FIELD: medicine.
SUBSTANCE: arthroscope-assisted anatomic setting of a fracture is combined with a temporal percutaneous Kirschner wire fixation through a proximal tibial metaphysis. The injured extremity is bent in a knee joint at an angle of 90-100 degrees. The 0.4-0.5cm skin incision in the position of two o'clock is performed along a medial edge of an upper pole of a patella. The joint capsule is approached by a layered, blunt and sharp technique, and the 0.2-0.3cm capsular incision is performed in parallel to a patellar edge. A guide pin of the diameter of 1.5mm is inserted through the formed medial port into the joint cavity on the periphery of fossa intercondylaris, not contacting the joint surface in a plane parallel to the tibial axis towards the intercondyloid eminence. A guide wire is inserted along the guide pin into the joint cavity through the medial port. The pin is removed. A bone canal is drilled out along the guide wire in the proximal tibial metaphysis in accordance to the implant diameter. An osteosynthesis of the tibial intercondyloid eminence fracture is performed with the use of the biodegradable implant through the guide wire along the formed canal. The fixation pin delivered through the proximal tibial metaphysis is removed. A plaster immobilisation follows.
EFFECT: method enables reducing injuries, and increasing fixation stability.
1 ex, 8 dwg
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Authors
Dates
2014-12-27—Published
2013-06-10—Filed