METHOD FOR OPERATIVE TREATMENT OF TALIPES IN CHILDREN

摘要

FIELD: medicine, orthopedics.;SUBSTANCE: the method deals with applying compression-distraction apparatus consisting of rings and a square framework supplied with distraction rods and cantilevers in its grooves followed by applying and fixing the needles and osteotomy of the first metatarsus. The novelty lies in the fact that a needle with a soldered piece applied through proximal metaphysis of the first metatarsus from the bottom upwards should be fixed in inferior grooves of the framework; needles with soldered pieces applied from the bottom upwards through distal metaphysis of the first metatarsus and diaphysis of distal phalanx of the great toe should be fixed to distraction rods being fixed in the upper grooves of the framework; a needle with a soldered piece applied from the bottom upwards through distal metaphysis of the fourth metatarsus should be fixed in cantilevers at inferior grooves of the framework along with removing adduction of anterior department of patient's foot by replacing the framework in frontal plane from inside outwards, and lengthening the first metatarsus by shifting its osteotomized fragment in distal direction that decreases tissue traumatism due to simultaneous lengthening capsular-ligamentous apparatus along median surface of patient's foot, eliminating the shift in the first metatarso-wedge and navicular-wedge joints and removing the shortening in the first metatarsus.;EFFECT: higher efficiency of therapy.;1 dwg, 1 ex