ASSESSMENT OF THE REMOTE RESULTS OF ENDOPROSTHESIS REPLACEMENT OF JOINTS OF FINGERS OF THE HAND

Specific weight of intra articulate injuries of fingers among all injuries of a brush makes about 32%, and the quantity of mistakes at their treatment reaches 30-80%. Consequences of injuries of joints of fingers of a brush lead to development of post-traumatic arthrosis, a resistant pain syndrome, flexors contracture, malfunction of a brush that, in turn, limits ability of patients to self-service and work. Research objective. To estimate the remote results of surgical treatment of patients with consequences of severe injuries of the hand after endoprosthesis replacement of small joints of a brush ceramic endoprostheses. Material and methods. From 2010 to 2015 in Clinic of Microsurgery of A.N. Syzganov National Scientific Surgical Center (Kazakhstan) and in Clinic of Institute of Microsurgery (Tomsk) it was executed 81 endoprosthesis replacements PIP and the MCP of joints of the hand to 76 patients. Men were 47 (61%), women - 29 (39%), average age of patients of (39 ± 5) years. All patients were with consequences of severe injuries of a brush, with which in a planned order the second stage endoprosthesis replacement of joints of a brush is carried out by ceramic endoprostheses of MOJE Kermikimplantate firm (Germany). Results. The assessment early (till 6 months) and the remote results in a year was carried out on DASH questionnaire (19.7%). The average volume of movements in the injured brush joint before operation made 16°, in 6 months - 59° and in a year - 73°.

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