DOI: https://doi.org/10.22263/2312-4156.2025.3.39
O.N. Vasko, I.A. Ilyasevich, O.A. Sokolovsky
The reaction of the neuromuscular and vascular foot apparatus in conventional and minimally invasive surgical correction of flat feet in adolescents
Republican Scientific and Practical Centre of Traumatology and Orthopedics, Minsk, Republic of Belarus
Vestnik VGMU. 2025;24(3):39-48.
Abstract.
One of the most common pathologies of the feet in children and adolescents is flatfoot accompanied by the Achilles tendon shortening. The cause of this pathology development is the functional insufficiency of the muscular apparatus of the lower extremities, progressing with the growth and development of the organism.
Objectives. To study the peculiarities of restoring the functions of the lower limb neuromuscular and musculoskeletal systems in patients with flatfoot accompanied by the Achilles tendon shortening depending on the method of surgical treatment.
Material and methods. The comparative data analysis of neurophysiological, biomechanical and Doppler studies in two groups of patients (the average age was 12±0.5 years) with flat foot accompanied by the Achilles tendon shortening depending on the method of the foot deformity surgical correction was performed.
Conclusions. The method of minimally invasive surgical treatment of deformity components consisting in partial crossing of the calf muscle aponeurosis creates optimal conditions for faster and more complete functional restoration of the central and peripheral links of the neuromuscular apparatus and consequently for improvement of the foot bearing capacity and formation of the correct movement stereotype.
Keywords: flat foot accompanied by shortening of the Achilles tendon, neurophysiological study, method of partial dissection of the lateral portion of the calf muscle aponeurosis.
The sources of funding. The subprogram “Surgical methods of medical prevention, diagnosis and treatment of diseases” of the state scientific and technical program “Scientific and technical provision of quality and availability of medical services”.
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Submitted 07.02.2025
Accepted 13.06.2025
Information about authors:
Olga N. Vasko – researcher of the clinical electrophysiology laboratory, Republican Scientific and Practical Centre of Traumatology and Orthopedics; e-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра.;
I.A. Ilyasevich – Doctor of Biological Sciences, associate professor, Head of the Clinical Electrophysiology Laboratory, Republican Scientific and Practical Centre of Traumatology and Orthopedics, http://orcid.org/0000-0002-3580-9163
O.A. Sokolovsky – Doctor of Medical Sciences, Professor, Head of the laboratory of traumatology and orthopedics of children and adolescents, Republican Scientific and Practical Centre of Traumatology and Orthopedics, http://orcid.org/0009-0001-3830-4355
