SU1400615A1 - Method of treatment of injures of finger extenders - Google Patents

Abstract

This invention relates to medicine, more specifically to traumatology. The purpose of the invention is to prevent contractures in the terminal interphalangeal joint with defects of tendons. For this, the area of damage and the lateral bundles of the extensor apparatus are exposed. Scar tissue is excised at the site of injury, mobilizes lateral bundles. Soft tissues are peeled off on the back surface of the base of the nail phalanx, and a dental boron is made in a transverse incision up to 2 mm wide. The tendon graft 3 mm wide from a long palmar muscle is laid in a groove and fixed. Its free ends are sewn side to side at the level of the distal third of the middle phalanx, fixed with Küneo type sutures to the lateral bundles of the flexor, so that the nail phalanx is held in the extension position. 1 il. (L

Description

SP

The invention relates to medicine, namely to traumatology.

The purpose of the invention is to prevent contractures in the terminal interphalangeal joint with defects of tendons.

The drawing shows a finger diagram, an explanation of the method.

The method is carried out as follows.

On the dark surface of the finger, an incision is made from the back-side surface of the middle third of the nail phalanx with a smooth transition through the interphalangeal fold on the back-side surface of the middle phalanx to its proximal third on the opposite side. The area of damage and the lateral bundles of the extensor apparatus are exposed. Scar tissues are excised at the site of injury, mobilize lateral bundles. Soft tissues are peeled off on the back surface of the nail phalanx and a transverse groove up to 2 mm wide is made with dental boron. The tendon graft 3 mm wide, taken from the long palmar muscle, is placed into the groove and fixed with two threads through the place of attachment of the lateral ligaments to the base of the nail phalanx. Its free ends, at the level of the distal third of the middle phalanx, are stitched with 3-4 interrupted sutures of the Küneo type to the lateral bundles of the radius, so that the nail of the phalanx is held in the extension position. The possibility of passive flexion of the nail phalanx during extension of the finger is checked.

Example. Patient S. was admitted to the clinic about the contracture of the nail phalanx of the 3rd finger. Injured 5 weeks. ago. Conservative treatment of gypsum long was carried out. During the examination of the finger, upon admission, the flexion contracture of the 3rd phalanx of the nail was determined in the position of the palmar flexion at 40 °, the absence of active movements in the distal interphalangeal joint. Under intravenous anesthesia with a 0.5% solution of novocaine with a harness on the shoulder, the area of tendon stretch injury is exposed. Excised scar tissue. In the area of the nail fapanga on the dark surface of its base

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The nopani has a transverse groove t Pr (a tendinous graft dilate from a long palmar muscle, 6 cm long, extended into a groove and fixed with threads, its ends are drawn together and sewn to meged, and then stitched to the lateral bundles of tendinous stretch. Stitches are laid on the skin Aseptic dressing and gypsum longt from the fingertip along the middle third of the forearm when flexed in the phalangeal joint at an angle of 40, proximal interphalangeal - 60, overextension in the dis: talal interphalangeal joint. o- Bbrfi joint, through 14 - proximal interphalangeal. After three weeks of the gypson longt removed, a removable polivik splint was applied to the nail and phalanx in the position of over-flexing the phalangeal, active-passive movements, physiotherapy, massage, compresses were started with ronidase, injection of Aloe vec- tion. The patient was discharged from the hospital five days after the operation, and began work after 4 weeks. The finger function was restored in full 2 months after the 6th radio.

The proposed method of treatment of extrinsic distressing ata damages can restore the anatomical ratios of all the elements of the flexor apparatus of the fingers, improve the functional outcomes of the treatment with a good cosmetic result. current, prevent relapse of contractures.

Formula of Invention

A method for treating injuries to the unfolding of the hand by using a free tendinous autograft, connecting the transplant with a damaged extensor and fixing the graft at the level of the terminal phalanx, characterized in that, in order to prevent contracture in the terminal interphalangeal joint with tendon defects , a transverse groove is formed on the back surface of the base of the terminal phalanx, a graft is placed in it, the ends of the graft are fixed to the lateral bundles of the tendons and joined together.

Compiled by N. Korableva Editor V. Bugrenkova Tehred L. Oluynyk Corrector. Cherni

Order 2692/5

Circulation 655

VNIIPI USSR State Committee

for inventions and discoveries 113035, Moscow, Zh-35, Raushsk nab., 4/5

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Claims (1)

Claim A method for treating extension of injuries of finger fingers by using a free tendon autograft, connecting the graft with a damaged extensor and fixing the graft at the level of the terminal phalanx, characterized in that, in order to prevent contractures in the terminal interphalangeal joint with tendon defects, on the back surface of the base of the terminal the phalanges form a transverse groove, lay the graft in it, fix the ends of the graft to the lateral tendon bundles and connect them together.