RESUMO
Experiments, carried out by the author, have shown that the pathogenesis of congenital talipes is based on congenital muscular disbalance between flexors-supinators and extensors-pronators at the expense of strengthening of the former and insufficiency of the latter. An object of treatment of the considered developmental defect is restoration of myogenic balance. The existing methods of conservative treatment result in preservation of insufficiency of the anterolateral group of the crus muscles. Only the method of Vilensky V. Ya. allows to completely solve the posed problem. Operations on the posteromedial section of foot result in reduction of the myogenic disbalance as there is preserved insufficiency of extensors-pronators. Only operations, accompanied by shortening of anterolateral groups of the crus muscles allow to restore the myogenic balance straight on the operating table. The cause of recurrencies in case of congenital talipes is preservation of myogenic disbalance between flexors-spinators and their antagonist more frequent at the expense of insufficiency of the latter.
Assuntos
Pé Torto Equinovaro/etiologia , Deformidades Congênitas do Pé/etiologia , Miotonia Congênita/complicações , Pé Torto Equinovaro/cirurgia , Deformidades Congênitas do Pé/cirurgia , Humanos , Miotonia Congênita/cirurgia , Transferência Tendinosa/métodosRESUMO
There have been analyzed the results of the treatment of congenital femur dislocation in 189 children. It has been stated that the results of treatment are in direct relation with the timely commencement of treatment, dysplasia expression of pelvic and femur components, adequacy of the treatment methods to the pathology nature, observation of the orthopedics regimen and rehabilitation treatment. There have been detected the group of children, in which in spite of the treatment applied in total accordance with the rules of orthopedics, have been noticed the changes of the degenerative-dystrophic nature both on the side of dislocation and in the remote parts of skeleton. The obtained data are to be taken into consideration for vocational orientation of adolescents and at the stage of dispensary observation in order to compile the plans of rehabilitation treatment.