Method and device for surgical correction of transversally broad forefoot. RU patent 2513802.
 Method for reduction of fragments in closed intramedullary osteosynthesis of humeral neck fractures / 2513594Minimally invasive transdeltoid approach, opening into a subacromial space and dissection of a rotatory cuff with a long two-centimetre incision from an edge of a greater tubercle to the centre of a humeral head; an EOP-assisted awl is introduced into the humeral head from the greater tubercle to the centre of the head downright and rotated downright to eliminate an incomplete dislocation; the greater tubercle is reduced; and the head is directed in the position optimal for introducing a nail wherein the head is fixed to an articular process of a shoulder blade using two pins introduced through a lesser tubercle from the front and through the greater tubercle at the backside of the canal from a rod canal formed in the geometrical centre of the humeral head. The head is matched with a distal fragment, and the rod is introduced into the canal, and the head, tubercles and diaphysis are fixed using altitude clamps. The temporary pins are removed thereafter. |
| Method of triple pelvic osteotomy / 2512946 Anterior approach to a wing of ilium is involved. A triangular bone graft with a base and sides not less than 1.5 cm on a muscular pedicle is cut out of a tailor's muscle. The graft with the muscular pedicle are displaced in the medial direction. An iliolumbar muscle is separated in the distal direction and dissected away within a tendon at a lesser trochanter. The muscle is displaced inward. The approach extends through a lateral portion of an external obturator muscle. An ischial bone is exposed at the wound depth and protected with elevators inward. The ischial bone is incised in the oblique direction anteroposteriorly with 2 parallel section from the medial side spaced 3-5 mm. A posterior portion of the ischial bone is cracked at the wound depth with using fulcrum motions of the flat chisel. A periosteom is incised above a pubic bone and transected with the flat chisel at the base under the protection of the elevators. The iliac bone is transected in a supra-acetabular portion of the pelvis either crosswise, or semicircularly using a Gigli saw or a flat chisel directly above an anterior inferior spine of an iliac bone. A mobilised acetabular fragment is rotated onto a femoral head until covered completely, a trochanteric portion of the femur is pressed to medialise a hip joint. The cut-out bone graft on the muscular pedicle is placed in an anteroexterior portion of the iliac bone in a cleft between the fragments. The pelvic fragments and graft are fixed with K wires downright from an anterior superior spine. |
| Method for posterior spinal fusion in traumatic injuries of upper cervical spine / 2511485 What is involved is a posteromedian surgical approach to an upper cervical spine. That is followed by a subperiosteal dissection with exposing an occipital bone, a posterior arch of atlas, a spinous process and a C2 vertebral arch. A posterior atlantooccipital fixation is carried out from both sides from a body mid-line with using a polyaxial combined screw and rod fixation according to Harms-Melcher procedure. A posterior spinal fusion of C1-C2 spines follows. For this purpose, a C2 spinous process is dissected away at an attachment to the vertebral arch. The C2 spinous process is split in a section with plane extending though a mid-height from an apex of the spinous process to its base to form two extended halves having a width matching that of the spinous process until it splits, and representing two autografts having a cortical layer from one side, and a spongy bone layer - from the other side. The posterior arch of atlas and the C2 vertebral arches are decorticated; each autograft are laid on C1-C2 vertebral arches from each side on the right and on the left from the body mid-line and along to provide a contact mating of the spongy bone layers with the pre-decorticated relevant vertebral arches. The autografts are fixed to the C1 and C2 vertebral arches. |
 Device applicable in surgical management of pectus excavatum, and method for surgical management / 2510250Group of inventions refers to medicine. A device applicable in the surgical management of a patient suffering pectus excavatum comprises a plate placed under the patient's skin and accommodating substantially a centre that is above a chest when in use, and two side pieces that are above the ribs when in use. The centre comprises at least one hole enclosing a fastener for the plate attachment to the patient's chest. The plate curve, length and width are those that the plate rests against ribs to hold the chest when in use. A kit applicable for the surgical management of the patient suffering pectus excavatum comprising the above device, and at least one fastener applicable for the device attachment to the patient's chest. A method for the surgical management of the patient suffering pectus excavatum involves the following stages: patient's chest is incised, and the plate is inserted under the skin and on the outside of a thorax; and the above plate has the curve, length and width that the plate extends on both sides of the chest, and may be placed on the outside of the patient's thorax; the chest in lifted into the required position, and the above plate is fastened to the chest. |
 Method of treating hip dislocation in small laboratory animals / 2510249Invention refers to medicine, veterinary science, orthopaedics, namely to methods of treating a hip dislocation in small laboratory animals by means of subcutaneous fixators. An open reposition of the hip dislocation is followed by a perforation of a femoral bone, femoral neck and head and an iliac bone along a medial line at an angle to a distal line of the femoral bone with using a guide drill. A triangular-pointed stylette is removed from a guide drill sleeve and replaced by a doubled primary suture to be brought out from the femoral bone, femoral neck and head, and the iliac bone from the medial line of the iliac bone. Another intermediate suture is threaded into a loop formed thereby. The guide drill sleeve is removed from the drilled canal thereby spinning the primary and intermediate sutures. A fixing suture is inserted into a loop of the intermediate suture and drawn through a bone canal; thereafter, nylon monofibre and an orthopaedic pin are inserted into the loop from the medial surface of the iliac bone. A primary loop is drawn from the bone canal, pressed to the iliac bone so that an upper portion of the pin or monofibre extends into a greater trochanter. On the side of the femoral bone, the suture is knotted three times with the orthopaedic pin pre-inserted between the knot and bone, with the loop or double suture with the ends brought out under the skin within the grater trochanter. Then 10-14 days later, the skin within the greater trochanter is incised, and the rest is pulled out on the side of the iliac bone; then the double monofibre that retracts the suture fastened on its end, is removed with demounting the structure supporting the joint. |
 Method of treating hallux valgus / 2509539Invention refers to orthopaedics and can be applied for treating hallux valgus. A first sphenoid bone is displaced in the medial direction, with an anterior portion of the first sphenoid bone being adapted to a base of a first instep bone due to preserving resection. Performing a medial osteochondral exostosis of a head of the first instep bone and a tenoligamentocapsulotomy along the lateral surface of a first metatarsophalangeal articulation is followed by recovering a correct relation in a first metatarsocuneiform joint, eliminating foot deformities, fixing the achieved relation to create an arthrodesis of the first metatarsocuneiform joint. |
| Method of surgical treatment of deforming arthrosis of ankle joint / 2508061 Invention relates to traumatology and orthopedics and can be applied for surgical treatment for deforming arthritis of ankle joint. Cartilages are ablated from joint surfaces of shin tibia and talus. Cut of skin is performed on external surface in the area of injured ankle joint on posterior edge of external ankle-bone. After exposure of fibula from lower third to its top at the level of joint space of ankle joint oblique osteotomy of fibula is performed above anterior and posterior tibial-fibular and calcaneal-fibular ligaments at 40-50° angle to its longitudinal axis. Anterior and posterior tibial-fibular and calcaneal-fibular ligaments are transversely dissected to 1/3-1/2 of their width. Volume of space formed between joint arthrodised surfaces of tibia and talus is filled with gel-like nanostructured composite implant, which contains platelet-enriched autoplasma in ratio 1:(1-2) with granules of complex alloplastic preparation, based on hydroxyapatite, containing 50-60% of collagen. |
| Method of surgical treatment of osteochondral injuries of talus block by method of mosaic autochondroplasty / 2508060 Invention relates to medicine, namely to traumatology and orthopedics, to method of treating osteochondral injuries of talus block by method of mosaic autochondroplasty of affected sections with their further replacement with autotransplants. Blind holes are drilled in bone block, layer of granules of complex alloplastic apparatus, containing 50-60 wt % of collagen, is laid on their bottom. After that, cylindrical osteochondral autotransplants are pressed in with cartilage out. Joint is filled with gel-like platelet-enriched autoplasma. Medial ankle is repositioned and fixed. The remaining autoplasma is returned into patient's blood stream. Granules can additionally contain 0.08-2.8 wt % of colloid solution of zerovalent metal silver nanoparticles. Size of used colloid zerovalent silver nanoparticles is selected from 2 nm to 25 nm. Quantity of blind holes is selected depending on degree of block affection. Diameter of autotransplants and diameter of holes is selected from 4 to 8 mm. Length of autotransplants and depth of holes is selected from 8 to 25 mm. Thickness of layer of granules laid on the bottom of holes is from 0.2 to 1.0 mm. |
 Method for rearfoot repair in defect of plantar investing tissue and missing heel bone / 2506918Invention refers to medicine, specifically to foot surgery. A shin and a foot are fixed with an external fixation apparatus. Fixation pins are brought through ankle, metatarsal and shin bones at the level of their middle and distal one-third. They are tensed and fixed to supports. The foot is position in a maximum plantar flexion. Opposite ends of the defect on the plantar surface of the rearfoot are fixed with grab hooks free ends of which are fixed in a traction assembly of the apparatus supports, and the apparatus is fixed in this position. In the postoperative period, a reserve which is used to close a defect and wound closure, is formed gradually along the defect by applying the traction force to the tissues fixed by the grab hooks. Until healed, the foot is held in the plantar flexion, and then brought into the normal correction gradually and moved backwards to align the shin bone axis along the ankle neck. |
 Method of treating inherent extension contracture of wrist joint in children with arthrogryposis / 2506917Invention relates to medicine, namely to surgery of hand. Excision of long radial extensor muscle of hand is carried out with dorsal capsulotomy of wrist joint. Hand is fixed with Kirschner's wires in neutral position. |
 Method for surgical treatment of foot-drop at fibular nerve paralysis / 2243735One should isolate and dissect the tendons of anterior tibial and long fibular muscles to dissect the tendon of posterior tibial muscle against the site of fixation and direct it towards plantar rear area in front of internal ankle through the tunnel in subcutaneous fiber, then one should subcutaneously direct dissected tendons of anterior tibial and long fibular muscles onto plantar rear area to suture them so to leave free the tendinous end of posterior tibial muscle which should be intraosseously fixed to median wedge bone that keeps the process of foot repulsion during walking. |
| Method for treating post-traumatic talus diseases / 2243736 One should perform reposition of talus fragments followed by resection of articular surfaces of talus and calcaneus by maximally restoring anatomy of tarsal plantar department without forming any groove in talus and resecting wedge-like fragments with their wedge bottom towards the side being opposite to deformation. Then one should develop an autotransplant out of ileum's ala by taking into account the form of modulating resection at its length being from talus' posterior edge up to Chopart's joint without vascular pedicle. Autotransplant should be fixed due to applying Ilizarov's apparatus that enables to cure aseptic necrosis, pseudoarthroses, remove pathological foot's phenomena at shortened time for operative interference and narcosis, decreases traumaticity of operative interference at total decrease of therapy terms. |
 Method for talocrural arthrodesis at incorrectly fused fibular fractures and those of posterior tibial edges / 2243737One should perform incision along internal surface of talocrural joint, open internal ankle and distal tibial metaepiphysis, perform osteotomy of internal ankle, remove cartilages at articular surfaces of internal ankle and internal department of patient's talus, carry out fibular osteotomy being above incorrectly fused fracture, dissect distal fibular fragment outwards, perform osteotomy of incorrectly fused fracture of posterior tibial edge to be then repaired and osteosynthesized, remove cartilages from articular surfaces of fibula and tibia and talus, remove posterior-external subluxation of talus, conduct temporal transarticular fixation of talocrural joint with needles at correct position of talus, perform osteosynthesis of osseous fibular fragments after osteotomy fulfilled, fix external ankle with a screw to tibial and talus epiphysis, perform osteosynthesis of internal ankle, remove transarticularly introduced needles, fill talocrural fissure developed with osseous transplants developed out of anterior-external department of distal tibial metaepiphysis. |
 Method for treating comminuted fractures / 2243738Method involves using wires as temporary fixing members. The wires are introduced reach the external cortical layer after setting the fracture for the period a permanent fixing member is under setting. The wires are removed from the opposite bone side with respect to the fixing member. |
 Method for treating children suffering from juvenile rheumatoid arthritis for elbow joint flexion contracture / 2243739Method involves elongating arm biceps and brachial muscle in distal part. Brachioradial muscle is partially detached from the place of its attachment to achieve full forearm extension. |
 Method for treating the cases of edentulous mandible fracture / 2243740Method involves carrying out reduction and fixation of fractured bone fragments. At least two adjustable length rods are used. The rods have end heads and openings for making attachment to mandible. One of the heads is freely rotatable relative to the rod and the other one is movable along longitudinal rod axis. Reduction and fixation is made in positioned centric jaw relation. The rods are set between the mandible and maxilla to the right and left of the center at the level of failed second incisor and second bicuspid teeth. |
 Methods, instruments and materials for transplanting cartilage tissue cells / 2244521Method involves producing and transplanting and implantable segment containing mature cartilage tissue cells fixed on absorbable supporting matrix for repairing animal cartilage. The implantable segment has absorbable elastic supporting matrix for culturing and fixing living cells thereon. Instrument for introducing the implantable segment, having mature cartilage tissue cells on supporting matrix, into defective animal cartilage area, has clamps and external tubular envelope. The envelope has an end holdable by user and an end for making introduction into defective cartilage area. Holder and telescopic member are available in the envelope end holdable by user. Injection canal is partially embedded into the holder and projects beyond the holdable envelope end towards the end for making introduction. The clamps are attached to the telescopic member. They are well adapted for catching and releasing the implantable segment when telescopically moving the holder in the envelope. |
 Method for surgical treatment of perosseous tendinous ruptures of brachial rotator muscles / 2244522One should perform reposition of osseous fragments at simultaneous reinforcing their thickness with porous titanium nickelide implants. Then one should perform osseous fixation of apophysotendinous stump with titanium nickelide clips at shape memory effect. In particular case, reinforcing should be fulfilled due to implanting elastic porous titanium nickelide plate. In paticular case, reinforcing could be performed due to implanting finely granulated porous titanium nickelide at granules size being 0.1-2 mm. In particular case, reinforcing should be carried out due to implanting elastic porous titanium nickelide plate and finely granulated porous titanium nickelide at granules size being 0.1-2 mm. |
 Method for treating finger extensor's tendinous lesion in area of fixation to nail phalanx / 2245682In case of the suggested method of treating one should isolate extensor's tendon damaged in area of nail phalanx to suture it with a certain suture, the ends of ligature should be directed through oblique canal in nail phalanx to withdraw through the skin and fix them on S-likely curved free end of a needle that fixes the nail phalanx. In case of the present method of therapy it is possible to exclude the pressure upon soft tissues of volar surface of nail phalanx to prevent the development of scar-resulting bedsore and disorder of palpable sensitivity of patient's finger. |
 Method for treating posterior-external rotation instability of knee joint / 2245683One should form a transplant out of femoral biceps' tendon, form an oblique-cross-sectional transfemoral canal in isometric area upon external femoral condyle, right to the front against insertion fibular collateral ligament, apply proximal end of crossed femoral biceps' tendon through this canal, fix the end of crossed femoral biceps' tendon upon internal femoral condyle. The method enables to prevent tendinous rupture at the site of its new fixation and avoid the loss of articular bending function. |
FIELD: medicine.
SUBSTANCE: what is involved is a Z-osteotomy of diaphysis of a first instep bone with a middle cut plane of the Z-osteotomy lying along the axis of the first instep bone or approximately parallel with it. Two additional osteotomies are performed by making two additional cuts: additional cut is inclined to the upper cut so that an additional cut line on an upper surface of the first instep bone is at an angle of 5 to 30° to an upper cut line on the upper surface of the first instep bone; an additional cut is inclined to the lower cut so that the cut line on the lower surface of the first instep bone is at an angle of 5 to 30° to a lower cut line on the lower surface of the first instep bone; the formed bone fragments are removed; a sole fragment is displaced laterally and/or rotated in a horizontal surface; a medial or lateral angle of the sole fragment is integrated into an intramedullary canal of the instep bone; the sole and back fragments of the instep bone are fixed to each other using cannulated compression screws; a pre-dissected tendon of a great toe adductor is re-fixed to a first instep bone head using an anchor fixator for fixing the tendon to the bone.
EFFECT: prevented postoperative dislocation.
3 cl, 5 dwg
The invention relates to medicine, namely to traumatology and orthopedics, and is designed to treat patients with cross flatness of the forefoot.
Transverse platypodia includes lateral subluxation main phalanx I finger, varus deviation I metatarsal bone and lateral offset sesamoid bones (Okuda R, Kinoshita M, 2000). Surgical correction of this pathology implies restoration of congruency I metatarsophalangeal joint by individually selected metatarsalgia osteotomy and release of soft tissues (Gallentine JW, Deorio JK, 2007).
Over the last century offered 130 surgical methods for the treatment of transverse platypodia (Kramarenko G.N., Istomin I.S., 1979, V.A. Levchenko, 1988, Minasov BS, 1999, Coughlin M.J., Saltzman C.L., 2002). Osteotomy of the distal I metatarsal bone is shown in light and medium transverse platypodia. In severe deformations are used more proximal osteotomy (Trnka HJ, Parks BG, 2000). Therefore, the value of the combined metafizare-diaphyseal osteotomy is very high. One of such methods is osteotomy SCARP - Z-shape cutting of the first metatarsal bone used to restore the increased mezhplanetnogo angle. This osteotomy is widely used in France and USA and is gaining popularity among surgeons around the world (Sammarco VJ, Acevedo J., 2001).
Its increasing prevalence is related to the ability to redistribute the load throughout the area osteotomy, high stability, dense compression in the fracture area that allows early load and extends the surgery on both feet (Jones S, Al Hussainy HA, 2004; Kristen KH, Berger C, 2002; Lorei TJ, Kinast C, 2006). However, the results, including a functional evaluation of the foot, the degree of correction mezhplanetnogo angle, podborovsky dynamics, and complications are significantly different in different sources (Aminian A, Kelikian A, 2006; Coetzee JC., 2003; Crevoisier X, Mouhsine E, 2001; Jones S, Al Hussainy HA, 2004; Berg RP, Olsthoorn PG, 2007).
Despite good functional outcomes - the function of the foot on the scale AOFAS is from 62 to 96 (Blair S Ong M, 2001, Crevoisier X, Mouhsine E, 2001, Gupta S, Fazal MA, 2008; Jones S, Al Hussainy HA, 2004, Okuda R, Ki-noshita M, Morikawa J, 2000), there are still complications of this surgical intervention, including the phenomenon of "gutter" the first metatarsal bone (from 1 to 35%) (Coetzee JC. 2003; Coetzee JC, Rippstein P.2007;) and postoperative contracture first metatarsophalangeal joint (11 - 41,7%) (Hammel E, Abi Chala ML, 2007, Jones S, Al Hussainy HA, 2004).
The phenomenon of "gutter" occurs when the cortical layer back metatarsal bone fragment falls in medullar channel plantar fragment and wedged into the soft spongy bone, leading to functional elevation of the first ray, and therefore, the pronation of the foot, with an overload of the lateral rays. According to Coetzee JC, Rippstein P., this phenomenon can occur as with rotation plantar fragment, and without it. Thus, traditional osteotomy SCARF is limited to the extent of correction mezhplanetnogo degree angle offset where there is a risk of the phenomenon of "gutter" the first metatarsal bone.
The classic technique osteotomy SCARF except bone stage implies and soft tissue, including the release sessovideo hammock and addictology (Barouk LS., 2000; S.S.Suresh, 2007). In some works (Shrum DG., 2002; Cardan axles A.A., 2008), the authors suggest not limited to addictologia, but to complement it by fixing the distal end of the tendon to the head I metatarsal. A number of authors (Havlicek V, Kovanda M, 2007) note that alongside with the increased potential correction this method has a number of complications in the form of insolvency tendons, as well as the development of the varus deformity, as technically difficult to regulate the tension puboischiofemoralis. There are works in which the authors do not find advantages in the plastic puboischiofemoralis (Martinez-Nova A, Sanchez-Rodriguez R, 2008). Thus, currently there is no single approach to operational reception on the tendon puboischiofemoralis of the first toe.
We propose a method of surgical correction of transverse flatness of the foot, including the severing tendons, muscles, leading the first toe, Z-shaped osteotomy of the diaphysis I metatarsal bone, and the plane of the average cut Z-shaped osteotomy is located on the axis I metatarsal bone or roughly parallel to it. Conduct two additional osteotomy by two additional cuts to run an additional cut at an angle to the upper cut so that the line additional cut on the top surface of I metatarsal bones were held at an angle from 5 to 30 degrees to the line of the upper slit on the top surface of I metatarsal bone, conduct additional cut at an angle to lower the cut so that the line is cut on the bottom surface I metatarsal bones were held at an angle of between 5 to 30 degrees to the line of the lower cut on the bottom surface I metatarsal bone, remove formed bone fragments, implement lateral offset plantar fragment and/or its rotation in horizontal plane, while implementing the medial or lateral angle plantar fragment in the medullar channel metatarsal bone, made a commit plantar and the back bone fragments of the first metatarsal bones to each other kanalirovaniya compression screws, trimmed earlier tendon, leading first finger, reinsert to the head I metatarsal using the anchor latch to secure the tendon to the bone.
Preferably, the line of the upper and lower cuts Z-shaped osteotomy on the surface I metatarsal bones are 10 mm from its ends.
The presence of diagonal cuts lets after the implementation of rotation to create a strong contact in their zone.
The introduction of plantar fragment in the medullar channel metatarsal increases stability, prevents rotation in the postoperative period, allows to shorten I metatarsal bone for reposition dislocation of limbs and decompression I metatarsophalangeal joint.
The combination of rotation with lateral offset and implementation of medial or lateral angle plantar fragment dramatically increases corrective potential of the method.
During the implementation of the fragment in the medullar channel there is a possibility of correction DMAA - angle distal joint surface to the axis of the first metatarsal bone.
Corrective potential method can especially be important for osteoporosis, high mezhplanetnogo angle.
For the implementation of the claimed process can be applied anchoring clamp for fixing the tendon to the bone (figure 1)consisting of a threaded rod (B), with one sharp end (a) and one nedostroy the end, wherein anchor release also includes the washer (B)fixed to the end nedostroennom threaded stud, washer has two tabs with the slots (G), which is perpendicular to the plane washer and located at the edges of the plane washer from opposite sides, the tabs with the slots are intended for fixing in the anchor lock threads or threads that stitched tendon, washer is fixed to nedostroennom the end of anchoring clamp screw, anchor latch made with the possibility beginning of svorachivaniya in bone threaded rod with the implementation commit tendons, and then the tension of the thread and tendons, fixed these threads, by loosening screws the lock washer, rotation washer, subsequent fixing washer screw and subsequent changes insertion depth anchor latch into the bone.
The closest to our release, in our opinion, is anchoring clamp for fixing the tendon to the bone FASTIN. This anchoring clamp consists of threaded rod, pointed at the end, it has built-in lock a thread, which is opened only after the clip is installed into the bone ("Breaks and breaks the pectoralis major muscle", [ONLINE], published on the Internet 22.07.2012, http://travmaorto.ru/266/html).
Use this latch in the following way.
For fixing the tendon to the bone in the beginning establish this latch, then stitch threads tendon. This method is inconvenient for the surgeon and not allows adjusting thread tension, and therefore not possible to provide the desired degree of muscle tension, fixation which is carried out.
In the clip, offered by us, have "ears" - the tabs with the slots for fixing ligatures conducted through the tendon that allows first flash tendon, and then commit it to the anchor by tightening this ligatures in the "ears". In addition, the "ears" - the tabs with the slots is attached to the lock due to rotating washers, which allows to change the depth of introduction anchors when already fixed the strained tendon, which allows you to adjust the degree of tension of muscles.
The offered invention provides a full restore of the transverse arch and to correct the balance of the leading and lateral muscles of the first finger (figure 2).
The original lock - anchor (figure 1) has Sumiregusa bone carving. The presence of holes for fixing ligatures conducted through the tendon leading muscles, you can flash the tendon, and then commit it to the anchor by tightening this ligatures, which allows to reach the necessary tension of muscles. These holes attached to an anchor at the expense of rotating washers that allows you to continue introduction anchors when already fixed the strained tendon leading muscles and to adjust the degree of tension of muscles.
Wound layers zalivayutsya. Is applied an aseptic bandage.
Before the consolidation of a fracture (4-6 weeks), the patient is moved with the help of Shoe Baruka, i.e. with no load on the forefoot.
Operated by the present method of 6 people. The follow-up period after surgery ranged from 6 to 12 months. All patients received a good result - score scale AOFAS more than 80, walking patients do not celebrate pain or lameness.
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1. Method of surgical correction of transverse flatness of the foot, including the severing tendons, muscles, leading I toe, Z-shaped osteotomy of the diaphysis I metatarsal bone, and the plane of the average cut Z-shaped osteotomy is located on axis I metatarsal bone or roughly parallel to it, wherein the conduct two additional osteotomy by two additional cuts: spend an additional cut at an angle to the upper cut so that the line additional cut on the top surface of I metatarsal bones were held at an angle of between 5 to 30 degrees to the line of the upper slit on the top surface of I metatarsal bone, conduct additional cut at an angle to the lower cut so that the line is cut on the bottom surface I metatarsal bones were held at an angle of between 5 to 30 degrees to the line of the lower cut on the bottom surface I metatarsal bone, remove formed bone fragments, implement lateral offset plantar fragment and/or its rotation in horizontal plane, while implementing the medial or lateral angle plantar fragment in the medullar channel metatarsal bone, made a commit bottom and the back bone fragments of the first metatarsal bones to each other kanalirovaniya compression screws, trimmed earlier tendon, leading first finger, reinsert to the head I metatarsal using the anchor latch to secure the tendon to the bone.
2. The method in claim 1, characterized in that line the upper and lower cuts Z-shaped osteotomy on the surface I metatarsal bones are 10 mm from its ends.
3. Anchoring clamp for fixing the tendon to the bone, consisting of a threaded rod with one pointed end and one nedostroy the end, wherein anchor release also includes washer, latched to nedostroennom the end of threaded stud, washer has the two tabs with the slots that are perpendicular to the plane of the plate and are located on the edges of the plane washer from opposite sides, the tabs with the slots are intended for fixing in the anchor lock threads or threads that stitched tendon, washer is fixed to nedostroennom the end anchor release the screw, anchor latch made with the possibility beginning of svorachivaniya in bone threaded rod with the implementation commit tendons, and then the tension of the thread and tendons, fixed these threads, by loosening the screw that secures the washer, rotation washer, subsequent fixing washer screw and subsequent changes insertion depth anchor latch into the bone.