Access to epi-metaphyseal foci of the distal femur
- Authors: Vorobiev V.N.1
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Affiliations:
- Leningrad Institute for Advanced Medical Training
- Issue: Vol 52, No 3 (1971)
- Pages: 59-61
- Section: Articles
- URL: https://journals.rcsi.science/kazanmedj/article/view/61158
- DOI: https://doi.org/10.17816/kazmj61158
- ID: 61158
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Abstract
In focal tuberculous lesions of the knee, epi-metaphyseal foci of the femur are the most difficult to access because they are often located in the posterior or posterolateral regions of the femur. We have not found any description of access to such foci in the literature. Our work is based on radiological examination and dissection of adult cadaveric knee joints after infusion of arterial vessels with contrast media.
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##article.viewOnOriginalSite##About the authors
V. N. Vorobiev
Leningrad Institute for Advanced Medical Training
Author for correspondence.
Email: info@eco-vector.com
Russian Federation
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Fig. 1. Approach to the popliteal fossa from the inside. Hooked m. sartorius et m. vastus medialis. vastus medialis, the wall of the canalis vastoadductorius together with the adductor magnus is removed with an osteotome. The femur in the area of the popliteal fossa is exposed.
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Fig. 2. Approach to the popliteal fossa from the external surface. The fatty tissue is hooked upwards and partially separated from the periosteum of the m. vastus lateralis. The periosteum is displaced by the rasp. The fibres of the tractus iliotibialis are hooked to the bottom.
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