EXPERIENCE OF SURGICAL TREATMENT OF SUBCUTANEOUS TENDON DAMAGE LONG EXTENSOR OF THE THUMB

Drop function tendon extensor thumb longs not only leads to disruption of extension in the joints of the first beam, but also an almost complete precipitation from brush capture function. There are no assessment of long-term results of surgical treatment of subcutaneous tendon ruptures of the long extensor of the thumb in the I-th zone, as well as the causes of unsatisfactory results in the literature available to us, including the search in PubMed. Aim of the study: to analyze long-term results of surgical treatment of subcutaneous long extensor tendon rupture thumb at the clinic of the Institute of Microsurgery. In the period 2014-2015 we are performed in 8 patients (urgently) closed tendon injury long extensor of the thumb at the level of the distal phalanx (I-band). The average age of the patients was 40: 7 men (87.5 %), women - 1 (12.5 %). 6 patients had an injury to his left hand, 2 - on the right hand. The mechanism of injury was related to professional activities (athlete, mechanic, builder, farmer). One patient (72 years), there was a spontaneous rupture of the tendon of the long extensor of the thumb during washing. Evaluation of long-term results of surgical treatment is carried out not earlier than 6 months after surgery to assess the criterion of extension deficit of the distal phalanx of thumb G. P. Crawford and the results of the survey by questionnaire DASH. Results for criteria GP Crawford: excellent 5 (62.5 %), good - 2 (25.0 %), poor 1 (12.5 %) and on the DASH questionnaire excellent in 7 (87.5 %), poor in 1 (12.5 %) patient.

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