ABSTRACT
Based on their experiences with treatment of 58 patients with consequences of severe traumas of the hand the authors analyze and substantiate indications for using the method of the two-stages tendoplasty of finger flexors. The technique of implantation of polychlorvinyl rods is described in detail. Relatively high frequency of additional procedures on different anatomical structures of the hand is noted. Special attention is given to intra- and postoperative prophylactics of infectious complications. It was found that time of the second operation should be determined not only by the time of formation of the smooth wall capsule around the implant but also by the degree of liquidation of finger joints contractures.
Subject(s)
Fingers/surgery , Tendons/surgery , Finger Injuries/surgery , Humans , Methods , Polyvinyl Chloride , Prostheses and Implants , Reoperation/methods , Surgery, Plastic/methods , Tendon Injuries/surgeryABSTRACT
On the basis of the experience with the treatment of injuries of 69 nerves of hands in 36 patients the authors came to a conclusion that the microsurgical technique can return the finest sensitivity of skin denervation resulting from a trauma. The optical magnification considerably facilitates the surgeon's work in the area of the division of major nerves into branches, gives a more exact assessment of the degree and length of altered nerve plexuses and secures the most accurate union during suturing and plasty.