FIELD: medicine.
SUBSTANCE: invention relates to traumatology and orthopedics and can be applied for surgical treatment for deforming arthritis of ankle joint. Cartilages are ablated from joint surfaces of shin tibia and talus. Cut of skin is performed on external surface in the area of injured ankle joint on posterior edge of external ankle-bone. After exposure of fibula from lower third to its top at the level of joint space of ankle joint oblique osteotomy of fibula is performed above anterior and posterior tibial-fibular and calcaneal-fibular ligaments at 40-50° angle to its longitudinal axis. Anterior and posterior tibial-fibular and calcaneal-fibular ligaments are transversely dissected to 1/3-1/2 of their width. Volume of space formed between joint arthrodised surfaces of tibia and talus is filled with gel-like nanostructured composite implant, which contains platelet-enriched autoplasma in ratio 1:(1-2) with granules of complex alloplastic preparation, based on hydroxyapatite, containing 50-60% of collagen.
EFFECT: method makes it possible to improve possibilities of bone regeneration stimulation.
4 cl, 3 ex
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Authors
Dates
2014-02-27—Published
2012-12-25—Filed