Skip to main content

1990DudkoGE

 

Our translation of the patent for invention: Dudko GE. Method of endoprosthetics of proximal end of femur SU1551366 (1990). The original in Russian is available at the link: 1990ДудкоГЕ.

 

SU1551366A1 USSR
Inventor: Gennady Evtikhievich Dudko
Worldwide applications 1986 SU
Application SU864139860A events:
1986-10-29 Application filed by Dudko Gennadij E
1986-10-29 Priority to SU864139860A
1990-03-23 Application granted
1990-03-23 Publication of SU1551366A1
Status:  Expired – Lifetime 

 

Method of endoprosthetics of proximal end of femur

Gennady Evtikhievich Dudko

 

Abstract

Изобретение относится к медицине, а именно к ортопедии и травматологии, и используется при эндопротезировании проксимального конца бедренной кости. С целью профилактики смещения головки протеза и обеспечения движения в раннем послеоперационном периоде производят резекцию измененной части бедренной кости, устанавливают полимер-титановый эндопротез, формируют каналы в области дна вертлужной впадины, в головке и шейке эндопротеза, в большом вертеле, проводят через них ленту и фиксируют ее концы.

 

Description

In the lateral position, the hip joint area is opened. The proximal end of the femur is exposed. The head of the femur with the remains of the neck is removed. A bed for the endoprosthesis is formed in the medullary cavity of the femur. Two holes are made with an awl in the subtrochanteric region of the femur for the artificial tape. The polymer-titanium prosthesis is installed by inserting the endoprosthesis stem into the medullary cavity of the femur until it stops in the intertrochanteric region. The remains of the round ligament are removed in the area of ​​the bottom of the acetabulum. A channel with a diameter of 6-8 mm is formed at the place of its attachment with a drill, through which the end of the tape with a dumbbell-shaped stop is inserted into the pelvic cavity. The tape is pulled by the ends and it is made sure that the dumbbell-shaped stop rests against the bottom of the acetabulum. The free ends of the tape are passed through a pre-formed Y-shaped channel in the head and neck of the endoprosthesis and the corresponding holes in the greater trochanter using a wire loop. The head of the endoprosthesis is adjusted into the acetabulum, the hip is bent to an angle of 90° and moved outward as much as possible, the tape is pulled by the ends and tied or sutured in the subtrochanteric region. The damaged structures are sutured layer by layer: the joint capsule, muscles, fascia, subcutaneous tissue and skin. The limb is placed on an orthopedic pillow in a mid-physiological position. Movements in the joint are developed from the second day. After 5-7 days, patients learn to walk on crutches without support on the operated limb.

Example. Patient O., a pensioner, was hospitalized for a closed fracture of the right femoral neck. X-ray showed a subcapital fracture of the right femoral neck with displacement. He was treated with skeletal traction for 5 weeks. The treatment was ineffective. An endoprosthetic replacement surgery was performed using the traditional technique with a polymer-titanium endoprosthesis with the formation of a ligament between the head of the prosthesis and the bottom of the acetabulum using the described technique. The postoperative period was uneventful. Movements in the hip joint began on the second day, on the fifth day he was raised on crutches without support on the operated leg. The stitches were removed on the 12th day. He was examined two years later: he walks freely, over long distances without a cane. He fully cares for himself. There is no shortening of the limb. Range of motion in the operated joint: flexion 80°, extension 175°, abduction 35°, outward rotation 35°, inward rotation - 15°. Control radiographs of the right hip joint show no signs of arthrosis, the endoprosthesis stem is in the bone marrow cavity, oriented toward the center of the acetabulum. There are no signs of osteoporosis or subluxation. Five people were operated on using this technique with good results.

Thus, the proposed method prevents displacement of the endoprosthesis head during unipolar endoprosthetics and ensures patient activation in the early postoperative period.

 

Claims

A method for endoprosthetic replacement of the proximal end of the femur by resecting the altered portion of the femur with subsequent installation of an endoprosthesis, characterized in that, in order to prevent displacement of the head of the prosthesis and ensure movement in the early postoperative period, channels are formed in the area of ​​the bottom of the acetabulum, in the head and neck of the endoprosthesis, a tape is passed through them and its ends are fixed.

Non-Patent Citations

Каплан А. В. Травматология пожилого возраста. М.: Медицина, 1977, с. 222-235.

 


External links

Дудко ГЕ. Способ эндопротезирования проксимального конца бедра. SU1551366А1, от 29 октября 1986. Бюл. №11, 23.031990. patents.su

Dudko GE. Method of endoprosthetics of proximal end of femur (Способ эндопротезирования проксимального конца бедра) SU1551366A1 October 29, 1986. 1990. patents.googleEN , patents.googleRU


Authors & Affiliations

Gennady Evtikhievich Dudko (1938-2024), traumatologist-orthopedist, professor, Chernivtsi, Ukraine bsmu.edu.ua


Keywords

ligamentum capitis femoris, ligamentum teres, ligament of head of femur, endoprosthesis, prosthesis, invention, unipolar, subtotal


                                                                    

NB! Fair practice / use: copied for the purposes of criticism, review, comment, research and private study in accordance with Copyright Laws of the US: 17 U.S.C. §107; Copyright Law of the EU: Dir. 2001/29/EC, art.5/3a,d; Copyright Law of the RU: ГК РФ ст.1274/1.1-2,7


ENDOPROSTHESES AND IMPLANTS


Labels:

Comments

Post a Comment

Popular posts from this blog

18c.JoubertJ

  Joubert J, painting – Jacob's struggle with God in the form of an angel (17-18th cent.).  Depicting the circumstances and mechanism of the ligamentum capitis femoris (LCF) injury based on the description in the Book of Genesis: 25 And Ja cob was left alone; and there wrestled a man with him until the breaking of the day.  26 And when he saw that he could not pre vail against him, he struck against the hollow of his thigh ; and the hollow of Jacob's thigh was put out of joint, as he was wrestling with him. … 33 Therefore do the children of Israel not eat the sinew which shrank, which is upon the hollow of the thigh, unto this day; because he struck against the hollow of Jacob's thigh on the sinew that shrank.  ( 1922LeeserI , Genesis (Bereshit) 32:25-26,33) More about the plot in our work:  Ninth month, eleventh day  ( 2024АрхиповСВ. Девятый месяц, одиннадцатый день ). Jean Joubert –  Jacob's struggle with God in the form of an angel  (17-18th ce...
Post a Comment
Read more

MEDICAL RECORD. Notes

  Book manuscript: Arkhipov S.V. Medical Record: The Contribution of a Middle Bronze Age Egyptian Physician to the Book of Genesis. Kyrö: Author’s Edition, 2026. – 312 pp. – 2 tables. – Bibliographical references: 856 entries.  play.google.com , books.google.com NB! Notes CONTENT [i] Notes [ii] About the Book and Author [iii] Navigation [ iv] Application [i] Notes · Kyrö is an idyllic settlement situated in the upper reaches of the Finnish Aurochs River (the Tarvasjoki). · The bibliographic referencing system has been adapted by the author. In-text citations emphasize the publication date and the senior author, who typically acts as the principal investigator of the research team. The end-of-text references are based on the international APA (American Psychological Association) citation style and are tailored to reduce character count. This approach curtails typesetting costs, limits publication space requirements, and decreases paper and toner consumption during pri...
Post a Comment
Read more

MEDICAL RECORD. Title and contents

  Book manuscript: Arkhipov S.V. Medical Record: The Contribution of a Middle Bronze Age Egyptian Physician to the Book of Genesis. Kyrö : Author’s Edition, 2026. – 312 pp. – 2 tables. – Bibliographical references: 856 entries.  Google Books ID: GGKEY:5GXG1LS275N ,  play.google.com , books.google.com Title,  Abstract and  Contents  CONTENT [i] Abstract [ii] Dedication [iii] Book Covers and Title [iv] Table of Contents [v] Application [i] ABSTRACT Before you is the final medical record compiled by the author over a professional career as an orthopaedic surgeon. This work outlines information regarding a patient who sustained a hip joint injury in the Middle Bronze Age. The source material is extracted from the Book of Genesis and cross-referenced with facts from history, archaeology, natural science, and medicine past and present.  Along the way, it is demonstrated that the protograph was composed in Ancient Egypt during the Second Intermediate P...
Post a Comment
Read more

MEDICAL RECORD. Chapter 1

  Book manuscript: Arkhipov S.V. Medical Record: The Contribution of a Middle Bronze Age Egyptian Physician to the Book of Genesis. Kyrö: Author’s Edition, 2026. – 312 pp. – 2 tables. – Bibliographical references: 856 entries.  play.google.com , books.google.com Introduction Chapter 1 Preamble to the Medical Record CONTENT [i] Text [ii] Navigation [iii] Application [i] Text A unique feature of the Book of Genesis is the abundance of information regarding human physiology and ancient medicine. A striking example is the detailed description in the 32nd chapter of a hip joint injury and its consequences. This knowledge, seamlessly woven into the narrative, is as old as the literary monument itself. How long ago it was composed remains not definitively known, but according to the currently dominant view, it dates back to the late 6th or 5th century BCE (2017OliverS). With the intention of clarifying the aforementioned question and for dating the natural-scientific facts con...
Post a Comment
Read more

MYTHS AND MISCONCEPTIONS

  MYTHS AND MISCONCEPTIONS ( Erroneous and folkloric beliefs, folk and traditional stories...)  LCF in English Bibles   The first written mention of the LCF in humans is found in the  ancient Hebrew book – Bereshit (Genesis). In English translations of the Bible, LCF is denoted by various terms, often not explicitly referring to the «ligament».  The Shortest Comments on Genesis, Chap. XXXII-XXXIII  In the selected excerpt, the symptoms, mechanism, and differential diagnostic test for the injury to LCF are provided, along with details about the circumstances, time, and place of the biblical trauma.  1609-1583bcProtoBereshit  Hypothesis: in the work of fiction, an unknown physician-encyclopedist for the first time pointed out damage to the LCF as a cause of gait disturbance.  922-722bcElohist  A variant of the oldest description of damage to the LCF and the cause of lameness in Hebrew, dating from 922-722 BC.  8cent.bcHomer   The...
Post a Comment
Read more

Human Children. Retelling of Chapter 5

  Short retelling of chapter 5 of the essay: Arkhipov S.V. Human Children: The Origins of Biblical Legends from a Physician's Perspective. Joensuu: Author's Edition, 2025. [In Russian]  Chapter 5.  ADAM AND EVE The Book of Genesis narrates the story of a tribe founded by Adam and Eve, described as the "mother of all living." From a genetic perspective, they are depicted as siblings, with an age difference of 18–25 years. According to the biblical epic, they formed humanity’s first family, sustaining themselves on pre-existing fruits and seeds. Their initial home was the "garden in Eden," located "in the east" relative to the narrator. The text identifies geographic markers for Eden’s location: lands like "Asshur," "Cush," and "Havilah," and rivers named "Pishon," "Gihon," "Hiddekel," and "Phrath." The narrator also notes the region’s economic value, mentioning "gold," ...
Post a Comment
Read more

MEDICAL RECORD. Chapter 9

  Book manuscript: Arkhipov S.V. Medical Record: The Contribution of a Middle Bronze Age Egyptian Physician to the Book o f Genesis. Kyrö: Author’s Edition, 2026. – 312 pp. – 2 tables. – Bibliographical references: 856 entries.  play.google.com , books.google.com Life History Chapter 9 Epidemiological and Sanitary-Hygienic HISTORY CONTENT [i]   Epidemiological History [ii] Sanitary-Hygienic History [iii] Navigation [ iv] Application [i] Epidemiological History     In general, Jacob's epidemiological history should be characterized as "unremarkable". No mass infection or deaths are described in his immediate environment. Our attention was drawn only to the account of the consecutive deaths of two young men. First, Jacob's grandson Er, the firstborn son of Judah, died (Gen. 38:6–7). Shortly thereafter, the younger brother of the deceased, Onan, passed away (Gen. 38:8, 10). No symptoms of disease are indicated for the deceased, nor is there any information r...
Post a Comment
Read more

Dating and authorship of the Book of Genesis

  An original perspective on the dating and authorship of the Book of Genesis. This approach can reconcile all faiths, including atheists and scientists. English version of the article: https://roundligament.blogspot.com/2026/02/great-compilation-introduction.html   Abstract The Book of Genesis (Bereshith) was composed in Egypt during the 17th century BCE and reached its definitive protographic form following the Minoan eruption of Thera. This study argues that the work was the result of a collaboration between an Egyptian polymath and a distinguished scribe of Asiatic descent. By analyzing ancient texts, anatomical descriptions, archaeological data, Bronze Age cultural history, and climatic markers, this article demonstrates that the book emerged from the work of a high-ranking socio-political committee within the Egyptian House of Life. We argue that the inclusion of precise anatomical data, such as the ligamentum capitis femoris, serves as a diagnostic marker of this Egypti...
Post a Comment
Read more

The First Conservative Treatment

  Conservative treatment of ligamentum capitis femoris (LCF) pathology is, without exaggeration, a highly complex subject. We understand how to repair LCF surgically, although we have not yet achieved significant success in this (2024). Methods of drug therapy for changes in LCF are not even discussed today. The first attempt at treating post-traumatic changes in LCF with recurrent hip dislocations was made by Galen of Pergamon (129-210/217 AD) over 19 centuries ago. In Hippocratis de articulis liber et Galeni in eum commentarius quatus (IV, 40) , he wrote: « And when mucus builds up in the joint, then the ligament [LCF] softens and weakens as a result. And it does not matter whether you call it a ligament ( σύνδεσμον ) or a connecting sinew ( νεῦρον συνδετικόν ). For those ligaments that have a rounded shape like tendons are usually called connecting sinews by anatomists. And we have already cured this kind of hip dislocation twice, and it did not dislocate again. Drying medica...
Post a Comment
Read more

LCF in 2025 (May)

  LCF in 2025 (May): Quotes from articles and books published in May 2025 mentioning the ligamentum capitis femoris. Teytelbaum, D. E., Bijanki, V., Samuel, S. P., Silva, S., Israel, H., & van Bosse, H. J. Does Open Reduction of Arthrogrypotic Hips Cause Stiffness?. Journal of Pediatric Orthopaedics , 10-1097. DOI: 10.1097/BPO.0000000000002940  [i]   journals.lww.com   SANTORI, N., & TECCE, S. M. (2025). FUTURE DIRECTIONS IN ARTHROSCOPY FOR HIP TRAUMA. Advancements of Hip Arthroscopy in Trauma , 136-143.  [ii]   books.google   RANDELLI, F. (2025). ARTHROSCOPIC FREE-BODY REMOVAL AFTER DISLOCATION OR AFTER BULLET/BOMB. Advancements of Hip Arthroscopy in Trauma , 1-11.  [iii]   books.google   APRATO, A. (2025). ARTHROSCOPIC TECHNIQUES FOR FEMORAL HEAD FRACTURE REDUCTION AND FIXATION. Advancements of Hip Arthroscopy in Trauma , 38.  [iv]   books.google   Brinkman, J. C., & Hartigan, D. E. (2025). Indications f...
Post a Comment
Read more