SU1120978A1 - Method of treatment of transverse platypodia - Google Patents

Abstract

A METHOD FOR TREATING THE TRANSVERSE PLANE by cutting off and lowering the tendons of the leading muscle of the first toe to the first metatarsal bone, characterized in that, in order to reduce the morbidity of the operation and eliminate the hypercorrection of the transverse arch of the foot while maintaining its elasticity, by the end of the removed tendon, the fold of the back arch of the foot is sutured, the fold of the back arch of the foot is folded, the fold of the back arch of the foot should be folded, and the elastic of the foot should be folded by the body of the transverse arch of the foot, by storing its elasticity, by the end of the removed tendon, the body of the foot is sutured, the fold of the foot arch is folded, the fold of the back arch of the foot is removed, the fold of the elasticity of the foot arch is strengthened, by the end of the removed tendon, the fold of the back arch of the foot is sutured and the fold of the foot arch is folded, the body of the elasticity of the elasticity of the transverse arch of the foot is reduced and the elasticity of the elasticity of the transverse arch is reduced. circling it around the first metatarsal bone and, in the position of the achieved correction of the arch, is stitched to the same muscle.

Description

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The invention relates to medicine, in particular to orthopedics. There is a known method of treating the transverse flatfoot by cutting off and lowering the tendons of the leading finger muscle to the first metatarsal bone 1. However, with this method of the metatarsal bone, a significant injury is inflicted: a channel that has to be large in diameter is drilled to hold the tendons, which reduces its strength and can be complicated fracture. In addition, the reduced tendon is attached to the inferior capsule-periosteal flap, which is clearly not enough for reliable fixation and is fraught with its separation. In addition, the often cut-off tendon is short and when it is removed on the inner surface of the metatarsal bone, there is hypercorrection of the arch of the foot, which impairs the functional outcome of the treatment, causing pain when walking and a feeling of stiffness in the foot. The purpose of the invention is to reduce the morbidity of the operation and the elimination of hypercorrection of the transverse arch of the foot, while maintaining its elasticity. The goal is achieved in that according to the method of treating the transverse flatfoot by cutting off and lowering the tendons of the leading muscle of the first finger to the first metatarsal bone, the polyester tape is stitched to the end of the tendon, circle it around the first metatarsal and, in the position of the achieved correction of the arch, is stitched to the same muscle The method is carried out as follows. In the position of the patient on the back, under general anesthesia, a longitudinal incision is made along the dorsum of the foot in the first interplusus space 4.0 cm long. The tendon of the adductus muscle of the first finger is removed and cut off from the attachment to the main phalanx of the first finger and lateral sesamoid bone. In the presence of marked arthrosis of the metatarsus-sesamovia joint, the lateral sesamoid bone is removed. To the cut-off end, the tendons with anchor lavsan stitches hem a finely cellular lavsan tape 10 mm wide. An additional semi-oval incision, 5.0 cm long, along the back-inner surface of the first metatarsophalangeal joint, resects the bone-cartilage exostosis of the head of the first metatarsal bone. The lavsan's tape is conducted subperiosteally around the diaphysis at the base of the head of the first metatarsal bone, and, pulling it, the control of the achieved correction of the transverse arch of the foot is carried out, and then the second end of the tape is applied to the resulting muscle of the first finger. Wounds are sutured in layers. Impose a plaster "boot for up to 1 month. Example. Ill L., 29 years old, was admitted to the hospital with complaints of deformities of the anterior sections of the feet, pain in the area of the first metatarsophalangeal joints that occur during prolonged walking, difficulty in picking and wearing shoes. The clinically and radiologically determined flatness of the anterior sections of both feet, valgus deformity of the first fingers of the second degree, non-fixed form. The patient underwent an operative intervention according to the proposed method on both feet. Stitches on the 12th day - wounds healed by primary tension. Immobilization in a plaster dressing for 1 month. Disability restored after 2 months. after operation . Control examination after 6 months. No complaints. Wears the desired shoes. Achieved during the operation, the correction of the transverse arch and the elasticity of the foot are preserved. The method was applied in 5 patients, operations were performed on 8 feet. All patients achieved good results.

Claims (1)

METHOD FOR TREATING TRANSVERSE PLATOSCOPY by cutting and lowering the tendon of the adducting muscle of the first finger to the first metatarsal bone, characterized in that, in order to reduce the invasiveness of the operation and prevent hypercorrection of the transverse arch of the foot while maintaining its elasticity, the lavsan tape is sewn to the end of the reduced tendon and circled around the first metatarsal bone and in the position of the achieved arch correction is hemmed to the same muscle.