摘要 |
FIELD: medicine, traumatology. ^ SUBSTANCE: one should substitute affected ligaments with doubled tendon of semitendinous muscle. For this purpose one should conduct tendolysis to remove a tendon, then one should drill intraosseous canals: in the collum of ankle bone - in cross-sectional direction, in the body of a heel bone - in longitudinal direction, and in fibula - in anterior-posterior direction and from the top downwards at the angle of 45° so, that output opening should be in area of the lower pole of external ankle. After that, a tendinous transplant should be applied through a canal in an ankle bone, then - into the canal in fibula and heel bone and after withdrawing out of the heel bone it should be applied in back direction through fibular canal to be sutured with a free end that protrudes from the canal of ankle bone with tendinous suture by "end-to-end" type. The method enables to perform operative treatment in case of chronic lesions of fibular ligaments in talocrural joint. ^ EFFECT: higher efficiency of autoplasty. ^ 2 dwg
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