METHOD OF BONE GRAFTING FOR THE TREATMENT OF NONUNION, FALSE JOINTS AND BONE DEFECTS Russian patent published in 2016 - IPC A61B17/56 

FIELD: medicine.

SUBSTANCE: perform bone grafting with tubular cortical-cancellous autograft from the iliac crest in combination with metal osteosynthesis. Perform open reduction of fragments monitoring the existing defect there between, thereafter forming graft of 4-6 mm length of the defect on the end surfaces of the graft produce cortical bone resection 2-3 mm on each side. Then, after open reduction and the introduction of graft between the fragments reach full contact and bone graft due to compaction of the spongy layer of the ends of the graft at the site with resected cortical. Then perform extramedullar or intramedullar fixation, creating compression between the fragments and the transplant with extra stability while maximizing contact by self-adaptation of the graft to the end surfaces of the fragments.

EFFECT: method provides a good assimilation of the graft with the mother's bed, allows you to start early functional load, eliminating the need for external immobilization of the upper limb with the restoration of the function of adjacent joints.

1 cl, 4 dwg, 1 ex