Cuenca-Guerra R, Lozano GMA

Language: Spanish
References: 15
Page: 40-45
PDF size: 92.56 Kb.

ABSTRACT

Rigid joints, caused by congenital, traumatic pathologies, having evolved over a long time, have always been a complex problem to correct. Because of this, a semicircular distractor was designed to elongate the osteoarticular and soft tissues in the same direction of the mobility arch of the joint. Two patients, with ankilosant pathologies in one joint, were chosen with more than 90º flexion. We placed the semicircular distractor with a close technique, and in a 45 to 60 days period a significative gain was obtained in the capacity to extend the corresponding joints, reaching a total 160º angle. Both these patients, with complementary rehabilitation exercises, achieved an almost complete extension of the affected extremity. The semicircular distractor is useful and offers as its main advantage the realization of a closed technique for the placement and articular elongation in the same direction of the mobility arch, as well as a conservative elongation of internal structures such as vessels, nerves, tendons and muscles.

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