FIELD: medicine.
SUBSTANCE: invention relates to the field of medicine, in particular to traumatology and orthopedics, and is intended for use in the treatment of periprosthetic fracture of the tibia in osteoporosis. Carry out bone grafting with a fragment of the fibula through its metered movement with the help of an external fixation device to the fracture site of the tibia. In this case, a double osteotomy of the fibula is performed, the site of the fracture of the tibia is partially covered by the periosteal flap of the fibula on the feeding stem, after which, from 5–7 days after the surgery, the dosed traction of the fragment of the fibula is performed towards the bone fragments of the tibia within 0.5–1.0 mm per day, at the same time, longitudinal axial compression is performed between the ends of fragments of the periprosthetic fracture of the tibia to the end stop 0.5 mm per day.
EFFECT: method, by partially covering the periprosthetic fracture of the tibia with a periosteal flap on the feeding stem of the fibula after its double osteotomy at the level of the periprosthetic fracture of the tibia, allows to stimulate osteogenesis and eliminate the instability of the endoprosthesis stem.
1 cl, 4 dwg, 1 ex
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Authors
Dates
2018-06-06—Published
2017-05-31—Filed