FIELD: medicine.
SUBSTANCE: injured limb is placed on the pedestal when the knee joint is bent at an angle of 165° and the position of the tibia is parallel to the surface of the operating table. Two fixing elements are introduced into each bone fragment, between the outer ends of which a different fixing element is transversely arranged and fixed by universal clamps of the rod fixation device. The X-ray source is oriented centrally to the knee joint slit from front to back at an angle of 7° to 10° with respect to the perpendicular of the long axis of the tibia in such a way that the conditional plane of the articular surface of intact segments of the tibial condyles coincides with the direction of the x-ray radiation. Manipulating the assembled structures under X-ray control, moving the bone fragments to the desired position until the x-ray image of a single line of the joint surface of the damaged and undamaged parts of the tibial condyles. Osteosynthesis is performed.
EFFECT: method allows to improve the quality of repositioning, to accelerate the restoration of joint function.
14 dwg
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Authors
Dates
2017-07-17—Published
2016-07-18—Filed