FIELD: medicine.
SUBSTANCE: olecranon setting controlled by the intraoperative electron-optical image converter is followed by inserting two parallel pins with using a single-toothed hook through an apex of the olecranon with fixing a fracture area towards the elbow crest in an upper one-third of a forearm in the distal direction from the fracture line and percutaneously brought on a posterior surface of the forearm. A control X-ray examination is followed by hooking proximal ends of the pins forward and inserting into the olecranon apex through skin punctures made by a scalpel. That is followed by a one-stage compression of the fracture area through the skin punctures of the pin exit points on a posterior surface of the forearm by pulling the parallel pins up. K-wires are hooked in the posterior direction and cut off. The ends of the cut-off pins are arranged above the skin surface. The opposite direction of the pin hooking on both ends prevents a possibility of migration. The postoperative period involves the plaster immobilization of an upper limb with fixing the elbow and carpal joints.
EFFECT: method enables reducing para-articular tissue injuries, eliminating repeated operations for the metal structure removing.
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Authors
Dates
2014-10-10—Published
2013-04-23—Filed