SU1641303A1 - Method for treatment of hypoplastic fused tarsal bones accompanied by talipes valgus - Google Patents

Abstract

The invention relates to medicine, in particular to orthopedics in the treatment of congenital deformities due to underdevelopment, fusion of the tarsus with displacement of the foot. The method comprises extension peroneus brevis, disengagement adherent tarsal bones at talo-p precise, talo-lade- prominent joints, partially resected sub-cortical-back of adherent tarsal bone, sphenoid bone cuboid, releasable by tissue between the tibia and the talus MI, the foot is displaced medially, osteotomized bones of the foot are placed in an anatomical location with subsequent fixation.

Description

i

SL

The invention relates to medicine and can be used in the surgical treatment of children from 10 years of age and older with severe congenital anomalies of the foot bones, when all the bones of the tarsus are underdeveloped and spliced into a single bone conglomerate in a vicious position, in combination with a pinned deformity of the ankle joint, due to the displacement of the foot outwards.

Such a deformation is not described in the literature; therefore, there are no published methods of surgical intervention for this type of pathology, the invention has been recognized as a pioneer.

The purpose of the surgical treatment of congenital stubble deformity of the ankle joint is to correct the stubby deformity of the ankle joint, to correct the deformity of the foot in children 10 years of age and older. Creating a supporting foot eliminates severe disability.

The operation is performed in children 10 years and older with severe congenital anomalies of the foot bones, when all the bones

the tarsals of the foot are underdeveloped and spliced into a single bone conglomerate in a vicious position in combination with a bayonet-shaped deformity of the ankle joint, caused by the displacement of the foot outwards.

The operation is performed as follows. From the incision along the outer surface of the foot, the tendon of the short peroneal muscle is isolated and extended in a Z-shape. An osteotomy of a conglomerate of the tarsal bones is performed at the level of the intended and precisely talus joint and an osteotomy at the level of the intended talus-boat-visible joint. The protruding bone tubercle on the dorsum, which is a t conglomerate of cuboid and cuneate bones, is partially resected: a spongy bone tissue is removed with a small spoon of Volkmann, preserving the cortical part of the bone and the periosteum. The connective tissue formations between the talus, tibia, fibula, which keep the foot and the ankle joint in a vicious position, are dissected. The talus, the right bone are displaced medially.

OE

J

with about with

foot, eliminate the bayonet deformity of the ankle joint. The bones of the foot, mobilized after osteotomy, are brought into the correct anatomical position, fixed with two metal spokes (crossing).

Example. The patient was born in 1978. The diagnosis is a congenital malformation of the foot, a bayonet-shaped deformity of the ankle joint. Operated on 13/04/88. From the incision along the outer surface of the foot, the tendon of the short peroneal muscle was isolated and lengthened in a Z-shape. An osteotomy of a conglomerate of tarsal bones was made at the level of the supposedly exact-ram, ram-navicular joints. The protruding bone bump on the dorsum, which is a conglomerate of cuboid and cuneiform bones, was partially resected. Folkman's spongy bone tissue was removed with a small spoon of Volkmann, preserving the cortical part of the bone and the periosteum. The connective tissue formations between the talus, tibia, fibula bones were cut, which held the foot and ankle composition in

vicious situation. They mediated the foot, thereby eliminating the bayonet deformity of the ankle joint. The foot bones mobilized after osteotomy were placed in an anatomically correct position and were fixed with two metal spokes (crossed). As a result, all foot deformities were corrected and a support foot was created.

Claims (1)

Invention Formula The method of treating the underdeveloped spliced bones of the tarsus with a displacement of the foot outwardly, which consists in extending the short peroneal muscle, separating the junction of the tarsal bone at the level of the ramus, the exact, talone-navicular joints, resecting the subcortical part of the muscle, partially resecting the rim. , cuboid, sphenoid bones, tissues are separated between the ramus and tibia bones, the foot is displaced medially, the osteotomized foot bones are placed in an anatomical location with subsequent fixation.