Zelyanin Aleksandr Sergeevich (RU),Зелянин Александр Сергеевич (RU),Filippov Vladislav Vladimirovich (RU),Филиппов Владислав Владимирович (RU),Dubrov Vadim Erikovich (RU),Дубров Вадим Эрикович (RU),Ze
申请号：
RU2019110435
公开号：
RU0002704349C1
申请日:
2019.04.09
申请国别(地区):
RU
年份:
2019
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention refers to medicine, namely to reconstructive surgery and traumatology. Bone fragment of the second instep bone is performed on a single vascular pedicle by mobilizing the artery of the foot of the foot with the comitant veins and the anterior tibial fascia to its intersection in the upper one-third of the shin with muscular branches of the deep fibular nerve. Then an anterior tibial muscle is medially removed in the proximal direction. Muscular branches of the deep fibular nerve are visualized and isolated to the anterior tibial muscle, while preserving the recovered muscular branches of the deep fibular nerve； the anterior tibial vascular bundle is separated to the upper lateral fibular artery. Formed complex of tissues is performed in proximal direction under selected muscular branches of deep fibular nerve. Tunnel with a hip opening in the reconstruction area is formed through a shin wound in the subcutaneous fat between the projections of tuberculum Gerdy and the head of the fibular bone. Complex of tissues is delivered through the formed tunnel with feeding in the upper one-third of the shin of the feeding vessels along the arc on the surface of the tendon of the anterior tibial muscle. Then the bone autograft is fixed.EFFECT: invention provides higher osteogenesis in the femoral reconstruction area, reduced traumatism, reduced risk of postoperative complications, reduction of treatment time due to features of extraction and formation of a good blood-supplying bone autograft and its further laying in area of reconstruction of a femoral bone through specially formed tunnel.1 cl, 1 ex, 3 dwgИзобретение относится к области медицины, а именно к реконструктивной хирургии и травматологии. Костный фрагмент второй плюсневой кости выполняют на единой сосудистой ножке путем мобилизации артерии тыла стопы с комитантными венами и переднего большеберцового пучка до его пересечения в верхней трети голени с мышечными ветвями глубокого мало
