ABSTRACT
An original method of plastic closing the fascial defects with the polymer tissue was used in 5 patients with true muscular hernias of the extremities. In all cases good anatomo-functional and cosmetic results were obtained.
Subject(s)
Herniorrhaphy , Muscular Diseases/surgery , Adult , Arm , Disability Evaluation , Exercise Therapy , Fascia/injuries , Fasciotomy , Follow-Up Studies , Hernia/etiology , Humans , Leg , Male , Matrix Bands , Muscle, Skeletal/injuries , Muscle, Skeletal/surgery , Muscular Diseases/etiology , Polyethylene Terephthalates , Prostheses and Implants , Skin Transplantation , Time FactorsABSTRACT
Curative tactics in operative treatment of not fresh and longstanding injuries of the Achilles tendon with biocompatible artificial materials are discussed. Expediency of performing surgical interventions under conditions of conductive anesthesia is noted when using a Z-shaped access. An original operative technique is described. In 16 patients with subcutaneous ruptures of the Achilles tendon who were treated by the proposed curative method the supporting ability of the foot was recovered within 2-3 months after operation.
Subject(s)
Achilles Tendon/injuries , Achilles Tendon/surgery , Wounds, Nonpenetrating/surgery , Adult , Anesthesia, Conduction , Humans , Ligation/methods , Male , Middle Aged , Polyethylene Terephthalates , Postoperative Care/methods , Prostheses and Implants , Remission Induction , Suture TechniquesSubject(s)
Ankle Injuries , Arthrodesis/methods , Fibula/injuries , Joint Dislocations/surgery , Tibia/injuries , Adult , Aged , Ankle Joint/surgery , Female , Fibula/surgery , Humans , Male , Middle Aged , Tibia/surgeryABSTRACT
Under study there were 278 patients with 285 subcutaneous ruptures of tendons and muscles of the upper and lower extremities. The tendon of the long head of the humeral biceps muscle and Achilles tendon are most liable to subcutaneous ruptures (123 patients--43.2% and 97 patients--34% respectively). Pathohistological examinations have shown that subcutaneous ruptures of tendons and muscles usually take place against the background of dystrophic alterations reducing their mechanical strength. The authors find it expedient to use polymer materials (kapron, lavsan) for the restoration of injured tendons and muscles.
