FIELD: medicine.
SUBSTANCE: method involves Z-elongation of Achilles tendon and fibular tendons. An anterior tibial muscle is dissected away from its attachment point. Talocalcanean, calocuboidand and talonavicular joints are opened Ankle and navicular bones are repositioned. Modelling the foot arch involves fixing the calcaneal bone and ankle to the shinbone with using a pin. Another pin is delivered through a first toe along a long axis of the first metatarsal, first cuneiform, navicular, ankle and calcaneal bones. A dissected end of the tibial tendon is brought under the posterior tibial tendon, looped; the posterior tibial tendon is pulled as a bow-string; the separated tendon end is fixed to the medial surface of the ankle and navicular bones in the varus position.
EFFECT: method improves the functional results by creating the active dynamic balance between the tibial and fibular groups of muscles.
2 dwg, 1 ex
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Authors
Dates
2015-03-10—Published
2014-01-10—Filed