FIELD: medicine.
SUBSTANCE: method involves a sequester necrectomy of an involved bone section followed by an operative wound closure. A formed bone defect is replaced by a vascularised complex of tissues including a dorsal intertarsal muscle and a cortical bone fragment of a base of a first metatarsal bone on a first dorsal intertarsal artery with accompanying veins cut out of a first intertarsal space. The complex of tissues is placed into the formed bone cavity in the second metatarsal head. The operative wound is closed with a primary suture followed by immobilising the foot with a back plaster cast.
EFFECT: method enables replacing the bone defect of the second metatarsal head in a combination with recovering the mechanical resistance of the latter to physical loads.
1 ex, 10 dwg
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