[A method of plastic surgery of the Achilles tendon in patients with infantile paralysis].
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Biomedical subjects
Publications and source records attributed to V I Ust'iantsev.
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In the article are analysed the results of limb segment lengthening after Ilizarov with 101 patient (49 thighs, 29 cruses, 13 feet, 9 arms, 4 forearms) at the age of 2-50 years. The average lengthening values are: crus--3.8 cm., thigh--3.4 cm., foot--2.5 cm., arm--4.7 cm., forearm--2.0 cm. For complete regenerate ossification, in terms of I cm. lengthening, the stable fixation by means of an apparatus is necessary during: crus--29.4 day, thigh--15.5, foot--33.2, arm--17.4, forearm--28.1. Good results have been obtained in 99 cases (95.3%), satisfactory--4 (3.8%), unsatisfactory--1 (0.9%).
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In a typical form of congenital club foot there is a complex primary and secondary post-loading deformation both of the feet and of all the bones of the lower extremity which by all means should be taken into consideration when correction with apparatuses of perosseous external fixation is carried out for the complete elimination of the congenital malformation and the prevention of a recurrent deformation.
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