FIELD: medicine.
SUBSTANCE: fibula diaphysis is resected to a length sufficient to fix the talocalcanean and talocrural joints. The resected portion is released from the soft tissues and decorticated. The cortical autograft is formed from the distal metaepiphyseal part of the fibula with a preserved ligament apparatus, for which the inner cortical plate of the fibula distal part is removed. A fragment of fibula diaphysis resected for the required length and prepared, is used as an intramedullary fixator. After intramedullary fixator introduction, the cavity of the talocrural and talocalcanean joints is filled with autosseous crumb from the remaining parts of the resected fibula. The cortical autograft from the non-resected distal epimetaphyseal part of the fibula is fixed to the talus and tibia using autosteal cortical wedges or biodegradable pins.
EFFECT: method reduces postoperative complications.
1 ex
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Authors
Dates
2017-06-07—Published
2015-11-05—Filed