The features of transosseous osteosynthesis for filling the post-resection defects of hand tubular bones

The authors present their experience of making the procedures of filling post-resection defects with free autografts in 19 patients for tumoral and tumor-like diseases of hand tubular bones. Depending on clinical-and-roentgenological semiotics of the involvement of hand short tubular bones, segmental and intraosseous resection of destruction foci was performed with fixation of fragments and grafts using the Ilizarov mini-fixator. The configurations of mini-fixators proposed allowed to preserve the function of adjacent joints at the stage of transosseous osteosynthesis without limitation of socioenvironmental and, in some cases, working adaptation at the stages of treatment-and-rehabilitation process