Skvortsov A.
Doctor of Medical Sciences
Chief Researcher
State Autonomous Healthcare Institution “Republican Clinical
Hospital of the Ministry of Health of the Republic of Tatarstan”
Khabibyanov R.
Doctor of Medical Sciences
Chief Researcher
State Autonomous Healthcare Institution “Republican Clinical
Hospital of the Ministry of Health of the Republic of Tatarstan”
Gilmutdinov M.
Candidate of Medical Sciences
Associate Professor, Department of Pediatric Surgery
Federal State Budgetary Educational Institution of
Higher Education “Kazan State Medical University”
of the Ministry of Health of Russia
Maleev M.
Candidate of Physical and Mathematical Sciences
Leading Researcher
State Autonomous Institution of Health “Republican Clinical
Hospital of the Ministry of Health of the Republic of Tatarstan”

Abstract
Law G.A. Ilizarov states that “the structure, shape and volume of the musculoskeletal system is determined by the load.” Accordingly, the load on the operated limb during the formation of a distraction regenerate during lengthening or healing of a bone fracture should be carried out after the end of the pain syndrome on days 4-5 after osteosynthesis. When a dosed load is applied to the limb, microcirculation of the limb is restored, the process of consolidation of fragments is optimized, in other words, dosed axial load is an important part of rehabilitation.
In addition, after application of the Ilizarov apparatus for various injuries and diseases of the lower limb (in particular, with shortening of the limb segment), a frequent complication is the development of equinus deformity of the foot. This occurs especially often when segments of the lower limb lengthen and shorten. Prevention of this type of postoperative complication is to position the patient’s foot in relation to the axis of the leg at an angle of 900 and hold it in this position for the entire period of lengthening the limb segment. The authors have developed and used in the clinic an orthopedic foot support, the purpose of which is to prevent delayed consolidation of fragments by restoring the physiological load on the operated limb and preventing the development of an equinus position of the foot.

Keywords: equinus foot deformity, prevention