FIELD: medicine, traumatology, orthopedics.
SUBSTANCE: one should mobilize distal fibular fragment out of anterior-medial incision through rupture plane of anterior interfibulotibial ligament and posterior tibial edge with posterior tibiofibular ligament without its partial or complete dissection in frontal plane. One should mobilize the fragment of posterior tibial edge in sagittal plane out of retrolateral incision by stepping aside against external edge of Achilles' tendon. Then comes open reposition of the fragment of posterior tibial edge followed by temporal fixation with two needles introduced from the back to the front at puncturing them out above anterior skin surface of shin's lower third. Osteosynthesis of posterior tibial edge should be carried out with cannulated screws introduced from the front backwards. Then comes osteosynthesis of suprasyndesmodial fibular fracture after that of anterior edge.
EFFECT: higher accuracy of reposition.
2 dwg
