FIELD: medicine.
SUBSTANCE: invention refers to medicine, namely to reconstructive surgery and traumatology. Bone fragment of anterior shin bone is performed by mobilizing the anterior tibial vascular bundle until its crossing in the upper one-third of the shin with muscular branches of the deep fibular nerve. Then an anterior tibial muscle is withdrawn more proximally. Muscular branches of the deep fibular nerve are visualized and isolated to the anterior tibial muscle, while preserving the recovered muscular branches of the deep fibular nerve; the anterior tibial vascular bundle is separated to the upper lateral fibular artery. Formed complex of tissues is performed in proximal direction under selected muscular branches of deep fibular nerve. Tunnel with a hip opening in the reconstruction area is formed through a shin wound in the subcutaneous fat between the projections of tuberculum Gerdy and the head of the fibular bone. Complex of tissues is delivered through the formed tunnel with feeding in the upper one-third of the shin of the feeding vessels along the arc on the surface of the tendon of the anterior tibial muscle. Then the bone autograft is fixed.
EFFECT: invention provides higher osteogenesis in femoral reconstruction, reduced traumatism, reduced risk of postoperative complications, reduction of treatment time due to features of extraction and formation of a good blood-supplying bone autograft with its further laying in a hip defect area through a specially formed tunnel.
1 cl, 2 dwg, 1 ex
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Authors
Dates
2019-10-11—Published
2019-04-09—Filed