Menu: Home :: go to Journal :: switch to Russian :: switch to English
You are here: all Journals and Issues→ Journal→ Issue→ Article

Surgical treatment for chronic tendon injury of finger flexors

Annotation

The purpose of the study: to improve the tactics of surgical treatment of chronic injuries of the flexor tendons of the hand. We analyze results of surgical treatment of long-standing injuries of the flexor tendons of the hand in 20 patients. Patients were examined clinically and X-rayed. The clinical study took into account the fingers anatomy, coarse skin scars in the area of the surgical suture, sensitivity, blood supply, grip strength and flexion-expansion function. The X-ray examination took into account the articular slit in the phalangeal joints, their congruence. We present an objective assessment of the results of surgical treatment of chronic tendon injuries of finger flexors, as well as developed practical recommendations for the surgical treatment of chronic tendon injuries of finger flexors. Conclusions. The results of treatment are directly dependent on the duration of damage exposure. The earlier surgery is performed from the moment of injury, the better the results of treatment. The choice of treatment tactics depends on the pyoinflammatory processes in the injury area, on the injury zone, the condition of the bone-fibrous channels and the individual characteristics of each patient. Patients with chronic tendon injuries in zones II and III and damage exposure for more than 80 days we recommend to perform two-stage tendon grafting. Rehabilitation should be started from the 2nd day of the postoperative period, after the relief of the pain syndrome.

Keywords

tendon injury; primary suture; two stage flexor tendon reconstruction

Full-text in one file

Download

DOI

10.20310/2782-5019-2022-4-2-28-32

UDC

617.576-007.254-089.844

Pages

28-32

References

1. Matev I.V., Bankov S.S. Rehabilitation for Arm Injuries. Sofia, Meditsina i fizkul'tura Publ.; 1981, 255 p. (In Russian). 2. Mitroshin A.N., Baulina U.V., Shcherbakov M.A. Plastic surgery of the flexor tendons of the fingers with a prosthetic “Cardioplant”. Voprosy rekonstruktivnoy i plasticheskoy khirurgii = Issues of reconstructive and plastic surgery. 2012;(41):67. (In Russian). 3. Strafun S.S., Kurinnoy A.A., Bezugly E.P. Surgery of Fingers Tendons. Kyiv, Makros Publ.; 2012, 320 p. (In Russian). 4. Kozyukov V.G., Tokarev A.E., Stepanova V.A. Restoration of hand function in patients with consequences of finger flexor muscle tendon lesions. Permskiy meditsinskiy zhurnal = Perm Medical Journal. 2007;(31):43-6. (In Russian). 5. Golubev I.O. Hand Surgery. Мoscow, Opreks Publ.; 2001, 52 p. (In Russian). 6. Kozyukov V.G., Shchekolova N.B., Nenakhova Ya.V., Lisov S.O., Sevostyanov A.N. Fixation-adaptive seam in flexor digitorum tendon reconstruction. Khirurgiya. Zhurnal im. N.I. Pirogova = Pirogov Russian Journal of Surgery. 2016;(4):70-2. (In Russian). DOI 10.17116/hirurgia2016470-72 7. Gubochkin N.G., Shapovalov V.M. Selected Issues of Hand Surgery. St. Petersburg, Interlain Publ.; 2000, 108 p. (In Russian). 8. Zolotov A.S. Complex Surgical Treatment of Tendon Injuries of Finger Flexors Using a Loop Suture. Cand. med. sci. diss. Vladivostok; 2003, 132 p. (In Russian). 9. Zolotov A.S., Zelenin V.N., Sorokovikov V.A. Surgical Treatment of Tendon Injuries of Finger Flexors. Irkutsk; 2006. (In Russian).

Received

2022-07-13

Section of issue

Clinical medicine

Для корректной работы сайта используйте один из современных браузеров. Например, Firefox 55, Chrome 60 или более новые.