FIELD: medicine.
SUBSTANCE: not longer than 3 cm skin cut is performed above place of rupture on posterior surface of shin. Crucifirm sutures are applied on proximal and distal ends of Achilles tendon transcutaneously in front plane in such a way that one cruciform suture is located in deep and another - in superficial layer of Achilles tendon ends. Ends of Achilles tendon are brought into wound by threads, which are used to additionally apply blocking knots on proximal and distal tendon ends in order to prevent eruption of cruciform sutures. Threads are tightened and tied to each other, approaching tendon ends. Tendon ends are additionally strengthened with U-shaped sutures.
EFFECT: method increases accuracy of matching fragments of Achilles tendon by width and by length, reduces risk of injuring sural nerve.
3 dwg, 1 ex
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Authors
Dates
2015-06-27—Published
2014-04-17—Filed