METHOD FOR SURGICAL MANAGEMENT OF TROPHIC DISTURBANCES DIABETIC OSTEOARTHROPATHY OF MIDFOOT IN TROPHIC DISTURBANCES Russian patent published in 2015 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: midfoot skeleton is approached through an ulcerative defect found on a plantar surface within the greatest deformity. The ulcer is dissected together with cicatrically changed tissues up to intact anatomical structures. A bone conglomerate presented by degenerative and dystrophic changed bone with portions of chronic purulent inflammation. That is followed by a peripheral excision of the bone conglomerate to flatten the plantar surface of the foot. The foot is repaired by displacing the pre-mobilised m. adductor hallucis brevis or m.flexor digitorum brevis into the surgical area and repairing the wound by means of local tissues with eliminating the cover tissue defect with antibacterial-coated absorbable suture material.

EFFECT: method allows repairing the physiological load distribution over the foot.

5 dwg, 2 ex