FIELD: medicine.
SUBSTANCE: invention relates to medicine, in particular to traumatology and orthopedics, and can be used to help patients with deforming arthrosis of the ankle joint. The anterior longitudinal access to the ankle joint is performed, the ankle joint capsule is removed and the marginal osteophytes are resected, the cartilage of the articular surfaces of the tibia and the talus block is removed. Then, in the area of the formed defect, bone cancellous-cortical autografts taken from the wing of the ilium, are placed.
Next, the foot is placed in a functionally advantageous position. Then, the closed surfaces of the tibia and talus are fixed with two cannulated spongy screws and a reconstructive pre-bent plate laid on the anterior surface of the distal metaepiphysis of the tibia and the upper surface of the neck of the talus.
EFFECT: invention ensures reliable retention of the spliced articular surfaces of the tibia and talus in a given position, reduces the operation time, radiation exposure, the likelihood of incorrect position of the fixators, as well as the risk of losing the sterility of the surgical field when turning the patient due to the fact that the position of the patient does not change during the operation, use plates provides stable fixation of the surfaces to be joined, and the operation is carried out from one access.
1 cl, 5 dwg, 1 ex
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Authors
Dates
2021-06-16—Published
2020-11-16—Filed