Federalnoe gosudarstvennoe byudzhetnoe uchrezhdenie "Rossijskij nauchnyj tsentr "Vosstanovitelnaya travmatologiya i ortopediya" imeni akademika G.A. Ilizarova" Ministerstva zdravookhraneniya Rossijsko
发明人:
Leonchuk Sergej Sergeevich (RU),Леончук Сергей Сергеевич (RU),Neretin Andrej Sergeevich (RU),Неретин Андрей Сергеевич (RU),Ivanov Gennadij Petrovich (RU),Иванов Геннадий Петрович (RU)
申请号：
RU2018135957
公开号：
RU0002698614C1
申请日:
2018.10.09
申请国别(地区):
RU
年份:
2019
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention refers to clinical medicine, namely to traumatology and orthopedics, and can be used for treating severe foot deformities in patients older than 12 years with Charcot-Marie-Tooth (CMT) disease. Percutaneously performing Z-shaped achillotomy, planotomy is performed, external fixation apparatus (EFA) supports mounting on foot and shin. That is ensured by conducting the pins through the shin and foot bones, the pins in tensioned condition being attached to the corresponding supports EFA, supports EFA, fixed on foot and shin, are connected to each other with possibility of mutual movement. EFA performing gradual dosage correction of foot deformation. After the deformation is eliminated, a stabilizing operation is performed. That is ensured by arched incision along the external foot surface under an external malleolus； three-articular fusion is performed； the articular cartilage is economically removed from the talonavicular, talocalculus, calcaneocuboid joints. Footstep is set in hypercorrection position on all available components of foot deformation. Ankle, calcaneal bone and anterior foot are fixed in a predetermined position EFA, by attaching the pins to the supports EFA, EFA compression is performed in the area of arthrodesis, then a tendon of posterior tibial muscle is transplanted into cuboid bone. That is ensured by four incisions, a first incision being made in the projection of the navicular and medial wedge-like bones, the second incision being made at 2 cm posterior and 3–4 cm above the inner ankle, the third incision along the anterior-external surface of the lower one-third of the shin, and the fourth one in the projection of the cuboid bone. From the first incision, the tendon is sutured and cut off from the attachment point, the tendon is drawn proximally from the second incision, a canalis is made between the shin bones and a tendon is drawn from the second incision into the third incision. Then, the tendon is pulled
