Abstract
In order to justify a new method of surgical treatment of patients with recurrent and chronic Achilles tendon ruptures conducted applied topographic-anatomic study of 12 fixed and 8 fixed preparations of the lower extremities was performed. In the developed technique were carried out operations in 18 patients aged from 30 to 72 years with repeated ruptures Achilles tendon. The results of treatment were followed-up in all 18 patients in the period from 6 months to 3 years. Repeated tears of Achilles tendon were not observed. The range of motions in ankle joint reconstructed almost in its entirety. Performed topographic and anatomical studies and accumulated clinical experience allow us to recommend the proposed method for a wider clinical use.
Highlights
In order to justify a new method of surgical treatment of patients with recurrent and chronic Achilles tendon ruptures conducted applied topographic-anatomic study of 12 fixed and 8 fixed preparations of the lower extremities was performed
In the developed technique were carried out operations in 18 patients aged from 30 to 72 years with repeated ruptures Achilles tendon
Ïîñëåäóþùàÿ óñïåøíàÿ êëèíè÷åñêàÿ àïðîáàöèÿ, íà íàø âçãëÿä, äàåò îñíîâàíèÿ ðåêîìåíäîâàòü åãî äëÿ áîëåå øèðîêîãî êëèíè÷åñêîãî èñïîëüçîâàíèÿ ó ïàöèåíòîâ ñ ïîâòîðíûìè è çàñòàðåëûìè ðàçðûâàìè àõèëëîâà ñóõîæèëèÿ
Summary
In order to justify a new method of surgical treatment of patients with recurrent and chronic Achilles tendon ruptures conducted applied topographic-anatomic study of 12 fixed and 8 fixed preparations of the lower extremities was performed.  íàøåé ñòðàíå äëÿ ïëàñòè÷åñêîãî âîññòàíîâëåíèÿ àõèëëîâà ñóõîæèëèÿ ïðè çàñòàðåëûõ ïîâðåæäåíèÿõ ÷àùå âñåãî âûïîëíÿþò åãî ïëàñòèêó ïî ñïîñîáó À.Â. Îäíàêî ïðè ýòîì ñïîñîáå ìåõàíè÷åñêè îñëàáëÿåòñÿ ïðîêñèìàëüíûé êîíåö ïÿòî÷íîãî ñóõîæèëèÿ, èç êîòîðîãî ôîðìèðóþò ñóõîæèëüíûé àóòîòðàíñïëàíòàò è íàðóøàåòñÿ åãî êðîâîñíàáæåíèå.
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