Deszczyński J, Karpiński J, Deszczyńska H, Karpińska G
Oddziału Chirurgii Urazowo-Ortopedycznej Szpitala Czerniakowskiego, Warszawie.
Wiad Lek. 1993 Nov;46(21-22):837-41.
The structure of the distracting-compressing stabilizers Dynastab DK intended for functional treatment of transarticular fractures is described. The stabilizers realize the idea of functional treatment of fractures outside the hospital bed making possible free moving around of the patient during the treatment. This has been made possible owing to building-in of a mechanical articulation imitating the physiological movement in the injured joint. The articulation in the stabilizer reduces also the load on the joint. In the stabilizers for the treatment of such fractures of the elbow joint and ankle joint the articulations are monoaxial (hinge-like). In the stabilizer for the treatment of the radiocarpal joint this is a hinge articulation making possible flexion in sagittal plane. In the stabilizer for knee fractures the movements in the injured joint are taken over by a mechanical articulation of special structure. The distracting-compressing action of the Dynastab DK stabilizers for the treatment of transarticular fractures is realized by the tension screw mechanism e.g. in the stabilizer for the treatment of knee joint fractures. In the case of stabilizers for ankle joint, radiocarpal joint and elbow joint this tension is provided by calibrated compressing springs.
描述了用于经关节骨折功能治疗的撑开-压缩稳定器Dynastab DK的结构。这些稳定器实现了在病床外进行骨折功能治疗的理念,使患者在治疗期间能够自由活动。这之所以成为可能,是因为内置了模仿受伤关节生理运动的机械关节。稳定器中的关节还减轻了关节的负荷。在用于治疗肘关节和踝关节此类骨折的稳定器中,关节是单轴的(类似铰链)。在用于治疗桡腕关节的稳定器中,这是一个铰链关节,可在矢状面内实现屈曲。在用于膝关节骨折的稳定器中,受伤关节的运动由特殊结构的机械关节接管。Dynastab DK稳定器用于治疗经关节骨折的撑开-压缩作用通过张力螺钉机构实现,例如在用于治疗膝关节骨折的稳定器中。对于踝关节、桡腕关节和肘关节的稳定器,这种张力由校准的压缩弹簧提供。