Federalnoe gosudarstvennoe byudzhetnoe uchrezhdenie "Federalnyj Nauchnyj Tsentr Reabilitatsii im. G.A. Albrekhta" Ministerstva truda i sotsialnoj zashchity Rossijskoj Federatsii FGBU "FNTSRI im. G.A.
发明人:
Shvedovchenko Igor Vladimirovich (RU),Шведовченко Игорь Владимирович (RU),Dzhomardly Elnur Isfandiyarovich (RU),Джомардлы Эльнур Исфандиярович (RU),Koltsov Andrej Anatolevich (RU),Кольцов Андрей Анато
申请号：
RU2019106457
公开号：
RU0002711146C1
申请日:
2019.03.06
申请国别(地区):
RU
年份:
2020
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention refers to medicine, namely to traumatology and orthopedics, and can be used for treating paralytic equinovarus foot deformity in children. Method involves separate transplantation of the distal parts of tendons of the soleus and posterior tibial muscles on the forefoot. That is ensured by transecting the plantar aponeurosis. Distal portion of the tendon of the posterior tibial muscle is moved on the dorsal surface of the foot, where the transosseous suture is fixed to base of 4th instep bone. Muscular and distal parts of tendons of a soleus and gastrocnemius muscles are separated. Distal portion of the gastrocnemius muscle tendon is elongated. Distal part of a soleus muscle tendon is sutured with a suture. Canal is formed in the interosseous membrane at an acute angle to the shin axis. Distal part of the tendons of a soleus muscle is introduced through the formed canal to the anterior surface of the shin, where it is sutured together with the distal parts of the tibialis anterior and previously displaced posterior tibial muscles. Foot is fixed with K-wires in the position of the achieved correction and is immobilized with a posterior gypsum-shaped splint.EFFECT: method provides reduced traumatism and reduced length of treatment ensured by correcting muscular imbalance by displacing distal parts of posterior tibial and soleus muscles to posterior foot without interfering with bone structures of the foot.1 cl, 6 dwg, 1 exИзобретение относится к медицине, а именно к травматологии и ортопедии, и может быть использовано для лечения паралитической эквино-варусной деформации стопы у детей. Способ включает раздельную пересадку дистальных частей сухожилий камбаловидной и задней большеберцовой мышц на переднюю поверхность стопы. Для этого поперечно пересекают подошвенный апоневроз. Дистальную часть сухожилия задней большеберцовой мышцы перемещают на тыльную поверхность стопы, где чрескостным швом фиксируют к основанию 4-й плюсневой кости.
