METHOD OF SURGICAL TREATMENT OF FAULT chronic distal tibiofibular syndesmosis

摘要

a surgical u043bu0435u0447u0435u043du0438u00a0 chronic distal u043cu0435u0436u0431u0435u0440u0446u043eu0432u043eu0433u043e u0441u0438u043du0434u0435u0441u043cu043eu0437u0430 gaps, including the longitudinal skin incisions in the area of the ankle with pefc u0435u0434u0443u044eu0449u0438u043c access to u043cu0435u0442u0430u0444u0438u0437u0443 tibial and outer ankle, forming a channel through u043cu0435u0442u0430u0444u0438u0437u044b u0431u0435u0440u0446u043eu0432u044bu0445 bones, u043eu0442u043bu0438u0447u0430u044eu0449u0438u0439u0441u00a0, additionally 1 2 cm above the first channel formed through the u043cu0435u0442u0430u0444u0438u0437u044b u0431u0435u0440u0446u043eu0432u044bu0445 boneswith a diameter of 4 to 10 mm, u0432u044bu043fu043eu043bu043du00a0u044eu0442 second smaller diameter is 3.5 mm, in which the set screw is u0441u0442u00a0u0436u043au0443 and through the u043fu0440u043eu0438u0437u0432u043eu0434u00a0u0442 u0441u0442u00a0u0433u0438u0432u0430u043du0438u0435 forks u0433u043eu043bu0435u043du043eu0441u0442u043eu043fu043du043e the joint in a patient u0442u044bu043bu044cu043du043eu043c u0441u0433u0438u0431u0430u043du0438u0438 foot angle 20, then the middle access expose own u0441u0432u00a0u0437u043au0443 a kneecap, the u0432u044bu0434u0435u043bu00a0u044eu0442 longitudinal u043du044eu044e part corresponding to the thickness of the diameter of the first channel.then u0432u044bu0434u0435u043bu00a0u044eu0442 of u0441u043eu043fu0440u00a0u0436u0435u043du043du044bu0445 with tuberosity tibia and a kneecap bone fragments, one of which is equal to the thickness of the diameter of the first channel. and the other 1 - 2 mm less than him, u043au0440u0430u00a0 both fragments falling through the u043bu0430u0432u0441u0430u043du043eu0432u043eu0439 thread u043eu0441u0442u0430u0432u043bu00a0u00a0 edges free, after which the u0430u0443u0442u043eu0442u0440u0430u0441u043fu043bu0430u043du0442u0430u0442, relevant next on the length of the first channel.u043fu0440u043eu0432u043eu0434u00a0u0442 more subtle end forward and set in the channel as a newly established u0441u0432u00a0u0437u043au0438 that u043du0430u0442u00a0u0433u0438u0432u0430u044eu0442 and fixed by threads to the ends of bolt - u0441u0442u00a0u0436 kee.