| 摘要 |
FIELD: medicine, traumatology. SUBSTANCE: one should conduct arthrotomy due to dissecting skin, subcutaneous fiber, fascia from the point of horizontal line crossing in frontal plane passing through the middle of patella with the line passing through the middle of femoral condyle and tibial tuberosity. One should dissect capsule by developing tongue-like fragment from horizontal line in frontal plane passing through patella's center being parallel to cutaneous incision and by leaving aside against the patella up to coronary ligament to cross it cross-sectionally from anterior horn towards posterior one. Anterior horn of meniscus is crossed. Before carrying out restorative and reconstructive measures one should perform additional revision of posterior departments of tibial and femoral condyles and adjacent soft tissue elements upon "dry" depressurized joint by directing developed fragment upwards and laterally, bending the leg in knee joint to carry out deviation and rotation of shin inwards or outwards by replacing it to the front or backwards and introducing arthroscope through operation access between articular surfaces. After conducting all restorative and reconstructive measures it is necessary to perform final arthroscopic control for their quality and relations of intraarticular elements of pressurized joint in intact state and during passive movements. The method in question enables to provide necessary survey, decrease traumaticity level and risk for development of contractures. EFFECT: higher efficiency of therapy. |
