FIELD: medicine.
SUBSTANCE: invention relates to medicine, namely to traumatology and orthopedics, foot surgery. Method comprises access to the joint. Tendons of the long and short extensors of the deformed toe are mobilized. Expose the metatarsophalangeal joint, produce from the lateral side longitudinal dissection of the dorsal capsule and collateral ligament. At the base of the proximal phalanx, a channel is formed perpendicular to the axis of the deformed finger in the lateral medial direction. Tendon of the short extensor of the deformed toe is cut off in the tendon-muscle part. Distal end of the tendon of the short extensor of the deformed toe is stitched with suture material and is passed through the formed channel to the medial surface of the base of the proximal phalanx of the deformed finger. Deformed finger is adjusted by stretching the tendon of the short extensor of the deformed toe of the foot. Achieved anatomical position of the finger is fixed by the transossal fixation of the tendon of the short extensor of the deformed toe of the foot. Isolate the tendon of the long extensor of the deformed toe of the foot, preserving its integrity. Proceed from the lateral side of the dissection of the tendon of the interosseous muscle of the deformed finger. Tendon of the short extensor of the deformed toe of the foot is held under a deep intercellular ligament. Achieved anatomical position of the finger is fixed by the transossal fixation of the tendon of the short extensor of the toe to the diaphysis of the metatarsal bone.
EFFECT: method prevents a relapse of deformation.
1 cl, 1 ex, 4 dwg
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Authors
Dates
2018-10-01—Published
2017-12-07—Filed