method of treating tibial fracture u043cu0435u0436u043cu044bu0449u0435u043bu043au043eu0432u043eu0433u043e deviation

摘要

FIELD: medicine.;SUBSTANCE: diagnostic arthroscopy of the injured knee joint is performed in standard antero-lateral and antero-medial arthroscopic portals. The fragment is placed on its bed and fixed with a tibial guide, through which the K-wire is directed via proximal epimetaphysis of the tibia. An additional "central" arthroscopic portal is performed, through which a tibial guide is placed on each fragment of the split intercondylar eminence. A cylindrical drill guide is inserted into the joint and positioned at an angle of 45° on the front intercondylar eminence. A K-wire is inserted along the guide at an angle of 45° from front to back, from top to bottom diagonally to the posterior cortical layer of the tibia. Cannulated drill bit is used to drill through the channel along the entire length of the meta-epiphysis. The wire is removed together with the drill. A biodegradable fixative is introduced into the formed channel. Changing the arthroscopic portals, medially and laterally at an angle of 70°, crosswise, front to back, from the outside to the inside, wires are inserted into the cortical layers of the medial and lateral condyles, along which channels are drilled and biodegradable fixatives are introduced.;EFFECT: method allows to reduce traumatism, increase the reliability of fixation.;5 dwg