PREVENTIVE MAINTENANCE OF ISCHEMIC CONTRACTURES AT PATIENTS WITH SEVERE HAND INJURIES
K. S. Melikhov , L. A. Rodomanova , D. I. Kutyanov
Traumatology and Orthopedics of Russia ›› 2010, Vol. 16 ›› Issue (3) : 41 -46.
PREVENTIVE MAINTENANCE OF ISCHEMIC CONTRACTURES AT PATIENTS WITH SEVERE HAND INJURIES
Results of surgical treatment of 35 victims who had received serious blunt open and closed injuries of hand were analyzed. All injuries of hand were divided into three types, depending on mechanism and circumstances of trauma. On the basis of the data received at direct measurement of compartment pressure, indirect signs of a menacing ischemia of intrinsic muscles have been defined, and the technique of preventive maintenance of an ischemic lesion of own hand muscles were developed. High efficiency of the offered medical approaches at the expense of the maximum restoration of function of the injured extremity was proved.
ischemic contracture / treatment / hand injury
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