METHOD OF TREATMENT chronic supraspinatus tendon DAMAGE AND DEVICE FOR ITS IMPLEMENTATION

摘要

FIELD: medicine.;SUBSTANCE: invention refers to medicine, namely to traumatology and orthopaedics for treating old injuries of supraspinatus tendon. The method involves approaching a shoulder joint, detecting a tendon defect, mobilising a distal end of the tendon, forming parallel canals in a greater tubercle of humeri. A cone-shaped deepening is formed in a place of sclerous insertion ground of the greater tubercle. After fixing sutures are delivered through bone canals on a humeral periosteum, a device for treating old injuries of supraspinatus tendon. The device comprises a handle connected to a rectangular plate curved after an outer surface of the humerus with through holes for sutures, screws and nails. Cone-shaped pins are placed in the corners of the plate. The fixing sutures are delivered into the holes of the plate temporary fixed by means of the handle and cone-shaped pins within an exit of the fixing sutures to be tightened. The plate is raised slightly and reduced along a slope of the greater tubercle with pulling the fixing sutures up optimally to achieve an immersion of the distal end of the supraspinatus tendon into the cone-shaped deepening. The plate is temporary fixed with the nails, and then the conically threaded screws The temporary fixing elements and handle are removed, and the wound is closed in layers.;EFFECT: method and device enable reducing the length and invasiveness of the surgical intervention; reducing a length of the rehabilitation stage of treatment, minimising a probability non-union of the tendon and bone, providing an abduction contracture of the shoulder joint and recurrent shoulder dislocation.;2 cl, 1 ex, 8 dwg