METHOD FOR TREATMENT OF DEGENERATIVE AND CHRONIC ACHILLES TENDON

摘要

FIELD: medicine.;SUBSTANCE: invention relates to traumatology and orthopedics and may be applicable to the treatment of degenerative and chronic Achilles tendon ruptures. Perform a posterolateral longitudinal access 10–12 cm. Through an additional incision, the tendon of the short peroneal muscle is cut off from the attachment site to the base of the fifth metatarsal bone. Fascial septum separating the lateral and posterior compartments of the tibia is opened with the formation of a through hole. Through the hole formed in the fascial septum, the loosened tendon of the short fibular muscle is passed into the main wound. Through the distal stump of the Achilles tendon and the pre-formed canal in the calcaneus, a tendon of the short fibular muscle is stretched and ligated to the proximal tendon cult with the formation of a dynamic loop. In addition, the tendon of the short fibular muscle is fixed by the sutures in the canal in the calcaneus. Zone of the transition of the short fibular muscle to the tendon is neatly placed on the rupture zone.;EFFECT: method allows you to reduce trauma, improve the functional result.;1 cl, 3 ex