METHOD FOR RESTORING FIRST lateral ligament of the metacarpophalangeal joints of the hands

摘要

A method of recovering the lateral ligaments of the first metacarpophalangeal wrist joint, comprising the removal of lateral displacement of the first finger, transarticular fixing spokes made provisions mobilization of the injured ligament formation of bone channel and suturing, characterized in that the thin drill is formed on one transverse channel in the diaphysis main first phalanx and the metacarpal bones of the damaged joint in thickness of the capsule is formed a longitudinal bore with a diameter corresponding to the cross section is used transpl antata, tendon autograft, twice the length of the injured lateral ligament, reinforced with strong thread, one end thereof is temporarily secured in the bone canal to the primary phalanx of a finger, the other, free end, successively passed through a longitudinal bore in the thickness of the capsule and through the transverse channel of the first metacarpal forming part chreskapsulnuyu bundles is carried out in the reverse direction along the side surface metacarpophalangeal joint forming part vnekapsulnuyu ligament chreskapsulnoy parallel parts, yield no pull the graft over both ends without impairing the longitudinal rods, the ends using reinforcing yarns, tie a knot in the bone canal proximal phalanx between formed chreskapsulnoy and vnekapsulnoy parts binder applied nodal joints spoke fixing metacarpophalangeal joint Reserved 4 weeks.