FIELD: medicine.
SUBSTANCE: at 1.5-3 cm from a cyst envelope along the long axis of the bone along its anterior outer surface, a cortical layer of the bone is perforated to drill out an intramedullary canal to reach the cyst left unexposed, and a canal is created. An elastic curved tube with a flexible mandrel inside is inserted through the created perforation along the formed canal, and one of the tube ends is inserted inside the cyst cavity, herewith exposing the soft tissue, osseous septums and lepidic tissues of the cyst with using the flexible mandrel. The flexible mandrel is removed, and the cavity is washed with normal saline through the tube to visualise the absence of impurities in the wash liquid. The cavity is treated through the tube, and the bone tissue content is drained off with the cyst treated with 2-3% chymotrypsin. The bone defect is repaired with a bone plastic material through the tube. The surgical intervention is completed by performing the intramedullary osteosynthesis of the bone.
EFFECT: method provides reducing injuries and a risk of recurrence.
3 cl, 1 ex
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Authors
Dates
2014-11-20—Published
2013-06-25—Filed