Method for treating the valgus deformation of the femur proximal part

Inventia se refera la medicina, in special la traumatologie si ortopedie si poate fi aplicata pentru tratamentul deformatiei de valgus a portiunii proximale a femurului la copii. Esenta inventiei consta in aceea ca se efectueaza in perioada preoperatorie examenul roentgenologic pentru stabilirea unghiului dintre colul femural si diafiza lui, apoi se stabileste unghiul necesar pentru inlaturarea deformatiei. Se efectueaza o incizie a pielii de 2...3 cm pe partea laterala a coapsei, se indeparteaza muschii pana la os, in regiunea intertrohanderica se inlatura periostul si cu ajutorul osteotomului se efectueaza osteotomia cuneiforma transversala a 2/3 din diametrul osului femural cu baza indreptata spre partea laterala a osului femural, dupa care se efectueaza manipulatii de formare a unghiului necesar dintre colul femural si diafiza lui pana la inlaturarea deformatiei. In defectul osteotomic se introduce un auto- sau alotransplant osos pregatit. Osul se fixeaza din partea laterala cu ajutorul unei placi indoite sub unghiul format si se fixeaza cu ajutorul unor suruburi de colul femural si de diafiza lui, apoi plaga se sutureaza pe straturi. The invention relates to medicine, in particular traumatology and orthopedics and can be used for the treatment of valgus deformation of the femur proximal part in children.Summary of the invention consists in that it is carried out in the preoperative period the radiologic investigation to determine the angle between the femoral neck and its diaphysis, then it is determined the required angle to eliminate the deformation. It is performed an incision of the skin of 2...3 cm on the lateral part of the thigh, there are moved aside the muscles to the bone, in the intertrochanteric region is removed the periosteum and by means of osteotome is performed the transverse wedge osteotomy of 2/3 of the femur diameter with the base directed toward the lateral side of the femur, then there are performed manipulations of the formation of the required angle between the femoral neck and its diaphysis up to the removal of deformation. In the osteotomic defect is introduced a prepared bone auto- or alograft. The bone is fixed on the lateral side by means of a plate bent at the formed angle and is fixed with the help of screws to the femoral neck and to its diaphysis, and then the wound is sutured in layers.