FIELD: medicine.
SUBSTANCE: wedge-shaped autograft is taken from an end face of a distal fragment of femur within an osteotomy by sawing out a bone centre in a sagittal plane to form a wedge-shaped cavity with its base facing the area of osteotomy and apex distally directed along a femoral axis. Once the femoral fragments are reduced into an anatomically correct position, the distal portion of the proximal fragment from an inside of the femur into the cavity formed in the distal fragment. The wedge-shaped defect formed within the osteotomy between the plate and femoral fragments are filled with the taken autograft so that the base of the latter faces the plate. The achieved position of the femoral fragments is fixed by performing an external osteosynthesis by means of angularly stable blocking compression plate.
EFFECT: accurate correction of all the components involves into the deformity, shorter period of consolidation.
2 cl, 2 dwg, 1 ex
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