[Ortho] Врожденный ложный сустав голени

[mark eidelman]

Zdravsvuite zemlyak.
U vas congenital pseudoarthrosis of the tibia.Esli by rebenok ne byl operirovan bylo by namnogo legche lechit.Net problem skostnoi mozoliu, problema vperioste-eto  bolezn  periosta.Vam neobhodimo sdelat periostal excision-budte gotovy chto periost budet ochen tostyi.Distalno neobhodimo ukototit tibia+fibula,votknut odin konez vdrugoi.Dlya togo chto by vosstanovit dlinu neobhodimo sdelat proximal tibial lengthening.KW 1.5 mm ne bolshe.Obyazatelno zafixiruite stopu toghe(distalnyi konez korotok).Esli vse budet normalno pered snyatiem apparata neobxodimo zafixirovat tibia/ fibula elatic nail inache budet refracture v80%.Moghno provesti nail ili cherez talus-tibia ili ot medial malleolus.
Udachi,
Mark Eidelman