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METHOD OF TREATING RECURRENT CLUBFOOT OF SEVERE DEGREE IN CHILDREN OF EARLY AGE

机译:早期儿童严重度复发性足的治疗方法

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, namely to traumatology and orthopedics. Tendon of muscle leading first toe and sole aponeurosis are dissected. Tendon of posterior tibial muscle and general flexor muscle of toes is elongated. Tendon of anterior tibial muscle is transplanted on second cuneiform bone. Tenoligamentocapsulotomy of ankle, subtalar, talonavicular, navicular-cuniate, cuneo-metatarsal joints is performed. Separation of distal part of fibular bone to medial third is performed. Chute-shaped bed in region of distal part of tibial bone on anterior-external surface is formed. Distal end of fibular bone is inserted into formed bed in distal part of tibial bone. Obtained position of ankle joint fork is fixed by means of Kirshner's wires, passed through fibula and tibial bones. Elongation of Achilles tendon and tendon of long flexor muscle of first toe is performed. Capsule of ankle and subtalar joints is cut. Foot is reset into anatomically correctly formed ankle joint fork and fixed with Kirshner's wires, passed through calcaneal and tibial, metatarsal and calcaneal bones.;EFFECT: method ensures creation of correct anatomical interrelationship between ankle and foot bones, reduction of post-operation complications.;2 dwg
机译:技术领域本发明涉及医学,即涉及创伤学和骨科。解剖了导致第一脚趾的肌肉腱和唯一腱膜。胫骨后肌腱和脚趾总屈肌腱拉长。胫骨前肌的肌腱移植在第二楔形骨上。进行脚踝,距下,距骨,眼底,圆锥形,楔形-肩关节的腱膜囊切开术。进行腓骨远端至内侧三分之一的分离。在胫骨远侧部位的前外侧表面上形成了滑槽状的床。腓骨远端插入胫骨远端的成形床中。脚踝关节叉的获得位置是通过Kirshner的金属丝固定的,穿过腓骨和胫骨。进行跟腱和第一趾长屈肌腱的伸长。踝关节和距下关节的囊被切开。将脚重设为解剖学上正确形成的踝关节叉,并用Kirshner的金属丝固定,穿过跟骨和胫骨,meta骨和跟骨。;效果:该方法可确保在踝和脚骨之间建立正确的解剖学相互关系,从而减少术后并发症。 ; 2 dwg

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