METHOD FOR SURGICAL TREATMENT OF FOOT IN CASE OF PURULENT-NECROTIC DAMAGE Russian patent published in 2017 - IPC A61B17/56 

FIELD: medicine.

SUBSTANCE: methodincludes autopsy of the purulent focus and its active drainage, for which the skin, subcutaneous tissue, superficial and intrinsic fascia are dissected and excision of the affected, purulent-fused tissues is performed. Skin incision is made proximal to the medial malleolus 5-7 cm parallel to posterior margin of tibia. The tendon of the posterior tibial muscle, the tendon of the long finger flexor, the neurovascular bundle representing the posterior tibial artery and the tibial nerve, and the tendon of the long flexor of the first toe are found. Then, the tendon involved in the pathological process is cut at the site of its passage into the muscular part. The proximal end of this tendon is released, the drainage is fixed to the distal end. The remaining part of the tendon is pulled out by the distal end in the foot wound, with drainage placed instead. When the tendon of the long finger flexor is removed, the short finger flexor is cut off from it.

EFFECT: method prevents the spread of purulent-inflammatory process in the proximal direction along the tendons.

2 cl, 1 ex, 5 dwg