| 摘要 |
The invention relates to medicine, in particular to traumatology and orthopedics, and can be used for plasty of infected tissular defect in the calcanean region with vascularized flap.Summary of the invention consists in that it is performed the Doppler graphical examination to detect the projections of perforated musculocutaneous vessels of the posterior tibial artery, are removed the devitalized tissues in the defect region, is performed a longitudinal cutaneous incision on the posteromedial surface of the leg, behind the rear edge of the tibia to detect the perforated vessels, after determining the dimensions of the defect it is prepared a flap, which includes soft tissues, including a portion of the deep fascia, and a bone graft from the tibia of a dimension of 2 x 5 cm with the perforated vessel, then the flap is rotated by 180° with the bone fragment located in the calcaneum defect and is fixed with the help of 1…2 screws, the Achilles tendon is sutured to the bone fragment, then the wound is sutured in layers, is drained and is applied a plaster immobilization. |
