METHOD FOR TREATMENT OF SHORT CRUS DURING PARESIS OF MUSCLES OF LOWER EXTREMITY Russian patent published in 1994 - IPC

FIELD: medicine. SUBSTANCE: method involves driving three intersecting pins through proximal epiphysis of tibial bone and two intersecting pins at the boundary of upper, middle and lower thirds. Then osteotomy of fibular bone is carried out at the head level through Z-shaped incision in upper third of crus (after preliminary exposure of common fibular nerve) and compactotomy of tibial bone whose surface passes between central attachment points of crus muscles and fixing zones of hip muscles. Then Ilizarov's apparatus is assembled and stabilized. Distraction at the rate of 0.5-1 mm per day is started on the sixth or seventh day. Dissection of crus bones between attachment points of crus and hip muscles prevents injuries of muscles in the course of distraction. This curtails the term of rehabilitation treatment after removal of external fixing apparatus. EFFECT: prevention of heavy contractures and reduced rehabilitation time.