FIELD: medicine.
SUBSTANCE: skin in the projection of the first metatarsophalangeal joint is incised along the lateral surface of the foot. The mucous bags of the first metatarsophalangeal joint capsule are excised. The exostosis of the first metatarsal bone head is removed, osteotomy is performed. Immediately prior to the operation, plasmagel is obtained from the patient's blood by centrifugation of 10 ml of blood for 5 minutes at a speed of 3200 rpm, or 3000 rpm, or 2500 rpm. The resulting plasma is incubated at 38°C 15 minutes and 10% calcium chloride is added at the ratio of 1:1. At that, Z-shaped SCARF type osteotomy is performed. Then plasmagel is introduced into the osteotomy zone, metatarsal bone is prepared, the joint and skin capsule is sutured, 5 ml of activated plasma is injected paraossally into the first metatarsal bone, this procedure being repeated 5 times every 2 days.
EFFECT: method allows to form a full bone callus, which allows earlier stabilization of the osteotomy zone, provides early postoperative load on the foot, reduces the risk of osteomyelitis, osteoporosis, low invasive operation provides minimal manifestations of pain syndrome in the postoperative period, reduces the risk of Hallux Varus development, does not require hospitalization of patients and anesthesia.
1 ex, 1 dwg
Title | Year | Author | Number |
---|---|---|---|
METHOD FOR TREATMENT OF INITIAL ASEPTIC OSTEONECROSIS OF MIDDLE AND POSTERIOR PARTS OF FOOT DUE TO PATHOLOGICAL FUNCTIONAL RESTRUCTURING OF BONE TISSUE | 2019 |
|
RU2758831C2 |
METHOD FOR SURGICAL TREATMENT OF VALGUS DEFORMATION OF FIRST METATARSOPHALANGEAL JOINT | 2016 |
|
RU2629038C1 |
DEVICE FOR FIXING BONE FRAGMENTS WHEN PERFORMING DISTAL OSTEOTOMY OF THE FIRST METATARSAL BONE | 2019 |
|
RU2694470C1 |
METHOD OF CONSERVATIVE TREATMENT OF TROPHIC ULCERS OF SOFT TISSUES | 2015 |
|
RU2593582C1 |
METHOD FOR STIMULATING REPARATIVE OSTEOGENESIS AT EARLY STAGES OF POST-TRAUMATIC PERIOD | 2018 |
|
RU2676659C1 |
METHOD FOR SURGICAL MANAGEMENT OF PATIENTS SUFFERING HALLUX VALGUS | 2014 |
|
RU2570953C2 |
METHOD FOR OPERATIVE TREATMENT OF VALGUS DEVIATION OF THE GREAT TOE OF DEGREE II-IV AND HAMMER-LIKE DEFORMATION OF THE SECOND TOE | 2004 |
|
RU2257174C1 |
DEVICE FOR PERSONIFIED TREATMENT OF VALGUS DEFORMATION OF FIRST TOE AND METHOD OF USE THEREOF | 2020 |
|
RU2741198C1 |
METHOD OF SURGICAL TREATMENT OF COMPLEX STATIC DEFORMATION OF THE FOREFOOT OF PATIENTS OF OLDER AGE GROUP | 2020 |
|
RU2742447C1 |
METHOD FOR COMBINED TREATMENT OF FOREFOOT PATHOLOGY | 2022 |
|
RU2786827C1 |
Authors
Dates
2017-07-03—Published
2016-02-02—Filed