FIELD: medicine.
SUBSTANCE: two-stage surgical manual in one operation session is performed. At the first stage, rear access to the wrist joint is provided, all loose small fragments are removed and the radial bone is partially resected radius to the level of the elbow. At the second stage, a tricortical spongy autograft is taken from the crest of the iliac wing and the entire dissection of all soft tissues in the surgical wound is performed. The autograft is "press fit" implanted into the formed resectional defect of the radial bone with a possibility of restoration of its correct anatomy. Additionally, the graft is fixed with a cushion plate. A large fragment of the styloid process of the radial bone is fixed with a compression screw to ensure wrist joint stability in the future. Then the final radiologic control is performed and the wound is sutured layer-by-layer.
EFFECT: restoring the anatomy of the distal radial bone to ensure early function in the wrist joint.
14 dwg, 1 ex
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Authors
Dates
2018-01-17—Published
2017-02-01—Filed