USE OF TECHNOLOGIES OF PLASTIC AND RECONSTRUCTIVE MICROSURGERY IN TREATMENT OF PATIENTS WITH WRIST PATHOLOGY

• Main Authors: D. I. Kutyanov, L. A. Rodomanova
• Format: Article
• Language: Russian
• Published: Vreden Russian Research Institute of Traumatology and Orthopedics 2011-12-01
• Series: Travmatologiâ i Ortopediâ Rossii
• Subjects: кистевой сустав; микрохирургия; травмы кистевого сустава; опухоли кистевого сустава; лечебная тактика; замещение дефектов тканей; wrist; microsurgery; injuries of wrist; tumors of wrist; tactics of treatment; replacement of defects of tissues
• Online Access: https://journal.rniito.org/jour/article/view/192
• ISSN: 2311-2905; 2542-0933

We have analyzed the results of treatment of 44 patients with injuries and tumors of wrist. The main aims of microsurgical interventions in such patients were replacement of bone defects (40,9%), replacement of skin defects (25,0%), and also elimination of contractures of wrist joint and fingers (20,5%). At the same time high frequency of use of bony flaps was caused mostly not by the need in replacement of defects of bones, but by the need in stabilization of wrist joint aiming to create the conditions for normal function of fingers. It has been stated that the use of technologies of plastic and reconstructive microsurgery in patients with wrist pathology is not the main factor determing the good result of treatment. The good result of treatment is mainly determined by the condition of fingers, not only appropriate surgical treatment but also adequate rehabilitation helps them achieve their necessary function.