Abstract

The cicatrical deformities of the foot and secondary changes in tendons, muscles and in osteoarticular system with respect to the age and scar location were discussed. It was pointed to a high risk of early development of foot deformities, especially in young children up to five years of age. This indicates the need for regular medical check-up. Clinical experience shows that the hypertrophic scars that extend from the lateral surfaces of the foot to the ankle region create preconditions for development of multiplanar foot deformities, especially in the period of intensive growth of the skeleton. Possible complications in the treatment of multiplanar foot deformities in the presence of scar lesions of surrounding tissues associated with an increased risk of trophic disorders and the development of the inflammatory process are considered. Recommendations on stages of surgical treatment are given.

Highlights

  • The cicatrical deformities of the foot and secondary changes in tendons, muscles and in osteoarticular system with respect to the age and scar location were discussed

  • It was pointed to a high risk of early development

  • This indicates the need for regular medical check-up

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Summary

Introduction

The cicatrical deformities of the foot and secondary changes in tendons, muscles and in osteoarticular system with respect to the age and scar location were discussed. Äëÿ ðåàëèçàöèè ïîñòàâëåííîé öåëè àíàëèçèðêäîîàðââàòàíèëèèíñåàü)(,àâäíêààëíìþííû÷åàåñþòðèùå÷íàåòÿñãêåíèíååîâäëðàîîíãëèíîû÷ãåèåñ÷,êêåîëñãêèîîí,åèó÷îëåáüññòêëðààåÿ-çÝâÍóêÌîÃâ.îãî è áèîìåõàíè÷åñêîãî èññëåäîâàíèé, êîéÓï4îìäåîòùåéüþïðïèî÷ñèëíóæîéèëîèáðôàùîðåìíèèðÿóçþàùìèåäåèñÿöèðíàñç-ãñèóáñòààòâåëîüâí, ûòðåîêôîèí÷òåðñàêêèòåóðèûçìïåëíþåñííèåÿ-ôñîàëñàòíîãðîîâíûûõ ðíóèáèöîîáâóîâéè.òÃêèàíïèåðèêåòððààòâîìçàèòèäëçàèöòèåëÿüåíîïíðåèçàíæîèøâàå-þñôóóùñíòèêàåâöòàèðîèåíùààõëèèüííëûëûîêåâîîàæãñèðóàâõíîîèæá÷ëèåàíëñèèòÿÿè. ÂãËûîîëçêåûàíâëîàèñëòçèîàöïçèíóÿîäãèèî ôëÿîëðèìàïððóîáãíöîîçâè, ðàîòâààêòæüåíâåîèççðáàåñæò íïîàöåèïåðíîòãîðâåñïñîèçðâîî-âðàîíñòèàåñðêàåçëãåèòáààñòòåîëïüûí.ûõ êîíòðàêòóð â ïðîöåññå ôîðÂìðèÿðäóåÿ ïñëëóîñ÷êàîåñâòíðóîéáöìîàâñûñèåâò.ÿÈæçè13ñëïèðîâëàëå÷èåñíü-, íðîûíõûäåñòóåõéîæ[9] èèìëüåíëîè-âìòûîøðèå÷÷ííûîãåîèèçìêåîíñåòííèîÿ-ññóîññòòàîâ-íÊîëãèîíàèï÷ïåñàêðààÿòîõâàððààêçòëåèð÷èíñîòéèêñàòåîïáåñíëèåäòîÿâæàíåíñòûèõ. ËÏüîí÷ûòåèêóîíïòîðëàîêâòèóíðûûïïàðöèèâååíëòèîêâ ôèêñàöèè ïëþñíå-ôàëàíãîâûõ ñóñòàâîâ â ïîëîæåíèè âûâèõà. ÷àÿÂõòîîñðòèà÷âíàëûñåÿèèçíìòåàíêåòííèûÿì.ñî ñòîðîíû ñóñòàâîâ ðòðàçàââèìâûàëèèñáüûâëñèðîïêðèåîäòñò8àìâëåñåÿíöûåâïäîîäâ1û,5âëèåõòàïìîèñëèå âôûàâëèàíõàãìîâèûâõòñðóåñòòüàåìâà,õ÷.åòÑâëååðäòóîåìòèîïòìÿòåîòìèòïüë, þ÷òñîíåóäðåàòçåâéèâìàëëàèäñøüåâãîíâàîèçáðîàëñòåàå (ð1à–í3íãèîåäàñ)ðîäêåôè,îð÷ìåðàåöçèè[8] ììååíñÊÿåëöíèåèâíåèïï÷îîåõññëîêäåèêîèæâ–îðãïÿààäöãåîèñðåëÿíó÷ò÷åûàéåíââàîãíäðàîóáéæëà(þëðäèèàñâë.íî1óñ)òü.ðèåíç-íâûèéÿâêëðÿàëéîññòüî.

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