FIELD: medicine, traumatology. SUBSTANCE: the present method deals with restoring costal carcass. At medial level of thoracic wall defect along intercostal area one should dissect cutaneous-fascial-muscular layers by extrapleurally opening defect's edges and free costal ends. Out of above- and underlying neighboring ribs one should take halved periosteal-osseous autotransplants upon periosteal pedicles due to longitudinal incisions. Autotransplants applied onto benched planes are fixed with transcostal dacron sutures. Such thoracoplasty is indicated in anterior-lateral thoracic departments at the most active movements. In lateral and posterior-lateral thoracic departments halved periosteal-osseous autotrasplants are installed vertically, then their ends are fixed to donor ribs. Out of free costal ends facing the defect one should take additional periosteal-osseous transplants the ends of which are treated in benched nature to be fixed to vertical halved autotransplants and donor rib with perosseous sutures. And at oblique-vertical installation of halved periosteal-osseous autotransplants they should be fixed to donor ribs and adjacent free costal ends both at the top and at the bottom of the defect. After that, out of costal ends along defect's edges one should take periosteal-osseous additional autotransplants, replace and fix them to oblique-vertical autotransplants, and outside - to donor costal ends with perosseous sutures to develop stable costal carcass. Outside one should apply and suture fascial- muscular layers. The method enables to restore thoracic shape and function. EFFECT: higher efficiency. 4 cl, 4 dwg
