FIELD: medicine.
SUBSTANCE: deep artery of the shoulder and the collateral radial artery with the comitant veins are mobilized from the radial nerve and surrounding tissues, from the exit from the spiral canal to the level of the distal metadiaphysis of the humerus. In a single complex with the isolated vessels, their branches and branches of the recurrent radial artery to the periosteum of the external epicondyle of the humerus, a periosteal cortical autograft is raised, the periosteum is raised as flaps on front and back the outer surfaces of the external epicondyle at the level of attachment of the long beam hand extensor including a fragment thereof. The periosteum flaps are turned laterally. The cortical plate is perforated along the perimeter of the taken autograft and lifted. The complex of tissues is rotated into the false joint area. The cortical part of the autograft is placed in the bed formed in the false joint area to the depth of the autograft cortical plate thickness. Subcutaneous flaps are brought apart to the sides along the surface of humerus fragments and fixed.
EFFECT: method allows to ensure transplant survival, shorten the duration of treatment.
6 dwg
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Authors
Dates
2017-12-13—Published
2017-02-21—Filed