[Combined surgical treatment of inveterate lesions of median and ulnar nerves]. / Kombinirovannoe operativnoe lechenie zastarelykh povrezhdenii sredinnogo i loktevogo nervov.

In the paper, on the basis of the treatment of 70 patients with inveterate damages of hand, nerves or finger flexor nerves and tendons, complicated by secondary neurogenic deformations, is demonstrated efficiency of single-staged combined operative treatment aimed at restoration of damaged structures of hand and correction of developed secondary deformations. Possible volume of single-staged operative treatment, optimal methods of surgical correction of deformations and terms of its accomplishing are determined. Good and satisfactory results have been obtained with 63 patients.

[Results of simultaneous combined surgical interventions in neglected injuries of nerves of the hand and fingers]. / Rezul'taty odnomomentnykh kombinirovannykh operativnykh vmeshatel'stv pri zastarelykh povrezhdeniiakh nervov kisti i pal'tsev.

The authors analyze the remote results of treatment of 56 patients with neglected injuries to the median and/or ulnar nerves after combined surgical interventions including restoration of the nerves, flexor tendons, one of the main arteries, and correction of neurogenic deformation of the hand. The results were assessed according to a specially developed comprehensive scheme with due consideration for recovery of individual structures of the hand and of its total function. Good and satisfactory results were achieved in 96 percent of patients, which fact recommends combined surgical interventions for the treatment of neglected injuries to the hand and finger nerves.

Transfer of free vascularized bone and skin-bone autografts: experiences in the application of external fixation apparatus.

The results of transfer of free vascularized bone and skin-bone autografts in 95 patients with defects (54) and nonunions (41) of tubular bones of different genesis are presented. In 71 cases, an external fixation apparatus was used for purposes of osteosynthesis. In 50 cases, the Ilizarov apparatus was applied prior to osteoplasty to correct deformity and fully or partially to correct a shortening of the extremity bone segment. In seven cases, lengthening of the bone segment was performed using an external fixation apparatus after osteoplastic reconstruction of the defect. Treatment was completed in 76 cases (80.0 percent); of these, the outcome was positive in 89.5 percent of cases. Failure was recorded in 10.5 percent of cases. The advantages of using an external fixation apparatus in combination with vascularized bone and osteocutaneous autografts are discussed.