| 摘要 |
FIELD: medicine.SUBSTANCE: invention relates to traumatology and orthopedics, in particular to hand surgery. Ginglymoid ligaments are formed from remaining ligament and scar tissues on main and middle phalanx of finger above laid prosthesis. Finger is straightened, skin defect, formed on finger palm surface is covered with local skin flaps, skin sutures are applied. Proximal interphalangeal joint of finger is fixed in straightened position. Palm gypsum splint is applied until skin wound is healed. After removal of skin sutures pin is removed. Active-passive training of finger is carried out. After 2-3 months silicone prosthesis is replaced with tendon autotransplant, which is fixed distally on nail phalanx in accordance with Bunnel method, and proximally - into distal end of deep finger flexor at the level of palm middle - in accordance with "in splint" or "side into side" method. Rear gypsum splint is applied in functional position of finger for 3 weeks, from the 4-th day after operation patient is allowed to perform active flexion of nail phalanx. After ablation of tendon suture on nail phalanx active-passive training of finger is carried out at the background of physiotherapy until full function of operated finger flexion is restored.EFFECT: invention restores finger function.1 ex, 9 dwg |
