smjournalСпортивная медицина: наука и практикаSports medicine: research and practice2223-25242587-9014NEICON10.47529/2223-2524.2020.4.5smjournal-211Research ArticleРЕАБИЛИТАЦИЯREHABILITATIONОценка эффективности V-Y сухожильной пластики с немедленным последующим переносом веса тела на ногу и реабилитацией при застарелом разрыве ахиллова сухожилия. Клинический случайEvaluation of the effectiveness of inveterate Achilles tendon rupture V-Y plasty with immediate subsequent weight-bearing and rehabilitation. Case studyКацпшакБ.KacprzakB.

Кацпшак Бартломей, врач клиники 

90-640, Лодзь, Польша, ул. 28 Пулку Стшельцув Канёвских, 45

Bartłomiej Kacprzak, MD 

28 Pułku Strzelców Kaniowskich 45 street, 90-640, Łódź, Poland

hipokrates@op.plСтикМ.StykM.

Стик Матеуш, врач клиники

90-640, Лодзь, Польша, ул. 28 Пулку Стшельцув Канёвских, 45

Mateusz Styk, MD 

28 Pułku Strzelców Kaniowskich 45 street, 90-640, Łódź, Poland

m.styk@ortomedsport.plhttps://orcid.org/0000-0003-4316-1536Сиуба-ЯрошН.Siuba-JaroszN.

Сиуба-Ярош Наталия, врач клиники

90-640, Лодзь, Польша, ул.  28 Пулку Стшельцув Канёвских, 45

Natalia Siuba-Jarosz, MD 

28 Pułku Strzelców Kaniowskich 45 street, 90-640, Łódź, Poland

n.siuba@ortomedsport.plOrto Med SportПольшаOrto Med Sport ClinicPoland2020040220211042229Copyright © Кацпшак Б., Стик М., Сиуба-Ярош Н., 20212021Кацпшак Б., Стик М., Сиуба-Ярош Н.Kacprzak B., Styk M., Siuba-Jarosz N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.smjournal.ru/jour/article/view/211

В нашей статье мы хотели бы представить два случая лечения разрывов ахиллова сухожилия хирургическим методом V-Y сухожильной пластики, а также осуществление немедленного переноса веса тела на ногу и реабилитации. У пациентов была произведена V-Y пластика разорванных сухожилий, в ходе которой восстанавливалась их целостность. После операции была наложена повязка, стопа была иммобилизована в обуви Walker-type с применением подпяточника и компрессионного белья. С первого часа после процедуры область раны охлаждали устройством Game Ready. С первого дня после процедуры обоим пациентам разрешалось полностью переносить вес на конечность в обуви, костыли убирались как можно скорее. Реабилитация начиналась сразу на следующий день. В ходе этого курса были предприняты попытки свести использование обуви к минимуму и как можно скорее достичь полного диапазона движений стопы. У обоих пациентов полный диапазон движений был достигнут примерно через 2 недели после операции. Видеосопровождение к статье доступно по ссылке: https://youtu.be/bi3xuwOT9vs

In our paper, we would like to present two cases of treatment of the Achilles tendon ruptures by means of surgical V-Y technique, and implementation of immediate rehabilitation and weight-bearing. V-Y plasty on ruptured tendons was performed. The continuity of the tendon was restored. The sheath of the tendon was stitched together. Dressing was put on; the foot was immobilized in a Walker-type shoe in pes equinus with heel pads and compression underwear. From the first hour after the procedure, the wound area was cooled with a Game Ready device. From the first day after the procedure, both patients were allowed to apply full weight to the limb in the shoe. The crutches were put away as soon as possible. Rehabilitation began right away on the next day; during its course, attempts were made to reduce the use of the shoe to a minimum and to achieve the full range of foot motion as soon as possible. In both patients, the full range of motion was reached approximately 2 weeks after the surgery. The video support for the article is available at: https://youtu.be/bi3xuwOT9vs

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The authors declare that there are no conflicts of interest present.