Subject(s)
Ankle Injuries/therapy , Casts, Surgical , Evaluation Studies as Topic , Female , Humans , Immobilization , Male , Middle Aged , Time FactorsABSTRACT
The authors describe a method of plasty of proximal parts of the femoral diaphysis with a nonfree vascularized autotransplant from the iliac crest on the muscular-vascular connections including the strainer of the wide fascia, portion of the musculus gluteus medius and the feeding ascending branch of the lateral artery surrounding the femoral bone with the accompanying veins. The operation has anatomical and experimental grounds. Results of treatment of 6 patients have shown its high effectiveness in disturbed processes of consolidation of fractures of the upper and medial thirds of the femur diaphysis.
Subject(s)
Bone Transplantation/methods , Femoral Fractures/surgery , Fracture Fixation, Internal/methods , Fractures, Ununited/surgery , Ilium/surgery , Adult , Bone Nails , Fracture Fixation, Internal/instrumentation , Humans , Ilium/blood supply , Male , Pseudarthrosis/surgeryABSTRACT
An experience of with the treatment of 21 patients with tumors and local radiation injuries is described. Terms of the preceding treatment were up to 22 years. Transplantation of free vascularized bone and soft tissue transplants was performed in 14 cases, pedicled ones (by the methods of microsurgery) in 8 patients. The transplantation proved to be a success in 20 patients. Plastic operations in the complex of medical measures facilitated rapid and successful rehabilitation of patients with recurrent tumors and metastases.