SU1398849A1 - Method of treatment of flexion contracture of fiingers of the hand - Google Patents
Method of treatment of flexion contracture of fiingers of the hand Download PDFInfo
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- SU1398849A1 SU1398849A1 SU853895743A SU3895743A SU1398849A1 SU 1398849 A1 SU1398849 A1 SU 1398849A1 SU 853895743 A SU853895743 A SU 853895743A SU 3895743 A SU3895743 A SU 3895743A SU 1398849 A1 SU1398849 A1 SU 1398849A1
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- USSR - Soviet Union
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- hand
- treatment
- contracture
- fiingers
- redressing
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Abstract
Способ лечени контрактуры пальцевой кисти относитс к травматологии и ортопедии и может быть использован в хирургических , травматологических и ортопедических отделени х больниц при лечении контрактуры Дюпюитрена. Целью изобретени вл етс восстановление функции кисти за счет уменьшени дефекта кожи. Дл этого осуществл ют иссечение патологически измененного ладонного апоневроза. Дополнительно перед проведением операции провод т редрессацию с помощью компрессион- но-дистракционного аппарата. При этом редрессацию выполн ют до достижени переразгибани в п стно-фаланговых суставах и полного разгибани в межфаланговых суставах .The method of treating a hand contracture is related to traumatology and orthopedics and can be used in surgical, trauma and orthopedic departments of hospitals in the treatment of Dupuytren's contracture. The aim of the invention is to restore the function of the brush by reducing the skin defect. For this, excision of the pathologically modified palmar aponeurosis is carried out. In addition, prior to the operation, redressing is performed using a compression-distraction apparatus. In this case, the redressing is performed until re-extension in the fango-phalangeal joints and complete extension of the interphalangeal joints is achieved.
Description
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Изобретение относитс к медицине, а именно к травматологии и ортопедии, в частности к способам лечени контрактуры Дюпюитрена.The invention relates to medicine, namely to traumatology and orthopedics, in particular to methods for treating Dupuytren's contracture.
Целью изобретени вл етс восстановление функции кисти за счет уменьшени дефекта кожи.The aim of the invention is to restore the function of the brush by reducing the skin defect.
Способ осуществл ют следующим образом .The method is carried out as follows.
После обработки кожных покровов кисти и предплечь под местной антестезией осуществл ют наложение компрессионно- дистракционного аппарата на предплечье и кисти. С помощью аппарата постепенно осуществл ют закрытую редрессацию пальцев и кисти до достижени гиперэкстензии как минимум в 10 в п стно-фаланговых суставах и полного разгибани в проксимальных межфаланговых суставах (180. Положение, достигнутое редрессацией, стабилизируют аппаратом в течение 5-7 дн, а затем провод т операцию известным способом .After treatment of the skin of the hand and forearm under local anesthesia, the compression-distraction apparatus is applied to the forearm and hand. Using the apparatus, gradually perform the closed redressing of the fingers and hand until the hyperextension reaches at least 10 in the phalangeal joints and is fully extended in the proximal interphalangeal joints (180. The position reached by the redress is stabilized by the apparatus for 5-7 days and then the operation is carried out in a known manner.
Сущность операции заключаетс в следующем . После обработки кожи кисти и анестезии по известной методике угловым разрезом, переход щим от локтевого кра кисти в дистальный ее отдел в поперечномThe essence of the operation is as follows. After treatment of the skin of the hand and anesthesia according to a known technique, an angular incision, moving from the ulnar edge of the hand to its distal section in the transverse
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направлении, отсепаровывают кожу ладони. Выдел ют продольные т жи ладонного апоневроза к 2-3-4-5 пальцам и производ т рассечение в косом направлении сверху вниз, от локтевого кра кисти к лучевой, начина от середины ладони, с последующим клиновидным иссечением средней части апоневроза с продольными т жами и вертикальными перегородками с сохранением его поперечных волокон на уровне п стно- фаланговых суставов. При наличии выраженной контрактуры пальцев дополнительно иссекают продольные т жи, переход щие на пальцы. После гемостаза рану ущивают по общеприн той методике. После сн ти кожных щвов начинают физиомеханотерапию.direction, peel off the skin of the palm. Longitudinal thighs of the palmar aponeurosis of 2-3-4-5 fingers are isolated and dissection is performed in an oblique direction from top to bottom, from the ulnar edge of the hand to the radial, starting from the middle of the palm, followed by a wedge-shaped excision of the middle part of the aponeurosis with longitudinal thrusts and vertical partitions with preservation of its transverse fibers at the level of the n-phalangeal joints. In the presence of pronounced contracture of the fingers, longitudinal weights passing over to the fingers are additionally excised. After hemostasis, the wound is inflated according to the generally accepted method. After removal of the skin, the physiomechanical therapy begins.
Claims (1)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| SU853895743A SU1398849A1 (en) | 1985-05-16 | 1985-05-16 | Method of treatment of flexion contracture of fiingers of the hand |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| SU853895743A SU1398849A1 (en) | 1985-05-16 | 1985-05-16 | Method of treatment of flexion contracture of fiingers of the hand |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| SU1398849A1 true SU1398849A1 (en) | 1988-05-30 |
Family
ID=21177357
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| SU853895743A SU1398849A1 (en) | 1985-05-16 | 1985-05-16 | Method of treatment of flexion contracture of fiingers of the hand |
Country Status (1)
| Country | Link |
|---|---|
| SU (1) | SU1398849A1 (en) |
-
1985
- 1985-05-16 SU SU853895743A patent/SU1398849A1/en active
Non-Patent Citations (1)
| Title |
|---|
| Современные методы лечени повреждений и заболеваний кисти. М., 1975, с. 130- 133. * |
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