FREE REVASCULARISED ANTERIOR TIBIAL BONE-MUSCULAR AUTOGRAFT AND METHOD OF ITS TAKING Russian patent published in 2011 - IPC A61B17/56 

FIELD: medicine.

SUBSTANCE: invention relates to field of medicine, namely to reconstructive surgery and traumatology. Into composition of autograft in a single complex included are periosteum of tibia, tibia fragment, fragment of long extensor of the first toe, portion of anterior tibial muscle, anterior tibial artery and commitant veins. In projection of intermuscular furrow of anterior group of shin muscles exposed is anterior tibial vascular-nervous fascicle with mobilisation and bringing aside of deep peroneal nerve. On vascular connections from anterior tibial vascular fascicle in the single complex on muscular branches exposed is portion of anterior tibial muscle, fragment of long extensor of the first toe in form of muscular sleeve, septal vascular branches from anterior tibial vascular fascicle, and perforans branches through fragment of long extensor of the first toe, periosteum of tibia, which includes large periostal vascular branches. After that, periosteum is dissected with formation of section with desired size. Cortical plate of tibia is perforated to required depth, ligated and anterior tibial vascular fascicle is intersected more distally than formed tissue complex. Bone fragment is separated on perforation lines and autograft is taken.

EFFECT: group of inventions ensures obtaining qualitatively new tissue complex with reparative and osteogenic properties, possibility to cover large defects of recipient area, reduction of postoperative complications, reduction of treatment terms.

2 cl, 2 ex, 4 tbl, 1 dwg