Volkov M V, Oganesian O V
Vestn Ross Akad Med Nauk. 1992(5):52-6.
The device described presents an external hinge which is fixed by transosseous wires and reproduces as far as possible the normal kinematics of the joint. By removing all load from the joint surfaces and maintaining a constant predetermined space between them, the apparatus eliminates friction, prevents pain and muscle spasm, and minimizes abnormal mobility (or instability). It also permits gradual and controlled reduction of old traumatic or congenital dislocations or contractures. Once the bones are in proper relationship, the apparatus permits graduated, controlled, nearly frictionless motion about the correct axis so that a good range of motion is restored and joint surfaces of the proper shape are formed. Finally, ununited fractures close to the joint surface may be immobilized while joint motion is permitted. Experience gained with the apparatus has shown that the method described is physiological and not difficult, complications associated with its use being rare and not serious. The good results obtained with the use of the apparatus warrant its wider application.
所描述的装置有一个通过穿骨钢丝固定的外部铰链，尽可能重现关节的正常运动学。通过消除关节表面的所有负荷并在它们之间保持恒定的预定间隙，该装置消除了摩擦，防止了疼痛和肌肉痉挛，并将异常活动度（或不稳定）降至最低。它还允许逐步且可控地复位陈旧性创伤性或先天性脱位或挛缩。一旦骨骼处于正确的关系，该装置允许围绕正确轴线进行分级、可控且几乎无摩擦的运动，从而恢复良好的活动范围并形成形状合适的关节表面。最后，靠近关节表面的未愈合骨折在允许关节活动的同时可以被固定。使用该装置获得的经验表明，所描述的方法是符合生理的且并不困难，与其使用相关的并发症很少且不严重。使用该装置所取得的良好效果证明其值得更广泛地应用。
