| 摘要 |
FIELD: medicine.SUBSTANCE: invention refers to traumatology and orthopaedics and can be used for treating a trimalleolar fracture. The operation involves knee flexure to 90° and hip flexure to 45°. An approach is started from a point at 1/3-1/4 of a distance to the outside from a lateral malleolus to a calcaneal tuberosity, and extended in the cranial direction in parallel to an axis of fibular bone; the approach is deepened to peroneal muscles to be adducted in the medial direction, reduced, and the fragments of fibular bone are fixed temporally; the approach is widened along a posterior-medial surface of short peroneal muscle, and the tissues including sural nerve, short saphenous vein and flexor hallucis longus are adducted in the medial direction en bloc. A posterior edge of shin bone is reduced and fixed finally; thereafter the fibular bone and ligamentous joint are reduced finally and fixed; an X-ray imaging follows.EFFECT: method enables reducing injuries.2 cl, 1 ex |
