METHOD OF TREATING PARALYTIC HEEL-CAVA-VALGUS FOOT DEFORMITIES IN CHILDREN

摘要

FIELD: medicine.;SUBSTANCE: inventions refers to medicine, namely to traumatology and orthopedics, and can be used for treating paralytic heel-cava-valgus foot deformation in children. Corrective osteotomy of an ankle head, partial transplantation of a tendon of an anterior tibial muscle and performing access to the subtalar, calcaneocuboid joints; cartilage removal from articular and calcaneal bones surfaces; in the sinus tarsi region, the talural and calcane bones decortication; capslavotomy of heel-cuboid joint; accessing and opening the capsule of the talonavicular joint. It is followed by correcting osteotomy of the head of the talus with its partial resection. Caevnous deformation is eliminated. Tendon of the anterior tibial muscle is separated longitudinally at a ratio of one to one. Canal is formed in the interosseous membrane at an acute angle to the shin axis. Internal portion of the tibialis muscle tendon is applied through the formed canal to the posterior surface of the shin. Internal portion of a tendon of an anterior tibial muscle is fixed to an Achilles tendon at maximum tension. After calcaneal deformation is eliminated, the foot is additionally fixed with three spokes: one is delivered through the first foot beam, tarsus bones and an ankle bone, and the second and third needles are delivered through calcaneal bone, an ankle and distal end of tibia. Wound stitches are applied in layers; aseptic dressings; immobilization is performed with a posterior plaster cast.;EFFECT: method provides higher effectiveness of paralytic heel-cava-valgus deformity in children due to correction at the level of bone structures and elimination of muscular imbalance by partial transplantation of a tendon of anterior tibial muscle on the posterior surface of the shin and fixation of the latter to the Achilles tendon.;1 cl, 6 dwg, 1 ex