METHOD FOR SURGICAL TREATMENT OF TRANSVERSE FLATNESS OF FOOT Russian patent published in 2016 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, particularly to surgery of feet. First incision is performed in the projection of first tarsal-metatarsal joint followed with its capsulotomy. Through the second incision the exostosis of head of the first metatarsal bone is performed, its outer portion is cut and inner portion of capsule of first metatarsophalangeal joint is strengthened. Third incision in projection of distal epiphysial cartilage of the second instep bone on the rear side of foot is connected with the second tunnel in soft tissues, through which the first allograft is passed by outputting both its ends into the third incision. First metatarsal bone is shifted to the outside, into correct position, ends of the first allograft are fixed to each other. Fourth skin incision of longitudinal shape is made on outer surface of the foot in a projection of the fifth tarsal-metatarsal joint with capsulotomy of this joint. Fifth skin incision is performed in a projection of distal epiphysial cartilage of the forth metatarsal bone at the rear side of foot. Sixth skin incision is performed in a projection of distal epiphysial cartilage of fifth metatarsal bone at the rear side of foot. Fifth incision is connected to the sixth tunnel in soft tissues along the dorsal and plantar surfaces maximally close to metatarsal bones. Through these tunnels the second allograft is passed by outputting both its ends into the fifth incision. Fifth metatarsal bone is displaced medially into correct position. Ends of the second allograft are fixed to each other. Third and fifth sections are interconnected by tunnel in soft tissues at the back surface as close to metatarsal bones. Remaining after fixation ends of the second allograft are passed through the formed tunnel into the third incision. First and fifth metatarsal bone is displaced to each other, thus eliminating the transverse flatness. Remaining after fixation and supplied into the third incision ends of second and first allografts are tied together. Tongue-shaped flap of the capsule of the first metatarsophalangeal articulation is set in tensioned position and sewed to the periosteum of first metatarsal bone with corrugation of the capsule.

EFFECT: method reduces the number of complications and recurrences in the postoperative period.

1 cl, 1 dwg, 1 ex