THE RESULTS IMPROVEMENT OF PATIENTS WITH INJURIES OF NERVES AND SINEWS TREATMENT BY OBJEKTIVIZATION OF THE CHOICE WAY RESTORATION TAKING INTO ACCOUNT INDIVIDUAL BIOMECHANICAL PROPERTIES

Оbjective: improvement of results of treatment of patients with an injury of nerves and sinews by an objektivization of a choice of a way of their restoration taking into account individual biomechanical properties. Material and methods. Work is based on studying of 84 patients with a forearm injury, the current of the next and remote postoperative periods was studied. Pilot studies are conducted on 20 not opened male corpses aged from 20 till 49 no later than a day after death; the cause of death in all cases wasn’t connected with an injury of extremities. Results. Using the offered technique, it was succeeded to draw high interest good and low interest of bad and satisfactory results of reconstructive and recovery interventions on nerves and sinews. Results of treatment of sharp injuries of sinews of sgibatel to a “critical zone” testify to correctness of the chosen direction and aim at further development of ways of restoration of structures of the sgibatelny device of fingers and techniques of postoperative rehabilitation. The analysis of treatment of patients showed that the new method of rehabilitation in total with microsurgical restoration of sinews yields good results. Bad results in skilled group, in comparison with group of comparison, was much less: 8.60 and 40.66 % (p < 0.05) respectively that demand further introduction of the developed technique in practice of microsurgeries.

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