LONG-TERM RESULTS OF SURGICAL TREATMENT OF CLOSED EXTENSOR TENDON INJURIES OF II-V FINGERS IN THE I ZONE
Despite seeming simplicity of diagnosis and treatment of closed injuries of extensor tendons of the fingers, number of poor outcomes reaches 10-15,7%, in combined injuries it is 61,2%. Small volume excursions of extensors (small lever to the joint), in contrast to the flexor, needs special attention to surgical restoration of the extensor. Accuracy of extensor reconstruction length is essential factor for successful treatment. Aim of study was to evaluate long-term results of operative treatment of closed wrist extensor tendons rupture based upon the technique which is used at the Institute of Microsurgery. Material and methods. Long-term results of surgical treatment were assessed in different times after the surgery but not earlier than 6 months after it by random sample (n=28) of patients. Control of tendon regeneration in the area of primary suture was performed by sonography. Also, objective criteria for evaluating extension deficit of distal phalanges based upon .P. Crawford and subjective data according to the questionnairee DASH (The Disabilities of the Arm, Shoulder and Hand) were used. Results. Based upon G.P. Crawford criteria, only 13 (46,5%) patients had excellent results (full flexion - extension of the distal phalanx). Poor results (extension deficiency of the distal phalanx from 7 to 32 °) were in In15 (53,5%) cases. Based upon the DASH questionnaire, we obtained 16 excellent (57,2%) and 12 (42,8%) poorresults.
Keywords
сухожилия разгибателей кисти,
подкожное повреждение сухожилий кисти,
молоткообразный палец,
extensor tendons,
subcutaneous tendon rupture,
mallet fingerAuthors
| Baitinger V.F. | | |
| Kamolov F.F. | | shurab56@yandex.ru |
Всего: 2
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