ABSTRACT
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 TechniquesABSTRACT
The author analyses the treatment of 107 injured patients with 148 double and 203 single diaphyseal fractures of long bones of various localization. Special attention has been paid to double fractures in the light of experimental studies carried out by the author in which a number of formerly unknown regularities of blood supply of the fragments has been revealed, which stipulates the peculiarities of the therapeutic tactics. Indications for various methods of treatment with regard to the classification groups are stated. Long-term results are given.