TREATMENT OF POSTTRAUMATIC ISCHEMIC CONTRACTURES OF THE THUMB
K. S. Melikhov , L. A. Rodomanova , D. I. Kutyanov
Traumatology and Orthopedics of Russia ›› 2010, Vol. 16 ›› Issue (4) : 25 -29.
TREATMENT OF POSTTRAUMATIC ISCHEMIC CONTRACTURES OF THE THUMB
Results of surgical treatment of 21 patients with posttraumatic ischemic contractures of the first finger of a hand were analyzed. The working classification in which there are three degrees of a contracture depending on size of deficiency of a dermal cord of the first interdigital interval was offered. Advanced tactics of surgical treatment of such pathology was developed. Thus, during the first stage we carried out abduction of the first finger by the elimination of cicatrical, muscle and arthrogenic contracture components. At the second stage of treatment, if it was necessary, active opposition of the first finger was restored.
posttraumatic ischemic contracture of thumb / surgical treatment
| [1] |
1. Дейкало В.П. Повреждения кисти: эпидемиология, потеря трудоспособности, медицинская реабилитация: автореф. дис.... д-ра мед. наук/Дейкало В.П. -Минск, 2003. -40 с. |
| [2] |
2. Пирожкова Т.А. Оценка функции кисти в свете медико-социальной экспертизы/ТА. Пирожкова, Л.А. Андреева//Медико-социальная экспертиза и реабилитация. -2000. -№ 3. -С. 25-27. |
| [3] |
3. Ouellette E.A. Compartment syndromes of the hand/EA. Ouellette, R. Kelly//J. Bone Joint Surg. -1996. -Vol. 78-A. -P. 1515-1521. |
| [4] |
4. Von Schroeder H.P. Definitions and terminology of compartment syndrome and Volkmann's ischemic contracture of the upper extremity/H.P. von Schroeder, M.J. Botte//Hand Clin. -1998. -Vol. 14, N 3. -P. 331-334. |
/
| 〈 |
|
〉 |
PDF
