СПОСОБ РЕКОНСТРУКЦИИ ГОЛЕНОСТОПНОГО СУСТАВА У ДЕТЕЙ РАННЕГО ВОЗРАСТА С АПЛАЗИЕЙ МАЛОБЕРЦОВОЙ КОСТИ

摘要

FIELD: medicine. ^ SUBSTANCE: method involves completing Z-shaped elongating achilloplasty with oblique transverse myotomy applied to lateral gastrocnemius muscle head and, when excessive muscle rigidity being the case, to medial gastrocnemius muscle head also. Upper portion of fibrous tissue band located on fibular rudiment is excised, tissue complex on feeding pedicle is cut out with lower fibrous tissue band portion, periosteum and lateral tibial epiphysis portion having osteochondrous part size equal to lateral malleolus size on healthy side. External and posterior ankle-joint arthrolysis is carried out. Talus reposition is carried out with prepared tissue complex being rotated to enable transferred tibial epiphysis part to take place of the lateral malleolus. Set talus position in articulation fork is to be transarticularly fixed with wires. Osteochondrous part of the transferred tissue complex on the lateral malleolus is fixed with wires. ^ EFFECT: enhanced effectiveness in restoring optimum anatomical and functional conditions in ankle-joint. ^ 2 cl