METHOD FOR SURGICAL MANAGEMENT OF OLD ACHILLES TENDON RUPTURE Russian patent published in 2015 - IPC A61B17/56 

FIELD: medicine.

SUBSTANCE: posterolateral approach to an Achilles tendon is performed from a first incision. A second skin incision is performed at an origin of a tendon of short peroneal muscle. The tendon of the short peroneal muscle is separated and drawn by a traction suture. A third skin incision is extended along an outer surface of shin in a projection of the origin of the tendon to the short peroneal muscle, which is separated and drawn by the traction suture. The tendon of the short peroneal muscle is dissected away at the origin and brought out into a third incision wound. The first and third incision wounds are connected by a subcutaneous tunnel, through which the tendon of the short peroneal muscle is brought out into the first incision wound. The fourth skin incision is delivered along an inner surface of foot in a projection of the origin of the tendon to the short peroneal muscle, which is separated and drawn by the traction suture. A fifth skin incision is extended along the inner surface of shin in its lower one-third in a projection of the origin of the tendon to the posterior tibial muscle, which is separated and drawn by the traction suture. The tendon of the posterior tibial muscle is dissected away at the origin and brought out into the fifth incision wound. The first and fifth incision wounds are connected by a subcutaneous tunnel, through which the tendon of the posterior tibial muscle is brought out into the first incision wound. The separated tendons of the short peroneal muscle and posterior tibial muscle are delivered through triceps; an Achilles tendon defect is overlapped, draw tight to optimum tension and fixed by means of sutures extending in parallel to each other to reach a distal end of the Achilles tendon.

EFFECT: method improves the function of the triceps, provides the more complete recovery of the ankle flexion.

2 dwg, 1 ex