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Nakostnyj an osteosynthesis of a calcaneus plates of joint-stock company and screws from lateralnogo surgical access.

Nakostnyj an osteosynthesis from lateralnogo surgical access osushcheyostvlen at 28 patients (31 calcaneus). Lateralnyj access gives dostatochyono the good review and does not suppose damage n. tibial is, passing in the field
Medial cut.

Advantage lateralnoju access is also possibility of a reposition of the pressed articulate fragments under a direct vision.

Skin cut there began on 5 sm more proximally apexes external lodyzhyoki approximately on the distance middle between ahillovym a tendon and back edge of a fibular bone. A cut conducted in the beginning distally, then under direct utom in a direction of the basis a heel pljusnevoj косій, as it pokayozano on fig. 4.

Fig. 4. Lateralnyj surgical access for nakostnogo a calcaneus osteosynthesis (tsiyotirovano on M.E.Muller, etc. [80J).

Extent of a cut in a distal direction depends on, whether it is necessary to check and restore a calcaneocuboid joint. A flap from a skin with a hypodermic tissue and a fascia, pjatochno-malobertsovuju ligament, and also branches n. suralis mobilised and kept kranialno three spokes, vvedennyyomi in tarannuju a bone. By means of the calcaneal hillock of a carving hinge spent through a back part made a reposition of a back taranno-calcaneal articulate surface. If necessary opened processus anterior by excising of own fascia m. abductor digiti minimi, removing it in napravyolenii soles.

After audit of a calcaneocuboid joint made time bracing by spokes Kirshnera and the radiological control of a calcaneus in lateral and axial projections, further carried out an osteosynthesis rekonstruk - tsionnoj, T - or a Y-shaped plate of joint-stock company and 4-8 spongy screws as it is shown on fig. 5-6.

Fig. 5. A mean osteosynthesis of a calcaneus rekonetruktsionnoj a plate of joint-stock company from lateyoralnogo access (it is quoted on M.E.Muller, etc. [80]).

Fig. 6. Nakostnyj an osteosynthesis of a calcaneus the T-shaped plate of joint-stock company and screws from lateyoralnoju access (it is quoted on M.E.Muller, etc. [80]).

4.2.2.

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Scientific source Ivanov PETER VALENTINOVICH. OPTIMIZATION of TACTICS of SURGICAL TREATMENT And POSTOPERATIVE AFTERTREATMENT of PATIENTS With CALCANEUS FRACTURES. The dissertation on competition of a scientific degree of the candidate of medical sciences. Kazan -.

Other medical related information Nakostnyj an osteosynthesis of a calcaneus plates of joint-stock company and screws from lateralnogo surgical access.:

  1. THE TABLE OF CONTENTS
  2. THE LIST OF REDUCTIONS AND DESIGNATIONS
  3. INTRODUCTION
  4. CHAPTER 1. LITERARY DATA ON EARLY REVEALING OF THE TUBERCULOSIS AT CHILDREN AND TEENAGERS
  5. features of a tuberculosis at children and teenagers at the present stage
  6. Patomorfologija chronic hepatitises at children and teenagers.
  7. infantile intestinal gripes
  8. Chapter 7 DISCUSSION of RESULTS of RESEARCH
  9. the literature List
  10. THE APPENDIX 1
  11. THE LITERATURE LIST
  12. the Appendix № 4 Projective technique «the Kinetic drawing of a family»
  13. the Characteristic of disturbances of a hemostasis at the surveyed patients
  14. an infection Role in development SRK
  15. the Chronic colitis at SRK
  16. Infantile intestinal gripes