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1.
Khirurgiia (Mosk) ; (4): 53-8, 1996.
Artigo em Russo | MEDLINE | ID: mdl-8926670

RESUMO

The analysis of 195 angiographies of 130 patients with different kind of had dysontogenesis has been made. The age of patients was between 1 and 15 years old. The author believes that the anomalous hand has a deficit of the blood supply. It may cause some negative impacts on the result of a surgery (17 cases of 442 surgical procedures). The author recommends to pay attention to the abnormal vascular structure and peripheral hemodynamic during surgery.


Assuntos
Deformidades Congênitas da Mão/fisiopatologia , Deformidades Congênitas da Mão/cirurgia , Mãos/irrigação sanguínea , Adolescente , Criança , Pré-Escolar , Mãos/diagnóstico por imagem , Deformidades Congênitas da Mão/diagnóstico por imagem , Humanos , Lactente , Radiografia , Fluxo Sanguíneo Regional
2.
Vestn Khir Im I I Grek ; 155(3): 51-3, 1996.
Artigo em Russo | MEDLINE | ID: mdl-8966939

RESUMO

The author presents his view on the problem of treatment of ectrodactyly on the basis of his experience with treatment of 159 children with this complex pathology. 1211 plastic and reconstructive operations were made on these patients. Results of the treatment were followed up during 14 years. A critical analysis is given in the light of long-term results of using the methods of recovery of under-developed fingers. The succession of the elimination of the hand defects giving favorable results in most patients is considered. Attention is given to inexpedient operative treatment of certain malformations of toes not influencing the foot function.


Assuntos
Dedos/anormalidades , Dedos/cirurgia , Dedos do Pé/anormalidades , Dedos do Pé/cirurgia , Alongamento Ósseo/métodos , Criança , Pré-Escolar , Estética , Humanos , Microcirurgia/métodos , Retalhos Cirúrgicos/métodos , Sindactilia/cirurgia , Dedos do Pé/transplante , Transplante Autólogo
3.
Vestn Khir Im I I Grek ; 154(4-6): 60-4, 1995.
Artigo em Russo | MEDLINE | ID: mdl-9027053

RESUMO

The author has analyzed 54 patients aged from 9 months till 14 years with one of the types of congenital underdevelopment of fingers-brachydactyly. This form of the congenital pathology of the hand is concretized, the X-ray and clinical picture of brachydactyly is analyzed and more exact classification of this pathology is given. The state of blood supply, innervation and histological structure of the abnormal hand tissues are studied. Methods of treatment are determined.


Assuntos
Dedos/anormalidades , Adolescente , Criança , Pré-Escolar , Feminino , Dedos/diagnóstico por imagem , Dedos/patologia , Dedos/cirurgia , Humanos , Lactente , Masculino , Métodos , Radiografia
4.
Klin Khir (1962) ; (3): 44-6, 1993.
Artigo em Russo | MEDLINE | ID: mdl-8301957

RESUMO

The experience with the use of a method of distraction for reconstruction of 98 digits in 37 patients with amputation defects has been summarized. Lengthening of the digits by 3-7 cm was achieved. This permitted to improve considerably the function and cosmetic appearance of a damaged hand.


Assuntos
Amputação Traumática/cirurgia , Alongamento Ósseo/métodos , Traumatismos dos Dedos/cirurgia , Deformidades Adquiridas da Mão/cirurgia , Adolescente , Amputação Traumática/complicações , Criança , Pré-Escolar , Feminino , Traumatismos dos Dedos/etiologia , Deformidades Adquiridas da Mão/etiologia , Humanos , Masculino , Cirurgia Plástica/métodos
5.
Ortop Travmatol Protez ; (11): 11-4, 1991 Nov.
Artigo em Russo | MEDLINE | ID: mdl-1806851

RESUMO

In the article is summarized experience of early functional treatment of children with extension trans-condyle fractures of humerus proposed by the authors. The proposed method allows to achieve complete restoration of the damaged elbow joint function in 40 +/- 2 days after the fracture reposition and to obtain excellent functional results with 85% of patients.


Assuntos
Lesões no Cotovelo , Fraturas do Úmero/cirurgia , Transtornos dos Movimentos/cirurgia , Criança , Articulação do Cotovelo/fisiopatologia , Articulação do Cotovelo/cirurgia , Feminino , Humanos , Fraturas do Úmero/complicações , Fraturas do Úmero/fisiopatologia , Fraturas do Úmero/reabilitação , Masculino , Movimento/fisiologia , Transtornos dos Movimentos/etiologia , Transtornos dos Movimentos/fisiopatologia , Transtornos dos Movimentos/reabilitação , Cuidados Pós-Operatórios , Tração
6.
Ortop Travmatol Protez ; (11): 6-11, 1991 Nov.
Artigo em Russo | MEDLINE | ID: mdl-1806870

RESUMO

The experience of surgical treatment of children with the most grave hand injuries is presented. The authors consider that the restorative treatment is to begin from the moment of initial surgical processing of the explosive hand injuries. Three periods of treatment have been singled out. Each of them has its own objects and tasks. Logical combination of surgical treatment stages allows for maximum restoration of form and function of an injured hand during the shortest possible time and with the minimum losses for a patient.


Assuntos
Cotos de Amputação , Amputação Traumática/cirurgia , Traumatismos por Explosões/cirurgia , Alongamento Ósseo/métodos , Traumatismos dos Dedos/cirurgia , Dedos/cirurgia , Reimplante/métodos , Adolescente , Amputação Traumática/reabilitação , Traumatismos por Explosões/reabilitação , Criança , Traumatismos dos Dedos/etiologia , Traumatismos dos Dedos/reabilitação , Humanos , Masculino , Fatores de Tempo , Cicatrização
7.
Ortop Travmatol Protez ; (10): 34-7, 1991 Oct.
Artigo em Russo | MEDLINE | ID: mdl-1792047

RESUMO

There has been carried out histologic examination of vermicular and interosseal muscles in case of underdevelopment of fingers before and after the restoration of their length by method of distraction in 45 children aged 4-14 years. There has been stated that in case of congenital finger underdevelopment the hand muscles are subjected to hypoplasia. However they are endowed with high ability of regeneration and restore their structure in response to distraction after adequate regenerative changes.


Assuntos
Alongamento Ósseo , Dedos/anormalidades , Dedos/cirurgia , Músculos/patologia , Criança , Pré-Escolar , Humanos , Equipamentos Ortopédicos , Regeneração , Tração
8.
Ortop Travmatol Protez ; (7): 5-9, 1991 Jul.
Artigo em Russo | MEDLINE | ID: mdl-1762742

RESUMO

In the article is described the congenital pathology of the hand, characterized by the absence of one or several fingers with the corresponding metacarpal bones and bones of the wrist. There is given the clinical picture of 104 patients with the hand radius aplasia. There are singled out main forms of pathology, presented the data of the additional investigation methods (angiography, rheovasography, histologic structure of the affected hand tissues). There are presented the main principles of the hand radius aplasia treatment.


Assuntos
Deformidades Congênitas da Mão , Adolescente , Angiografia , Criança , Pré-Escolar , Feminino , Deformidades Congênitas da Mão/diagnóstico por imagem , Humanos , Lactente , Masculino , Metacarpo/anormalidades , Metacarpo/diagnóstico por imagem , Punho/anormalidades , Punho/diagnóstico por imagem
9.
Ortop Travmatol Protez ; (3): 29-32, 1990 Mar.
Artigo em Russo | MEDLINE | ID: mdl-2367111

RESUMO

A histologic study of the tendons of hypoplastic fingers before and after the restoration of their length by the method of distraction has been performed in 37 children aged 1 to 14 years. It has been established that in congenital defects of development of the hand the tendons of the hypoplastic fingers have an organotypical structure differing only in thinning of the facieles of ascending order. In the process of distraction of the rudiments of the hypoplastic fingers there is lengthening of the tendons with violation of the specialized structures. However, these changes are temporary and reversible, and in future both the function and the organotypical structure of the tendons are restored.


Assuntos
Alongamento Ósseo , Dedos/anormalidades , Deformidades Congênitas da Mão/cirurgia , Tendões/patologia , Adolescente , Antropometria , Criança , Pré-Escolar , Dedos/patologia , Dedos/cirurgia , Deformidades Congênitas da Mão/patologia , Humanos , Fatores de Tempo
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