FIELD: medicine; traumatology; orthopedics.
SUBSTANCE: invention can be used to treat resistant pain in the medial and plantar areas of the heel region. Before the RFD procedure of the calcaneal region, a landmark for the passage of Baxter's nerve is found — the intersection point of two lines: a line drawn parallel to the posterior edge of the inner ankle, and a line drawn parallel to the plane of the sole of the foot at the level of the Achilles tendon attachment. Under ultrasound guidance, a 22G radiofrequency cannula 10 cm long with a 5 mm active tip is inserted at the point of intersection of the lines. The tip reaches the space between the deep fascia of the abductor muscle and the medial head of the square plantar muscle. A second similar cannula is inserted 5 mm distal to the first one, sensory and motor sensitivity is checked at these points using Cosman G4 RFD apparatus in bipolar mode, then Novocaine solution 0.5% — 2.0 is injected into each cannula and radiofrequency thermal ablation is performed at a temperature of 85°C for 90 seconds.
EFFECT: method ensures the achievement of a stable clinical effect immediately after the procedure without the risk of any complications and functional limitations due to the precise impact of the procedure on the first branch of n. plantaris lateralis due to ultrasound navigation and a bipolar system of radiofrequency denervation and an increase in the area of thermocoagulation.
1 cl, 1 dwg, 1 ex
Title | Year | Author | Number |
---|---|---|---|
METHOD FOR LASER THERAPY OF PATIENTS WITH PLANTAR FASCIOSIS | 2017 |
|
RU2641169C1 |
SURGICAL METHOD OF TREATING PROXIMAL PLANTAR FASCIOSIS | 2018 |
|
RU2702867C2 |
METHOD FOR ANESTHESIA DURING THERAPEUTIC BLOCKADE FOR PLANTAR FASCIITIS | 2021 |
|
RU2782203C2 |
METHOD FOR CONSERVATIVE MANAGEMENT OF PLANTAR FASCIITIS | 2013 |
|
RU2531946C1 |
METHOD OF TREATING PLATYPODIA | 2021 |
|
RU2814760C2 |
FASCIOPATHY SIMULATION METHOD IN EXPERIMENTAL ANIMALS | 2020 |
|
RU2739117C1 |
METHOD FOR SURGICAL RESTORATION OF PLANTAR LIGAMENTS OF METATARSOPHALANGEAL JOINTS ACCOMPANYING OVERLOAD METATARSALGIA OR ITS TRAUMATIC RUPTURES | 2015 |
|
RU2604779C1 |
METHOD OF SURGICAL RESTORATION OF PLANTAR PLATE OF SMALL METATARSOPHALANGEAL JOINT PLATE WITH DIRECT PLANTAR ACCESS WITH TRAUMATIC RUPTURES THEREOF DUE TO OVERLOAD METATARSALGIA | 2018 |
|
RU2673382C1 |
METHOD OF TREATING ENTHESOPATHIES | 2014 |
|
RU2564996C1 |
METHOD FOR SURGICAL TREATMENT OF FOOT IN CASE OF PURULENT-NECROTIC DAMAGE | 2017 |
|
RU2633628C1 |
Authors
Dates
2023-08-11—Published
2022-09-06—Filed