FIELD: medicine, reconstructive and plastic surgery, traumatology. SUBSTANCE: one should carry out excochleation of osseous destruction focus, as osseous autotransplant one should apply blood-supplied osseous-muscular autotransplant consisting of cortical diaphysial fragment of the 2nd metacarpal bone at size commensurable to the length of scaphoid bone and by volume corresponding to 30-40% against that of formed osseous channel in scaphoid bone, periosteum, rear interosseous muscle taken at the second metacarpal bundle with pervasal tissue. Immobilization of wrist and forearm should be conducted with the help of G.A.Ilizarov's compression-distraction apparatus at distraction mode at the level of radiocarpal articulation immediately after carrying out main stages of operation that prevents pressing of vascular bundle, postoperative complications and favors regeneration of osseous tissue. EFFECT: higher efficiency of surgical treatment. 6 dwg, 1 ex
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机译：领域：医学，重建与整形外科，创伤学。物质：应该进行骨破坏重点的切除，因为骨自体移植应该应用血液供应的骨-肌自体移植，该骨由第二掌骨的骨干骨膜碎片组成，其大小与舟骨的长度相称，体积相当于30相对于舟骨骨，骨膜，后骨间肌中形成的骨通道形成的骨通道的-40％，该骨通道取自具有掌周组织的第二掌骨束。在执行主要操作步骤后，应立即在GAIlizarov的压迫分散装置的牵伸模式下以腕carp关节水平固定腕部和前臂，以防止血管束受压，术后并发症并有利于骨组织的再生。效果：手术治疗效率更高。 6 dwg，1 ex
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