METHOD FOR SURGICAL ACCESS TO RADIAL BONE DISTAL DEPARTMENT IN CASE OF FRACTURES Russian patent published in 2017 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: surgical access is performed by cutting soft tissues along the lateral margin of the radial bone along the forearm anterior surface. The incision is extended to the proximal palmar fold, gently rotated at an angle of 90° and continued to the lateral edge of the long palmar muscle tendon. The cutaneous flap is removed to the ulnar bone and fixed. The wound is dilated by blunt dissection. The abdomen of the long thumb flexor of the hand is exposed in the proximal part of the access and the square pronator in the distal part. The radial artery is withdrawn laterally. Simultaneously, the wrist radial flexor and the thumb long flexor tendons are removed in the ulnar bone direction. The square pronator is dissected at the lateral margin of the radial bone. When the wound is sutured, the square pronator is sewn to the brachioradial muscle. Fracture reposition and plate osteosynthesis are performed.

EFFECT: method provides optimal visualization of the radial bone distal epimetiadephysis fracture, especially the radial bone region in the area of the elbow cut and the radial bone styloid process, prevents formation of painful postoperative scars in the wrist joint area.

1 ex, 6 dwg