FIELD: medicine, orthopedics.
SUBSTANCE: the present innovation deals with surgical correction of collum femoris defect at pathological femoral dislocation in children in case when one can observe the destruction of proximal femoral department but at partially kept caput femoris. One should substitute the defect with a transplant followed by its fixation to osseous channel. Moreover, the removal of proximal femoral department defect at partially kept caput femoris and reconstruction of motor function in quicker terms is achieved due to the fact that this operation should be carried out in two stages: during the first stage it is necessary to conduct inter-trochanterian osteotomy of collum femoris, distal femoral fragment should be applied under the lower pole of the caput to perform osteosynthesis with a plate; at the second stage of this operation, after osseous union, it is necessary to transfer an autotransplant obtained out of anterior tibial surface into prepared bottom in area of caput femoris to be fixed to the caput and proximal femoral department.
EFFECT: higher efficiency of therapy.
3 dwg, 1 ex
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Authors
Dates
2006-08-20—Published
2004-10-11—Filed