FIELD: medicine; surgery.
SUBSTANCE: pathologic focus is removed. Produced defect is replaced with autogenous vascularised bone graft then fixed. Autogenous bone graft is formed of vascularised metacarpal passing though intermetacarpal space by ligation and cutting across in proximal or distal part. Bone graft is fixed within vessel opening into injuried bone area due to drilled aperture sized 1.5 times more than diameter of bunch vessels. And carpal osteoplasty is performed with proximal vascularised bone graft, and finger osteoplasty is performed with distal vascularised bone graft.
EFFECT: method provides restoration of limb function; stimulation of reparative osteogenesis in injuried bones and elimination of postoperative complications.
14 dwg, 2 ex
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