SU1388018A1 - Method of eliminating congenital flexion and adduction contracture of the first finger of the hand - Google Patents

Description

(21) 4012885 / 28-14

(22) 01/14/86

(46) 04/15/88. Bul Number 14

(71) Kiev Scientific Research Institute of Orthopedics

(72) O.E.Mikhnevich, I.A. Voronkevich and V.P. Dankevich

(53) 616.71-089 (088.8)

(56) Godunova T.S., On the method of surgical treatment of congenital flexion-adduction of the thumb of the hand. - Abstracts of the reports of the 12th scientific session of the Leningrad Children's Orthopedic Institute. Turner. L., 1970, p. 143-146.

(54) METHOD OF ELIMINATING THE CONGENITIVE FLEXIBLE-ADAPTIVE CONTRACTURES OF THE FIRST PIST OF A BRUSH

(57) The invention relates to medicine, more specifically to orthopedics. The purpose of the invention is the prevention of desmogenic contracture. To do this, by cutting the skin in the area of tenar, lengthening the muscles of the flexor and adduction of the first finger, cutting out the back skin-subcutaneous fascial flap and transferring it to the palmar surface to close the skin defect, form a cosmetically correct interdigital fold, and the area of the tendon suture is closed with local skin -subcutaneous fascial flap with preservation of feeding vessels in it. The triangular flap on the tusche of the first finger is cut out with a base facing the radiocarpal joint, which covers the skin defect on the palmar surface after eliminating the flexion-contraction contracture, the skin defect on the back of the first finger is covered with a free skin autograft. The invention improves the cosmetic and functional treatment results, prevent secondary deformities.

(L

WITH OS 00

The invention relates to medicine, in particular to orthopedics, and is used for the operative treatment of congenital congenital contraction of the first finger.

The aim of the invention is to prevent desmogenic contracture.

The method is carried out as follows.

The incision of the skin, subcutaneous fatty tissue and fascia begin from the n -stage joint of the first finger on the radial side and lead to the interphalangeal joint along the back of the first finger, from here rotate it proximally and continue to the middle third of the ulnar side of the second flesh, across the palmar surface of the hand along the tenor up to the max. Separate the skin-Subcutaneous-fascial flap, with the base facing the radiocarpal joint, the tendons of the long, short flexor of the first finger are extracted and the Z-like elongation of the first and the Z-tips are removed. figuratively elongated. Eliminate the flexure contracture of the first finger. The formed def & ct of the skin on the palm of the hand, the surface of the brush is covered with a skin-subcutaneous fascial flap from the rear

the first finger, and the skin defect on the surface of the first finger is covered with a full-layer free autograft.

Aseptic dressings, plaster tire in the position of extension and retraction of the first finger.

Claims (1)

Claims of the Invention A method for eliminating congenital flexion of the first finger of the hand by cutting the skin of the tener, lengthening the tendon of the long flexor of the first finger, cutting off the short flexor and the transverse head of the muscle leading the first finger, extending and removing the first finger subsequent closure of the wound with skin autograft ... characterized in that, in order to prevent desmogenic contracture, a triangular shape corresponding to the size of the defect is formed The skin flap on the back surface of the first finger with the base facing the radiocarpal joint, covers the skin defect on the palmar surface of the hand and then closes the skin defect on the back surface of the finger with a free skin outg graft.