FIELD: medicine.
SUBSTANCE: method includes subperiosteal marginal resection of the affected area, carrying out reparative regeneration with the formation of bone matrix with subsequent drainage of the lesion focus. In this case, before carrying out the marginal resection around the lesion, a bone box with a wall thickness of 1-2 mm, for which, using a guide in a healthy area, the bones form a channel at an angle of 35-45° to the vertical axis of the bone. Through this channel, osteoperforation is initially performed in the medullary canal in a healthy area of the bone wall. Then, one end of the drainage tube is introduced into the lesion, through which aspiration is carried out, and at the free end of the drainage tube, a discharge force of 0.15-0.35 mm Hg within 1.2-1.5 months. During resection, the cavity of the box with the medullary canal is recanalized to communicate with each other. After resection, the lesion of the lesion is continued to drain, creating at the free end of the drainage tube initially the force of the discharge of the 60-80 mm Hg during the first 5-7 days, and then the discharge force of 0.15-0.35 mm Hg for 3-9 months.
EFFECT: method allows to gradually form bone regenerate and reduce difficulties due to the lack of load on the segment and additional immobilization for rehabilitation of patients after the operation.
3 dwg, 1 ex
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Authors
Dates
2017-06-06—Published
2016-07-04—Filed