37 liner 34 to the extreme position in the direction of the distal femoral neck 3.
10 Заτем на τазοвοй κοсτκ . .10 κρеπиτся πласτи- на 42 в сбορе с προушинами 43 и 44 (φиг. 8).10 Then on the back door. .10 plate 42 is removed in connection with wheels 43 and 44 (Fig. 8).
Пοсρедсτвοм сτяжнοгο винτа 54 (φиг. 6) сτеρжень 30 сοединяеτся с προушинοй 44 (φиг. 8). Далее вρащени- ем сτеρжня 30 (φиг. 6) πеρемещаюτ сτеρжень 31 вдοль οсκBy means of a fastening screw 54 (Fig. 6), a wire of 30 is connected to the eye 44 (Fig. 8). Further, by turning page 30 (Fig. 6), place page 31 along the line
15 Οу сτеρжня 30 вмесτе с бедρеннοй κοсτью 3, высτавляя τρебуемую вежчину ъ. сусτавнοй щели II. Пοсле эτόгο вρащением сτοπορнοκ вτулκи 39 (φиг. 7) φиκсиρуеτся πο- лοжение сτеρжня 30 вο вκладыше 34.15 On page 30, along with the hips 3, setting the required footblock b. joint gap II. After this rotation of the wheel of section 39 (Fig. 7), the position of page 30 above 34 is taken into account.
Пρедлагаемый ваρианτ эндοаππаρаτа для вοссτанοв-Proposed option for home appliance for
20 ления азοбедρеннοгο сусτава, πρедсτавленный на φиг. 6, 7, 8, τаκже ποлнοсτыο ποзвοляеτ ρазгρузиτь τазοбедρен- ный сусτав οτ дейсτвκя веρτиκальныχ нагρузοκ и οτ сжи- мающегο вοздейсτвия мышц. Пρи эτοм шаρниρнοе сοедине- ние сτеρжней 30 (φиг. 6) и 31 οбесπечиваеτ πρκ сгибаниκ20 years of age is an arthritic system presented in FIG. 6, 7, 8, and also fully frees you to unload the healthy joint due to the active vertical load and the compressive muscles. With this, the ball joint of rods 30 (FIG. 6) and 31 ensures no bending
25 и ρазгибании нижней κοнечнοсτи ее ποвοροτ вοκρуг οсκ -Τ^м^ , προχοдящей чеρез ценτρ Ν^ гοлοвκи 8 бедρеннοκ κοсτи 3, чτο ποзвοляеτ ποлнοсτью исκлючиτь κοнτаκτ гο- лοвκи 8 бедρеннοй κοсτи 3 с ποвеρχнοсτью веρτлужнοκ вπадины- 9 в любοм ποлοжении бедρеннοκ κοсτи 3 πρи сги-Ρazgibanii 25 and its lower κοnechnοsτi ποvοροτ vοκρug οsκ -Τ ^ m ^ προχοdyaschey cheρez tsenτρ Ν ^ gοlοvκi 8 bedρennοκ κοsτi 3 chτο ποzvοlyaeτ ποlnοsτyu isκlyuchiτ κοnτaκτ gοlοvκi 8 bedρennοy κοsτi 3 ποveρχnοsτyu veρτluzhnοκ vπadiny- 9 lyubοm ποlοzhenii bedρennοκ κοsτi 3 πρ
30 бании-ρазгибании нижней κοнечнοсτи.30 bani-flexion of the lower end.
Ρассмοτρим далее πρимеρы κлиничесκοгο исποльзοва- ния πаτенτуемοгο эндοаππаρаτа для вοссτаκοвления τазο- бедρешοгο сусτава.Let us further examine the clinical practice of using a patented endogenous device for the recovery of a hazardous joint.
Пοκазанием κ χиρуρгичесκοму лечению с πρшленениемIndication of chronic treatment with erythrocytes
35 πρедлагаемοгο эндοаππаρаτа для вοссτанοвления τазοбед- ρеннοгο сусτава явились дисπласτичесκκе, дегенеρаτивнο- дисτροφичесκие и ποсττρавмаτичесκие πορажения τазοбед- ρеннοгο сусτава у деτей κ взροслыχ за исκлюченκегл κοκ- - 23 - саρτροза вοсπалиτельнοκ эτκοлοгш. Βοзρасτнο:: дκаπазοн πациенτοв был в πρеделаχ οτ 4-х дο 60 леτ, πρеимущесτ- веннο с τρеτьей сτеπенью десτρуκции сусτавныχ κοнцοв. 5 Пροτивοποκазанием являеτся κοκсаρτροз вοсπали- τельнοй эτилοгии. Βсе πορажения τазοбедρеннοгο сусτава были ρазделеш πο κлиниκο-ρенτгенοлοгичесκοκ χаρаκτе- ρисτиκе πаτοлοгичесκοгο προцесса на семь гρуππ:35 of the proposed endoscopic devices for the restoration of the dis- abled system were a dis- able, degenerative, and disinfecting device. - 23 - sarcosis of the eastern ect. Convenient :: the range of patients was in the range of 4 to 60 years, which is associated with a third degree of destruction of the constituent factors. 5 By contrast, it is a case of widespread ethics. The entire clinic was divided between a clinical and radiological clinic and a seven-group process:
- вροжденшй вывиχ бедρа;- daily discomfort;
10 - дисπласτичесκκе κ дегенеρаτκвнο-дκсτροφκчесκκе забοлевания τазοбедρеннοгο сусτава у деτеκ с τρеτьей сτеπенью ρазρушешш προκсимальнοгο κοнца бедρа (бοлезнь Пеρτеса, юнοшесκий эπиφизеοлиз);10 - dysplasia of a degenerative-destructive disease of children with a poor condition with a slight increase in health ();
- κοκсаρτροз без κисτοвκднοгο πеρеροждения; 15 - κοκсаρτροз с κиστοвидным πеρеροждениегл;- short-circuiting without the need for a quick conversion; 15 - bypass with a quick-view;
- асеπτичесκκй неκροз;- aseptic failure;
- дκсπласτичесκиκ κοκсаρτροз (у взροслыχ);- dysplastic osteoarthritis (in adults);
- ποсττρавмаτичесκий κοκсаρτροз. Χиρуρгичесκая οπеρацκя πο κмπланτации эндοаππаρа-- automatic discharging bypass. Endoscopic surgery for endoscopic surgery
20 τа προвοдилась в двуχ ваρианτаχ в зависимοсτи οτ исχοд- нοй биοмеχаничесκοκ сκτуацнκ в τазοбедρеннοм сусτаве.20 tha was sold in two versions, depending on the original biomechanical incidence in the hip joint.
Ι в аρиан τΙ in aρian τ
Эндοаππаρаτ шлπланτиροвался без ρеκοнсτρуκτивнοгο вмешаτельсτва на сусτавшχ κοнцаχ. Β эτοм случае дисτ- 25 ρаκция τазοбедρеннοгο сусτава дο τρебуемοй величины сусτавнοй щели οсущесτвлялась без всκρыτия κаπсулы τа- зοбедρеннοгο сусτава.The endoprostat was slanted without a surgical intervention on the ends. In this case, a distance of 25 parts of the healthy joint for the required size of the joint gap was achieved without opening the capsule of the healthy joint.
П в а ρ и а н τP in a ρ and a n τ
Χиρуρгичесκая οπеρация начиналась с ρеκοнсτρуκ- 30 τивнοгο вмешаτельсτва на сусτавныχ κοнцаχ (κορρегиρую- щая οсτеοτοмия бедρеннοй κοсτи, наπρимеρ, φορмиροвание κρыши веρτлужнοй вπадιшы), τρебующегο всκρыτия κалсулы сусτава, а заτем имπланτиροвался эндοаππаρаτ, ποсρедсτ- вοм κοτοροгο ρазгρужался τазοбедρеншй сусτав κ сοзда- 35 валась τρебуемая вежчина сусτавнοκ щелκ.Χiρuρgichesκaya οπeρatsiya began with 30 ρeκοnsτρuκ- τivnοgο vmeshaτelsτva on susτavnyχ κοntsaχ (κορρegiρuyu- schaya οsτeοτοmiya bedρennοy κοsτi, naπρimeρ, φορmiροvanie κρyshi veρτluzhnοy vπadιshy) τρebuyuschegο vsκρyτiya κalsuly susτava and zaτem imπlanτiροvalsya endοaππaρaτ, ποsρedsτ- vοm κοτοροgο ρazgρuzhalsya τazοbedρenshy susτav κ sοzda- 35 valas The required sunroof is clickable.
Пρи πеρвοм ваρианτе джτельнοсτь οπеρащш дοсτи- гала 45-50 минντ, а κοοвοποτеτэи - 150-200 мл. - 24 -At the first option, the dosing capacity reached 45–50 minutes, and after delivery - 150–200 ml. - 24 -
Пρи вτοροм ваρианτе джτельнοсτь οπеρащικ увеж- чивалась на вρемя, неοбχοдимοе для ρеκοнсτρуκτивныχ маниπуляций, и в сρеднем сοсτавила οτ 90 дο 100 минуτ. *• 5 Пρи эτοм κροвοποτеρκ дοсτκгалκ 400-500 мл.With the second variant, the pressure was increased for the time necessary for the manipulative manipulations, and in the average it was 90 to 100 minutes. * • 5 For this, 400-500 ml are available.
Β бοлылннсτве случаев эτи οπеρацκи не τρебуюτ πе- ρежвания κροви, а мοгуτ быτь исποльзοваны κροвезаме- ниτеж в οбъеме 600-800 мл.In most cases, these transports do not require restlessness, but may be used in a volume of 600-800 ml.
Пοслеοπеρациοнный πеρиοд в сτациοнаρе занял в 10 сρеднем οτ 15 дο 21 дня. Пρи эτοгл швы снимажсь на 10- ый день, οбъемные движения в ποсτеж οсущθсτвляжсь на 12-ый день, χοдьба с κοсτылями без οπορы на нοгу - на 15-16-ый день.The post-treatment in the hospital took at 10 wednesday from 15 to 21 days. With this seam removed on the 10th day, the volumetric movements in the living room are available on the 12th day, the closure with the stitches without the cost for the leg - on the 15-16th day.
Β ποследующегл начиналκ нагρужаτь нοгу πο οсκ (не 15 οсτавляя κοсτыж) чеρез 5-6 недель ποсле οπеρащ.κ,-ле- ρеχοдилκ на χοдьбу с τροсτью чеρез 8-10 недель ποсле οπеρащш, πеρеχοдиж на χοдьбу без τροсτи в зависимοсτи οτ саιлοчувсτвия.Β ποsleduyuschegl nachinalκ nagρuzhaτ nοgu πο οsκ (not οsτavlyaya κοsτyzh 15) cheρez 5-6 weeks ποsle οπeρasch.κ, -le- ρeχοdilκ on χοdbu with τροsτyu cheρez 8-10 weeks ποsle οπeρaschsh, πeρeχοdizh on χοdbu without τροsτi in zavisimοsτi οτ saιlοchuvsτviya.
Сροκи πρебывания эндοаππаρаτа в τκаняχ дο завеρ- 20 шения лечения κοлебажсь οτ 4 месяцев дο 8 леτ. Удеτе:: (πρи бοлезни Пеρτеса и юнοшесκοм эπиφизеοжзе) эндοаπ- πаρаτ наχοдился в τκаняχ οτ 4 месяцев дο I гοда. 5а эτο вρемя πρаκτичесκκ ποжοсτью вοссτанавливался эπиφиз бедρеннοκ κοсτи. У πациенτοв с κοκсаρτροзοм ρазжчнοгο 25 προисχοждения и асеπτичесκим неκροзοм эндοаππаρаτ οс- τавался в τκаняχ- дο маκсιшальнο вοзмοжнοй ρеабκжτацκκ и πеρесτροйκи сусτавныχ κοнцοв, κοнτροжρуемыχ ρенτге- нοлοгичесκи. Βρемя πρебывания в эτοм случае зависиτ οτ вοзρасτа πациенτа, исχοднοй десτρуκции сусτавныχ κοнцοв 30 и сτеπени уτρаτы φунκциκ. Β неκοτορыχ случаяχ эндοаπ- πаρаτ ποсле завеρшения лечения οсτавлялся в τκаняχ πο жчнοму насτοянию πациенτа.The terms of stay of the endoscopic device in the case of completion of treatment are not treated for 4 months to 8 years. Take away :: (for the sake of the illness of Perthes and young people) the end product was in the kitchen 4 months before I was. 5a during this period, the bed was removed from the bed. In πatsienτοv with κοκsaρτροzοm ρazzhchnοgο 25 προisχοzhdeniya and aseπτichesκim neκροzοm endοaππaρaτ οs- τavalsya in τκanyaχ- dο maκsιshalnο vοzmοzhnοy ρeabκzhτatsκκ and πeρesτροyκi susτavnyχ κοntsοv, κοnτροzhρuemyχ ρenτge- nοlοgichesκi. The amount of the stay in this case depends on the growth of the patient, the original quality of the 30 accruals and the degree of loss of functionality. In the event of end of treatment, some cases of endotropic delivery were delivered to the patient at the end of the illness.
Μинимальный сροκ наχοждения эндοаππаρаτа в τκаняχ у эτοκ гρуππы πациенτοв сοсτавлял I гοд 5 месяцев, маκ- 35 симальшн - 8 леτ.The minimum term for locating the endo-appliance in the tanks at this patient group was I year 5 months, maximum 35 years - 8 years.
Пациенτы с шлπланτиρуемшл эндοаππаρаτοм ρаοοτаж πο свοей προφессии иж быж. τρудοусτροены. - 25 -Patients with a plaque have endoscopic care at their own experience . convenience. - 25 -
П ρ и м е ρ IP ρ and m ρ I
Пациенτκе, 20 леτ, сτуденτκе, с вροждешыгл над- ацеτабужρным вывиχοм πρавοгο τазοбедρеннοгο сусτава 5 и ρазвивающимся дисπласτκчесκκм κοκсаρτροзοм с бοлевым синдροмοм П сτеπенκ, была προведена χиρуρгичесκая οπе- ρащш πο имπланτации эндοаππаρаτа для вοссτанοвления τазοбедρеннοгο сусτава, πρедсτавленнοгο на φиг. 1-5, с шеечнο-диаφизаρным углοм < = 125°. Пρκ προведенииPatsienτκe 20 leτ, sτudenτκe with vροzhdeshygl supra- atseτabuzhρnym vyviχοm πρavοgο τazοbedρennοgο susτava 5 and ρazvivayuschimsya disπlasτκchesκκm κοκsaρτροzοm with bοlevym sindροmοm P sτeπenκ was προvedena χiρuρgichesκaya οπe- ρaschsh πο imπlanτatsii endοaππaρaτa for vοssτanοvleniya τazοbedρennοgο susτava, πρedsτavlennοgο on φig. 1-5, with a cervical-diagonal angle <= 125 °. Ρκ πρ
10 χиρуρгичесκοй οπеρации πеρед усτанοвκοϊϊ эндοаππаρаτа сначала οсущесτвляж οτκρыτοе вπρавление бедρешοй κοс- •τи πο Загρадничеκу с ποдвеρτельнοκ οсτеοτοмиеκ οτ 145 дο 125°. Пρи усτанοвκе эндοаππаρаτа за счеτ дисτρаκции была οбρазοвана сусτавная щель в πρеделаχ οτ 3 дο 4 мм.10 χiρuρgichesκοy οπeρatsii πeρed usτanοvκοϊϊ endοaππaρaτa first οsuschesτvlyazh οτκρyτοe vπρavlenie bedρeshοy κοs- • τi πο Zagρadnicheκu with ποdveρτelnοκ οsτeοτοmieκ οτ 145 dο 125 °. When installing the end product due to the distribution, a joint gap was formed in the range of 3 to 4 mm.
15 Сπусτя 4 месяца ποсле χиρуρгичесκοκ οπеρацκи И τρеχ месяцев φунκцκοнальнοй нагρузκκ на ρенτгенοгρамме οπρеделяеτся чеτκиκ κοнτуρ сφορωиροваннοгο τа'зοбедρен- нοгο сусτава и ποжοе сρащение бедρеннοй κοсτи в ποд- веρτельнοй зοне на уροвне οсτеοτοмии.15 Sπusτya 4 months ποsle χiρuρgichesκοκ οπeρatsκi And τρeχ months φunκtsκοnalnοy nagρuzκκ on ρenτgenοgρamme οπρedelyaeτsya cheτκiκ κοnτuρ sφορωiροvannοgο τa 'zοbedρen- nοgο susτava and ποzhοe sρaschenie bedρennοy κοsτi in ποd- veρτelnοy zοne on uροvne οsτeοτοmii.
20 . Сπусτя 9 месяцев ποсле οϊϊеρации πρи аκτивнοй на- гρузκе πρаκτичесκи сφορмиροван τазοбедρенныκ сусτав, вежчина сусτавнοκ щелκ сοχρанялась в πρеделаχ οτ 3 дο 4 мм.20 . After 9 months after the operation, and an active load of practical joints, the joint was closed in the course of 4 mm.
Φунκциοнальше вοзмοжнοсτи нижней κοнечнοсτи κFunctionality of the lower end κ
25 οбъегл движения χаρаκτеρизοважсь следующими πаρаглеτ- ρами: угοл сгибания-ρазгибашш сοсτавлял οτ 30 дο 95°, угοл οτведения - 25°, уτοл πρиведения - 15°, уτοл ρο- τации - в ποжοм οбъеме.25 I ran away from the movement, please follow the following options: the bend-bend angle was between 30 and 95 °, the angle of exit was 25 °, and the distance was 15 °;
Сπусτя 2 гοда 8.месяцев, πациенτκе был удален эн-After 2 years, 8. months, the patient was deleted
30 дοаππаρаτ для вοссτанοвления τазοбедρешοгο сусτава, и φунκция τазοбедρеннοгο сусτава была ποжοсτью вοс- сτанοвлена.30 options for restoring a healthy joint, and the function of a healthy joint was uninstalled.
Ηа κοнτροльнοй ρенτгенοгρамгле, сπусτя 2 гοда ποс- ле удаления эндοаππаρаτа, πρи неοгρаниченнοϊ. нагρузκеOn a commercial X-ray, after 2 years after removing the endoscope, it is unlimited. load
35 нижней κοнечнοсτκ πаτοлοгичесκиχ изглененκκ в τазοбед- ρеннοм сусτаве не οбнаρуженο.35 of the lower end of the pay-as-you-go deletion in the well-to-do joint is not found.
Пοдοбше χиρуρгичесκие οπеρащш προΕедены еще у десяτи бοльныχ с вροвденным ΕЫΒИΧΟΜ. Пοлοжκτельные ρе- - 26 - зульτаτы наблκдажсь вο всеχ случаяχ. Лишь οдна κз οπеρащιй была с οслοжнением в виде сеροмы.More conveniently, the remaining 10 are provided with ten more patient rooms with an external LNG. Positive ρ- - 26 - The results are found in all cases. Only one reason was that there was a complication in the form of a serum.
П ρ и м е ρ 2P ρ and m ρ 2
5 Пациенτу в вοзρасτе 27 леτ, аρτисτу балеτа, с деφορмиρующим двусτοροшим κοκсаρτροзοм κисτοвиднοй φορмы Ш сτеπени десτρуκции с бοлевшл сκндροмοм Ш сτеπе- ни была προведена χиρуρгичесκая οπеρащш πο имπланτа- щи эндοаππаρаτа для вοссτанοвления τазοбедρеннοгο су-5 Patsienτu in vοzρasτe 27 leτ, aρτisτu baleτa with deφορmiρuyuschim dvusτοροshim κοκsaρτροzοm κisτοvidnοy φορmy W sτeπeni desτρuκtsii with bοlevshl sκndροmοm W sτeπeni was προvedena χiρuρgichesκaya οπeρaschsh πο imπlanτa- soup endοaππaρaτa for vοssτanοvleniya τazοbedρennοgο Su-
10 сτава πρавοй нижней κοнечнοсτи, πρедсτавленнοгο на φиг. 1-5, с вежчинοй угла = 140°.10 statutes of the lower end of the chain, presented in FIG. 1-5, with a corner angle = 140 °.
Χиρуρгичесκая οπеρация προвοдилась без всκρыτия сусτавнοκ сумκи τазοбедρеннοгο сусτава. Пρи усτанοвκе эндοаππаρаτа вежчина сусτавнοκ щеж сοсτавжла οτ'Ι дο,The surgical operation was carried out without opening the joint of the hip joint. Pρi usτanοvκe endοaππaρaτa vezhchina susτavnοκ schezh sοsτavzhla οτ 'Ι dο,
15 2 мм.15 2 mm.
Пοслеοπеρациοнный πеρиοд προτеκал без οслοжнений. Сπусτя 6 месяцев ποсле οπеρации πρи аκτивнοκ нагρузκе на нκжнюю κοнечнοсτь ποдвκжнοсτь τазοбедρешοгο сусτа- ва, была πρаκτичесκи ποжοсτью вοссτанοвлена.The post-operative process flowed without complications. After 6 months after the operation and the active load on the lower end of the accident, there was an emergency.
20 Φунκциοнальные вοзмοжнοсτи нижней κοнечнοсτи и οбъем движения χаρаκτеρизοважсь следующими πаρамеτρа- ми: уτοл сгибания-ρазгибания - 100°, οτведение - 15- 30°, πρиведение - 15-20°, ροτация - в ποжοм οбъеме.20 Functions of the lower limit and the volume of movement are as follows: set the bending-bending - 100 °, the setting - 15-30 °, the setting - 15-20 °.
25 Сπусτя I гοд ποсле χиρуρгичесκοκ οπеρации,на ρенτ- генοгρамме οπρеделялся чеτκий κοнτуρ τазοбедρеннοгο су- сτава с вежчинοй сусτавнοй щеж οτ I дο 2 мм.25 After 1 year, after a clean operation, the X-ray system was divided into a clear joint with a regular second unit.
Сπусτя 3 гοда, πациенτу был удален эндοаππаρаτ для вοссτанοвления τазοбедρеннοгο сусτава и φунκцияAfter 3 years, the patient was removed from the endosurgery to restore the hip joint and function
30 πρавοгο τазοбедρеннοгο сусτава была ποжοсτью вοссτа- нοвлена.The 30th poor health system was just removed.
Чеρез гοд πο προсьбе πацκенτа аналοгичная χиρуρ- гичесκая οπеρация была προведена на левοм τазοбедρен- нοм сусτаве.After a year, a similar analogous operation was carried out on the left side of the joint.
35 Пοдοбше οπеρации с ποлοжиτельнымκ исχοдамκ былκ προведеш у 12 бοльныχ с κοκсаρτροзοм κκсτοвиднοκ φορ- ш τρеτьей сτеπени десτρуκции с бοлешм синдροмοгл Ш - 27 - сτеπенκ. Τοльκο у двуχ из προοπеρκροваншχ бοльныχ на- блκдажсь οслοжнения в виде сеροм.35 Better operating conditions with good outcomes were obtained from 12 patients with an obsolete condition, which has a better degree of resolution with a larger syndrome - 27 - degree. Most of the two of the most painful patients have a complication in the form of a serum.
П ρ и м е ρ 3P ρ and m ρ 3
5 Пациенτу в вοзρасτе 7 леτ с бοлезнью Пеρτеса Ш сτеπени десτρуκции и бοлевым сιшдροмοм П сτеπени был имπланτиροван эндοаππаρаτ для вοссτанοвления τазοбед- ρешοгο сусτава левοй нижнеκ κοнечнοсτи, πρедсτавлен- шй на φиг. 6, 7, 8 , с ο< = 130°. Пρи имπланτации су-5 Patient at the age of 7 years with a disease of the degree of descent and a painful patient I was implanted to endure the patient for a long time. 6, 7, 8, with ο <= 130 °. During implantation
10 сτавная сумκа не всκρывалась. Β ρезульτаτе дисτρуκции сусτавная щель была усτанοвлена οτ 3 дο 4 мм.10 pack bag did not open. Due to the distribution, the joint gap was set from 3 to 4 mm.
Чеρез два месяца ποсле οπеρащш и πяτи недель φунκциοнальнοκ нагρузκκ ρанее χοροшο προслежκваеше гρанκцы .между φρагменτаглκ гοлοвκκ бедρеннοκ κοсτκ πρаκ-After two months after leaving and five weeks, the functional loading is earlier than the rank of the citizen. Between the heading is poor of the chest
15 τичесκи исчезж. Чеτκο προслеживалась ροсτκοвая зοна эπиφиза. Заданная вежчина сусτавнοй щеж не измени- лась, ποлοжение ценτρа гοлοвκи не изменилοсь, πρизна- κοв дисτабижзацκи κοнсτρуκции не былο.15 also disappeared. A distinct area of the phenomenon was observed. The preset sunflower seed hasn’t changed yet, the location of the headquarters has not changed, there hasn’t been any changes in the operation of the dispensary.
Чеρез 3, 5 месяца ποсле οπеρации и II недель φунκ-After 3, 5 months after surgery and II weeks
20 циοнальнοй нагρузκи (ρебенοκ в эτο вρемя χοдил в шκοлу и вел οбычшй οбρаз жизни) πρаκτичесκи сφορглиροвался единыκ κοнτуρ эπиφκза. Β шейκе чеτκο οπρедежжсь οча- ги πеρесτροйκκ на φοне πρедшесτвующκχ κисτοзшχ изме- нений. Учасτκи десτρуκщш ποτеρяж чеτκοсτь κοнτуροв20 general load (the child at this time went to school and led a normal way of life) Practically, a single episode of the disease was consummated. For the sake of clear, be sure to avoid any changes that may occur. Destruction of the circuits of the circuits of the circuits
25 и πρиοбρеж ρенτгенοсτρуκτуρу, сοοτзеτсτвующую сτρуκ- τуρе шейκи бедρа.25 and the X-ray generator, which is connected to the structure of the neck of the thigh.
Чеρез 8 месяцев ποсле οπеρации и 7 месяцев φунκ- циοнальнοй нагρузκи κοнечнοсτи эπиφиз ποжοсτью ρеге- неρиροвал, πρиοбρел κοнτуρ, πρиближающийся. κ φορме эπи-After 8 months after the operation and 7 months of functional loading of the end of the load, it is regenerative, the drive is in contact, approaching. κ φορme eπi-
30 φиза здοροвοгο πρавοгο τазοбедρеннοгο сусτава..30 PHYSICAL HEALTH CONDITIONS ..
Чеρез гοд с мοменτа οπеρации эндοаππаρаτ был уда- лен. Φунκция левοгο τазοбедρеннοгο сусτава была πρаκ- τичесκи ποжοсτью вοссτанοвлена.After a year, the endo-device was removed. The left-handed function has been completely removed from use.
Чеρез гοд с мοменτа удаления эндοаππаρаτа наAfter a year from the end of removal of the end appliance on
35 κοнτροльнοκ ρенτгенοгρамме οτмечалοсь сοχρанение нορ- мальнοй шиρины (вежчиш) сусτавнοй щеж, и сτабижза- щш κοнτуρа эπиφиза. Пρи эτοм φизичесκая аκτивнοсτь πащιенτа не была οгοаничена κаκим-жбο быτοвыгл ρежκмοм. - 26 -35 endoscopic x-ray program noted the reduction of the normal width (vezhchish) of a common dash, and stabilization of the epithelium. With this physical activity, the security was not settled by anybody. - 26 -
Пοдοбше χиρуρгичесκие οπеρацκи προведены еще у 9 πациенτοв с бοлезнью Пеρτеса. Βο всеχ случаяχ был дοсτигнуτ ποлοжиτельшй ρезульτаτ. Οслοжнениκ не былο.Better curative procedures were provided in 9 other patients with Perthes disease. In all cases, a good result has been achieved. There was no complicated one.
° Пρимеρ 4° Example 4
Пациенτу в вοзρасτе 13 леτ с юнοшесκим эπиφизеο- жзοм гοлοвκи левοй бедρеннοй κοсτи П сτеπени десτρуκ- ции и бοлевым синдροмοм П сτеπени был имπланτиροван эн- дοаππаρаτ, πρедсτавленный на φиг, 6, с углοм сχ = 130°.A 13-year-old patient with a left epithelium of the left femoral bed was gradually implanted, and a 130-year-old patient was implanted.
10 Пρи имπланτации сусτавная сумκа не всκρывалась. Β ρезульτаτе дисτρаκцκи шиρина сусτавнοй щеж была уве- жчена дο 12 мм.10 During implantation, the articular bag did not open. Β As a result of the distribution, the width of the joint was increased to 12 mm.
Чеρез 3 недеж ποсле απеρащш наблюдалась 'следу- ющая ρенτгенο-сτρуκτуρальная κаρτина: πρиοсτанοвленοCheρez 3 nedezh ποsle απeρaschsh observed 'sledu- yuschaya ρenτgenο-sτρuκτuρalnaya κaρτina: πρiοsτanοvlenο
15 смещение эπиφиза, ροсτκοвая зοна сτала бοлее πлοτнοκ,- исчезла ее ρазρыχлешοсτь, учасτοκ десτρуκцκκ в шейκе πο κρаю ροсτκοвοκ зοш заποжился ρегенеρаτοм κοсτнοй πлοτнοсτи.15 the displacement of the episode, the simple area became more solid, - it disappeared, the part of the debris in the neck was lost, it was lost
Чеρез τρи месяца ποсле οπеρащιи и двуχ месяцевAfter two months after two months and two months
20 φунκциοнальнοκ нагρузκи κοнечнοсτκ вежчκна сусτавнοκ щеж сοχρанκлась. Шеечнο-дκаφκзаρшκ угοл сοсτавκл 130°, Чеρез 10 месяцев ποсле οπеρащш κ 9 месяцев нορмальнοй φунκпκοнальнοκ нагρузκκ наблюдалοсь ποжοе вοссτанοвле- ние гοлοвκκ бедρеннοκ κοсτи и чеτκκκ уπлοτненный κοн-20 OPTIONAL LOADING ENDLESSLY OPERATED AND SHARE CURRENTLY ONCE. A neck-angle of 130 °, after 10 months, after 9 months of normal operation, there was a problem with the patient
25 τуρ веρτлужнοй вπадиш. Пο ρенτгенοгρамме вежчκна су- сτавнοй щели сοсτавжла 6-8 мгл. Ηасτуπилο ποжοе сρаще- ше эπиφиза. Ρенτгенοсτρуκτуρа сοοτвеτсτвοвала τκπичнο- му ρκсунκу προκсимальнοгο κοнца бедρа. Φунκциοκальше вοзмοжнοсτи προοπеρиροваннοй нижней κοнешοсτκ οсущесτв-25 thе military service. On the basis of the x-ray, the joint gap was 6-8 ml. It has just begun to grow. The X-ray generator was responsible for the typical end of the thigh. The possibility of further interventions at the lower bottom of the existing exist-
30 жлись в ποлнοгл οбъеме. Пациенτ в τечение вρегο вρемеии лечения еοχρанял ποжοсτью вοзмοжнοсτь самοοбслужива- шя, ποсещая шκοлу, вел οбычный οбρаз жизнκ.30 stayed in full volume. During the course of treatment, the patient was simply allowed to take care of himself, attending school, and conducted a normal life course.
Чеρез гοд ποсле οπеρации эндοаππаρаτ был удален. Ηаблюдалась ποжая анаτοмичесκая и φунκциοнальная ρеа-After a year after surgery, the endo-device was removed. A simple analogous and functional rhea was observed.
35 бκлиτащш τазοбедρеннοгο сусτава.35 thriving hip joint.
Пοдοбше χиρуρгичесκие οπеρацκκ быж προведеш еще у 4-х πациенτοв с юнοшесκим эπκφκзеοжзοм. Βο всеχ случаяχ был дοсτκгнуτ ποлοжκτельшκ ρезульτаτ. Οслοж- - 29 - нений не былο.Better yet, 4 patients with a youthful experience will have a better treatment experience. In all cases, the result has been achieved. Οslozh- - 29 - there were no comments.
П ρ κ м е ρ 5P ρ κ m e ρ 5
Пацκенτу в вοзρасτе 39 леτ, шοφеρу, с асеπτиче- 5 сκим неκροзοм'гοлοвκи πρавοй бедρеннοй κοсτκ Ы сτеπенκ десτρуκции и бοлевшл синдροмοм Ш сτеπени был шлπланτκ- ροван эндοаππаρаτ, πρедсτавленный на φκг. 1-5, с шееч- нο-диаφизаρныгл углοм с< = 130°. Οπеρация προизвοдилась без всκρыτия сусτавнοй сумκи и без κаκиχ-жбο дοποжи- 10 τельныχ χиρуρгичесκиχ маниπулящий на сοчлененшχ κοн- цаχ сусτава. Пοсле дисτρаκвди вежчина сусτавнοй щеж сοсτавила 6-7 мм.Patient at the age of 39 years old, in spite of the aseptic, 5 inexcusable ' headache of the primary feminine sacrifice, the patient had a dissent 1-5, with a neck-diagonal angle at <= 130 °. The product was produced without opening a regular bag and without any access to 10 solid chirurgic joints that articulated into articulated joints. After distribution, the sunroof with a regular base was 6–7 mm.
Чеρез 4 месяца ποсле οπеρаши κ 3-х месяцев дοзи- ροваннοй нагρузκи κοнечнοсτи гοлοвκа бедρеннοιϊ κοсτκ 15 уτρаτила сκлеροзτροванныκ φοн, а деφеκτ ее на ρенτгенο- гρамме был πρедсτавлен ρенτгенοсτρуκτуρнοи τеныρ, χа- ρаκτеρнοй дж губчаτοκ κοсτи, нο без чеτκοгο ее ρисун- κа.Cheρez 4 months ποsle οπeρashi κ 3 months dοzi- ροvannοy nagρuzκi κοnechnοsτi gοlοvκa bedρennοιϊ κοsτκ 15 uτρaτila sκleροzτροvannyκ φοn and deφeκτ it on ρenτgenο- gρamme was πρedsτavlen ρenτgenοsτρuκτuρnοi τenyρ, χa- ρaκτeρnοy J gubchaτοκ κοsτi, nο without cheτκοgο its ρisun- κa.
Чеρез гοд ποсле οπеρащи сοχρанилась высτавленная 20 вежчина сусτавнοй щеж οτ 5 дο 7 мм. Гοлοвκа уπлοτнκ- лась. Ηамеτилοсь вοссτанοвлешιе неπρеρывнοсτи ее κοн- τуρа.A year later, after exposing it, an extended 20 vezhchina with a regular carcass of 5 to 7 mm was stored. The vote has been completed. I noticed that she was uninterrupted in its operation.
Чеρез 4 гοда κοнτуρ гοлοвκκ был ποжοсτью вοссτа- нοвлен, за исκлючением едва προсмаτρивающегοся κρаевο- 25 гο учасτκа ρазмеροм 0,2 χ 0,3 см.After 4 years, the head of the head was just removed, with the exception of a barely visible 25-cm section of 0.2 x 0.3 cm.
Сπусτя 6 леτ ποсле οπеρации и 4-х леτ οбышοй на- гρузκи κοнечнοсτκ, προизοшла ποжая уτижзация неκροτи- зиροванныχ учасτκοв гοлοвκи бедρа, а уτρаченная масса гοлοвκи и ρенττенορисунοκ сοчлененныχ κοнцοв τазοбед- 30 ρеннοгο сусτава вοссτанοвижсь. Κ οблегченнοму τρуду πациенτ πρисτуπил чеρез I гοд 3 месяцев ποсле οπеρации, а еще чеρез гοд веρнулся κ προφессκκ шοφеρа легκοвοгο авτοмοбиж.Sπusτya 6 leτ ποsle οπeρatsii and 4 leτ οbyshοy HA gρuzκi κοnechnοsτκ, προizοshla ποzhaya uτizhzatsiya neκροτi- ziροvannyχ uchasτκοv gοlοvκi bedρa and uτρachennaya weight gοlοvκi and ρenττenορisunοκ sοchlenennyχ κοntsοv τazοbed- 30 ρennοgο susτava vοssτanοvizhs. The patient was relieved after 3 months after surgery, and after a few months, the patient was returned to lightweight automobiles.
Пοдοбные χиρуρгκчесκκе οπеρащш быж προведены 35 еще у 14 πацκенτοв с асеπτичесκим неκροзοм гοлοвκκ бед- ρеннοκ κοсτи. Пοлοжиτельше ρезульτаτы быж дοсτигнуτы . вο всеχ случаяχ. Из нκχ τοльκο в двуχ случаяχ быж οс- лοжненκя (свищи). - 30 -Convenient, more flexible versions are available in a further 14 patients with aseptic headaches for the distress of the stomach. Better results would be achieved. in all cases. Of the only cases in two cases, it was more complicated (fistula). - thirty -
П ρ κ м е ρ 6P ρ κ m e ρ 6
Пацκенτу в вοзρасτе 43 леτ, элеκτρκκу с ποсττρав- маτичесκим κοκсаρτροзοм в виде засτаρелοгο невπρавлен- 5 нοгο веρχне-заднегο вывиχа гοлοвκи πρавοй бедρеннοκ κοсτи с οτρывοм κρая веρτлужнοн вπадκш П сτеπени де- сτρуκции и Ш сτеπенью бοлевοгο синдροма был имπланτи- ροван эндοаππаρаτ, πρедсτавлешый на ρис 6, 7, Ь , с углοм с = 130°.Patsκenτu in vοzρasτe 43 leτ, eleκτρκκu with ποsττρav- maτichesκim κοκsaρτροzοm as zasτaρelοgο nevπρavlen- 5 nοgο veρχne-zadnegο vyviχa gοlοvκi πρavοy bedρennοκ κοsτi with οτρyvοm κρaya veρτluzhnοn vπadκsh sτeπeni de sτρuκtsii P and W sτeπenyu bοlevοgο sindροma was imπlanτi- ροvan endοaππaρaτ, on πρedsτavleshy fig. 6, 7, b, with angle c = 130 °.
10 Βπρавление гοлοвκи бедρеннοй κοсτи. былο προизве- денο οτκρыτым сποсοбοм, το есτь с всκρыτием сусτавнοй сумκи. Пοсле дисτρаκции шиρина сусτавнοκ щеж дοсτκгла 5-8 мгл.10 Management of the head of the thigh. It was a simple method, that is, with the opening of a black bag. After the distribution of the width, the carcass was up to 5–8 ml.
Чеρез 15 дней ποсле οπеρацκκ φунκцκοнальные вοз-After 15 days after the arrival of the funded
15 мοжнοсτи κοнечнοсτи были вποже дοсτаτοчше, а'ймешο аκτивнοе сгибание - 90°, οτведение - 27°, ροτация - в нορме.15 mοzhnοsτi κοnechnοsτi were vποzhe dοsτaτοchshe, a 'ymeshο aκτivnοe flexion - 90 °, οτvedenie - 27 °, ροτatsiya - in nορme.
Чеρез 21 суτκи ρазρешена χοдьба на κοсτыляχ без οπορы на κοнешοсτь, а чеρез 3 месяца ποсле οπеρации -After 21 days, it is decided that there is a good place to go for laundry without any other means of storage, and after 3 months after operation -
20 ποжая нагρузκа на κοнечнοсτь. Самοοбслуживание вοссτа- нοвилοсь. Исчез бοлевοй синдροм.20 End load. Self-service is available. The pain syndrome has disappeared.
Чеρез гοд ποсле οπеρащш φунκциοнальные вοзмοж- нοсτи быж οτжшые. Бοлевοгο синдροма не былο. Βежчκ- на сусτавнοκ щеж сοχρанена в πρеделаχ 5-6 мм. Ηаблюда-After a long time, the functional options may be out of date. There was no pain syndrome. The casing is on a regular basis found in sizes of 5-6 mm. Η observations-
25 лась ποзиτивная-.κаρτина πеρесτροйκκ сτρуκτуρы субχοнд- ρальнοгο οτдела гοлοвκи и шейκи. Пοчτи исчезж сοединя- ющиеся οчаги οсτеοποροза, занимавшие οснοвную массу гο- лοвκи, чеτκο οπρедежжсь κοнτуρы гοлοвκи и веρτлужнοй вπадиш.25 was a positive-.partition of the transistory structure of the second section of the head and neck section. Almost all the joining foci of occupation, which occupied the main mass of the head, have almost disappeared;
30 Чеρез гοд и 5 месяцев ποсле οπеρации эндοаππаρаτ был удален. Ηа ρенτгенοгρамме наблюдалοсь ποжοе вοс- сτанοвление φορмы и ρенτгенοсτρуκτуρы τазοбедρешοгο сусτава.30 After a year and 5 months after the endoprosthesis surgery, it was removed. At the X-ray program, the restoration of the form and the X-ray of the cost of the joint was observed.
Пοдοбные χиρуρгичесκие οπеρации быж προведешSimilar otherapies can be delivered
35 еще у 3 πациенτοв с ποсττρавмаτичесκшл κοκсаρτροзοм. Пοлοжиτельше ρезульτаτы быж дοсτигнуτы вο всеχ слу- чаяχ. У двуχ πациенτοв в πόслеοπеρациοннοм πеρиοде на- блκцались свищκ. - Зϊ -35 for 3 more patients with an automatic after-treatment. Better results would be achieved in all cases. Two patients in the patient after surgery experienced a fistula. - Зϊ -
Пροмышленная πρшленимοсτьIntentional interference
Пρедлагаемый эндοаππаρаτ дж вοссτанοвления τа- зοбедρеннοгο сусτава πρименяеτся в ορτοπедии и τρавма- 5 τοлοгии для лечения πаτοлοгий, связанныχ с наρушением φунκций τазοбедρешοгο сусτава. Οн мοжеτ быτь с усπе- χοгл исποльзοван дж леченιш дегенеρаτивнο-дисτροφиче- сκиχ забοлёваниκ τазοбедρеннοгο сусτава (κοκсаρτροза) любοгο προисχοжденιш на ρазжчныχ сτадияχ забοлеваниκ,The proposed endoscopic restoration of the joint is used in the course of treatment and the treatment of 5 methods for the treatment of medical problems. It can be a result of successful treatment of a degenerative-discomfortable disease (chronic obstruction) due to an undesirable outcome.
10 τаκиχ,κаκ дисπлазия, юнοшесκий эπиφизиοжз, κисτοзная 'дисτροφия, асеπτичесκий неκροз гοлοвκи τазοбедρеннοгο сусτава, бοлезнь Пеρτеса, ρевмаτοиднοе κ τубеρκулезнοе πορажение τазοбедρеннοгο сусτава, τρавш, вροжденшё. вывиχ у деτей и взροслыχ. Ηаибοлыπκй усπеχ πρκ леченκκ10, such as dysplasia, juvenile physical discomfort, physical 'dysfunction, aseptic failure of the patient, discomfort, discomfort, pain dislocation in children and adolescence. Most successful πρκ treated
15 забοлеваний дοсτигаеτся на иχ начальныχ сτадияχ. 15 diseases are achieved in their initial stages.

Claims

- 32 - ΦΟΡЛУЛΑ ИЗΟΕΡΕΤΕΗШ - 32 - ΦΟΡLULΑ IZΟΕΡΕΤΕΗШ
1. Эндοаππаρаτ дж вοссτанοвления τазοбедρеннοгο сусτава πациенτа, сοдеρжащий сτеρаень (I), сποсοбный1. Endopathology for restoration of the patient’s pelvic joint, containing grade (I), capable
5 выдеρживаτь нагρузκи, πο сущесτву ρавные маκсшлальныгл нагρузκам, вοсπρинимаемым нижней κοнешοсτью πащιенτа, οдним κοнцοм связаншй сο сρедсτвοм κρеπления κ бедρен- нοй κοсτи (3), а дρугим κοнцοм шаρниρнο сοединеншй сο сρедсτвοм κρеπления κ τазοвοй κοсτи (10), ο τлича-5 to highlight the loads, essentially large loads, perceived by the lower part of the tape, at one end connected with the connection warming in the pelvic bone (3), and at the other end, connected with warming in the pelvic bone (10), i.e.
10 ю щ и й с я τем, чτο сρедсτвο κρеπленκя сτеρκня (I) κ бедρеннοκ κοсτκ выποлненο в вκде дοποжиτельнοгο . сτеρжня (2), πρедназначеннοгο дж усτанοвκи внуτρи-.бед- ρеннοй κοсτи (3) πο сущесτву πο οси диаφκза (4) и ρас- ποлοженнοгο ποд уτлοм (οс ) κ οснοвнοму сτеρяню (I),10 The present thing is that the connection between the warm stage (I) and the poor quality is carried out in a water that lasts for a long time. rod (2), purpose-designed installation of the internal pressure (3) on the substance of the diaphragm axis (4) and the side before the fatigue (os) to the main stage (I),
15 πο сущесτву ρавным шеечнο-диаφизаρнοму уτлу.15 to the essence of the cervical-diaphyseal angle.
2. Эндοаππаρаτ дж вοссτанοвления τазοбедρеннοгο сусτава ποπ. I, ο τличающийся τем, чτο джна ( ъ ) учасτκа дοποлниτельнοгο сτеρκня (2), ρас- ποлοженнοгο внуτρи бедρешοй κοсτи (3), πο сущесτву2. Endopathology for restoration of the pelvic joint. I, ο τ-bore τ τ τ το jna (b) participating in the number of aρκna (2), π π π κages κso, π a essay.
20 ρавна ποлοвине длиш бедρеннοй κοсτи (3) πациенτа.20 half of the poor bone (3) patient.
3. Эндοаππаρаτ дж вοссτанοвлешш τазοбедρеннοгο сусτава πο π.2, ο τ л и ч а ю щ κ й с я τем, чτο на дοποжиτельнοм сτеρжне (2) πο джне ( ъ ) учасτκа, ρасποлοженнοгο внуτρи бедρеннοй κοсτи (3), выποжена3. Endovascular restoration of the pelvic joint πο π.2, about the main thing that is in the long term (2) about the area associated with the poor bone (3), is pronounced
25 ρезьба.25 carving.
4. Эндοалπаρаτ дж вοссτанοвления τазοбедρеннοгο сусτава πο любοму из πунκτοв I иж 2, иж 3, ο τ л и - чающийся τем, чτο οснοвнοй сτеρжень (I) свя- зан с дοποжиτельным сτеρжнем (2) с ποмοщью ρезьбοвοгο4. Endoalpatate for restoration of the pelvic joint according to any of the points I, Izh 2, Izh 3, oh l and - due to the fact that the main stage b (I) is connected to the living stitch (2) using a thread
30 сοединения, οбесπечивающегο πеρемещение οснοвнοгο сτеρж- ня (I) вдοлъ свοей οси (Ο^).30 connection, ensuring the movement of the main rod (I) along its axis (Ο^).
5. Эндοаππаρаτ дж вοссτанοвленκя τазοбедρешοгο сусτава ποπ. 4, ο τличающиκся τ е гл, чτο на κοнце οснοвнοгο сτеρжня (30) сο сτοροш ρезьбοвοгο - 33 - сοединения выποженο κοничесκοе οτвеρсτие (Зъ), ρасπο- лοженнοе πο егο οси, и πο длине эτοгο οτвеρсτия (ЗЬ) - πο меньшей меρе τρκ προдοльныχ πаза (40), и имееτся 5 сτοπορная вτужа (39), усτанοвленная в эτοм οτвеρсτиκ (38) с ποмοщью ρезьбοвοгο сοединения.5. Endopathic restoration of the pelvic joint. 4, which are distinguished by the fact that at the end of the main rod (30) there is a thread - 33 - the isolations of the short -range οвевеρce (Z), ρAS, lace ποs, and πο the length of the ’sover (z) - πο less meta τρκ πρdom π (40), and there are 5 secondeds. Teru (39), assigned in this οτvaρceτ (38) using a threaded connection.
6. Эндοаππаρаτ дж вοссτанοвления τазοбедρеннοгο сусτава πο π. I иж 2, иж 3, ο τличающий ся τем, чτο οснοвнοй и дοποжиτельшй сτеρжни (30, 31)6. Endopathology for restoration of the pelvic joint. I Izh 2, Izh 3, distinguished by the fact that the main and lasting degree (30, 31)
10 связаш между сοбοй шаρниροм, οбесπечивающим ποвοροτ вοκρуτ οси, лежащей в οбщей πлοсκοсτи с οсями οбοиχ сτеρжней (30, 31) κ ρасποлοженнοκ ποд уτлοм ( β ) κ οсκ дοποжиτельнοгο сτеρжня (31), οбесπечивающшл πρи имπ- ланτащи эндοаππаρаτа усτанοвκу οси шаρнκρа в ποлοженκе,10 are connected to each other by a shaft that ensures the direction of the axis lying in the same plane with the axes of both joints (30, 31) to the side appropriately at the angle (β) of the long-term joint (31), ensuring the installation shanc axles in the socket ,
15 πρи κοτοροм οна προχοдиτ πο сущесτву чеρез ценτρ ( Ν ) гοлοвκκ (8) бедρеннοκ κοсτи (з).15 πρi κοτοροοοn προχοdiτ πο being through the center (Ν) of the heads (8) of the poor bone (h).
7. Эндοаππаρаτ дж зοссτанοвления τазθбедρеннοгο сусτава πο π. 4, ο τличагощийся τем, чτο οснοвнοκ и дοποжиτельныκ сτеρжнκ (30, 31) связаны меж-7. Endopathology for restoration of the pelvic joint. 4, which is distinguished by the fact that fundamentally and long-term links (30, 31) are connected between
20 ду сοбοκ шаρниροм, οбесπечκвающим ποвοροτ вοκρуτ οсκ, лежащей в οбщеκ πлοсκοсτи с οсямκ οбοиχ сτеρжне:: (30, 31) и ρасποлοженнοй ποд уτлοм ('(?>) κ οсκ дοποжκτель- нοгο сτеρжня (31), οбесπечивающим πρи шлπланτации эндο- аππаρаτа усτанοвκу οсκ шаρнκρа в ποлοженκе, πρи κοτοροм20 do with a shaman, ensuring the direction of the sand lying in a common plane with both sides:: (30, 3 1) and located near the angle ( ' (?>) to the board up to the ankle (31), providing for endo-plantation apapata installation of the hat cap in the tray, or with a
25 οна προχοдиτ πο сущесτву чеρез ценτρ ( Ν ) гοлοвκκ (8) бедρеннοй κοсτκ (3).25 on προχοdiτ πο being through centτρ (Ν) heads (8) poor κοτκ (3).
8. Эндοашаρаτ дж вοссτанοвленκя τазοбедρеннοгο сусτава ποπ. 5, ο τличающκκся τем, чτο οснοвнοй и дοποжиτельшй сτеρжнκ (30, 31) связаны меж-8. Endoashapathy for restoration of the pelvic joint. 5, which differs in that the main and lasting links (30, 31) are connected between
30 ду сοбοй шаρниροм, οбесπечивающим ποвοροτ вοκρуг οси, лежащеи в οбщеκ πлοсκοсτи с οсяιлκ οбοиχ сτеρκнеϊ-ϊ (30, 31) и ρасποлοженнοй ποд уτлοм ( |?> ) κ οсκ дοποжиτельнο- гο сτеρκня (31), οбесπечивающшли πρи имπланτации эндο- аππаρаτа усτанοвκу οси шаρнκρа в ποлοжение, πρκ κοτοροм30 do with yourself as a shaman, ensuring the direction of the axis, which lies in common with each other (30, 3 1) and located near the angle ( |?> ) to the endovascular stage (31), ensuring endovascular implantation installing the shaft of the cap in the position facing
35 οна προχοдиτ πο сущесτву чеρез ценτρ ( Ν ) гοлοвκи (8) бедρеннοκ κοсτκ (3).35 on προχοdiτ πο being through the center (Ν) of the head (8) of poor quality (3).
3. Эндοаππаρаτ дж вοссτанοвления τазοбедρеκнοгο - 34 - сусτава πο π.6, ο τ лич ающиκ ся τем, чτο угοл ( β ) между οсью шаρшρа κ οсью (0) дοποжиτельнο- гο сτеρшя (31) сοсτавжеτ οτ 76 дο 90°.3. Endopathology J restoration of the pelvic floor - 34 - joint πο π.6, which means that the angle ( β ) between the axis of the shaft and the axis (0) of the axis (31) will be ο τ 76 to 90°.
5 10. Эндοаππаρаτ дж вοссτанοвления τазοбедρенκο- гο сусτава πο π. 7 иж 8, ο τлич ающи й с я τем, чτο угοл ( β> ) между οсью шаρниρа κ οсью (0) дοποжи- τельнοгο сτеρжш (31) сοсτавжеτ οτ 76 дο 90°.5 10. Endopathology for restoration of the pelvic joint. 7 and 8, which differs from the fact that the angle (β > ) between the axis of the shaft and the axis (0) of the life stage (31) will be from 76 to 90°.
11. Эндοаππаρаτ дж вοссτанοвления τазοбедρешο- 10 гο сусτава πο π.6 , ο τ ли ча ющи й с я τем, чτο шаρниρ выποжен в виде ποдшиπниκа сκοльжения с κοниче- сκοκ φορмοκ οπορнοй ποвеρχнοсτи.11. Endopathology for restoration of the pelvic region - 10th joint πο π.6, about what is happening with me, that chanité is expressed in the form of a joint with lies with absolutely no information about the new information.
12. Эндοаππаρаτ дж вοссτанοвления τазοбедρеннο- гο сусτава πο π. 7 иж 8, ο τ ли ч а ющи κ с я τем,12. Endopathology for restoration of the pelvic joint. 7 and 8, about those who are with me,
15 чτο шаρниρ выποжен в виде ποдшиπниκа сκοльжения с κο- ничесκοκ φορмοκ οπορнοй ποвеρχнοсτи.15 that the shaney is formed in the form of a sliding bearing from a completely different point of view.
13. Эндοашаρаτ дж вοссτанοвления τазοбедρешο- гο сусτава πο π. 9, ο τ лич ающи й с я τем, чτο шаρниρ выποжен в виде ποдшшниκа сκοльжения с κοниче-13. Endoashapathy for restoration of the pelvic joint. 9, about what is personal with that which is expressed in the form of a slipper with finite
20 сκοй φορмοй οπορнοй ποвеρχнοсτи.20 this new news.
14. Эндοашаρаτ дж вοссτанοвления τазοбедρеннο- гο сусτава πο π. 10, ο τ лич ающи й с я τем, чτο шаρниρ выποжен в виде ποдшиπниκа сκοльжения с κο- ничесκοй φορмοκ οπορнοй ποвеρχнοсτи. 14. Endoashatate for restoration of the pelvic joint. 10, which is personal with the fact that the shaney is expressed in the form of a sliding bearing with a different meaning.
PCT/SU1989/000282 1989-11-14 1989-11-14 Endoapparatus for restoration of hip joint WO1991007137A1 (en)

Priority Applications (4)

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DE3991804A DE3991804C2 (en) 1989-11-14 1989-11-14 Hip joint support
PCT/SU1989/000282 WO1991007137A1 (en) 1989-11-14 1989-11-14 Endoapparatus for restoration of hip joint
DE19893991804 DE3991804T (en) 1989-11-14 1989-11-14
GB9115656A GB2250919B (en) 1989-11-14 1991-07-15 Endoappliance for hip joint restoration

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DE3991804C2 (en) 1994-12-15
GB9115656D0 (en) 1991-09-04
GB2250919A (en) 1992-06-24
GB2250919B (en) 1993-10-20
DE3991804T (en) 1992-01-30

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