FIELD: medicine, traumatology, orthopedics.
SUBSTANCE: one should dissect tibial tuberosity as a triangular fragment. In case of osteotomy it is important to form a fragment and a corresponding triangular groove with acute-angular supporting osseous bench of about 10-20 mm height at anterior tibial epiphysial surface of about 5-10 mm depth being opposite to the pull of unbending apparatus. The length of the fragment under dissection corresponds to about 40-50 mm. On finishing the main stage of operation one should repose the triangular fragment, fix with a doubled wire loop applied through cortical layer of tibial metaphysis around distal angle of tuberosity fragment. The innovation enables to fulfill earlier articular function and prevents the lesion of subcutaneous vessels.
EFFECT: higher efficiency.
7 dwg, 1 ex
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