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Alexandrov N., Kiselev D., Uglev O.
Restore the fingers with use supply blood skin-bone graft flaps in patients with severe posttraumatic deformities of the hand
Keywords: posttraumatic deformities of the hand, transfer the hand segments, toe transplantation, transfer of the radial bone graft flap
Despite the achievements of reconstructive microsurgery, treatment of patients with absence of fingers, combined with scar deformities remaining segments of the hand to date is a challenge. The aim of the study was to develop and study new approaches to reconstruction of fingers in patients with severe post-traumatic deformities of the hand. The work is based on an analysis of the treatment of patients with severe scar deformity of the hand with the famous and original methods of reconstruction of the fingers. In 131 patients with severe post-traumatic deformities in 137 hands was restored 141 fingers with using techniques of reconstruction supplies the skin-bone graft flaps, including transfer the hand segments (114 – 80,9%), bone graft radial flap (8 – 5,7%) and transfer of microanastomosis flap (19 – 13,4%). Long-term results of treatment were assessed by the method of A.E. Belousov [1], in 87 (66,4%) patients. Excellent results were reported in 52 (59.8%) patients, good – 18 (20,7%), satisfactory – 10 (11,5%) and poor – 7 (8.0%). The method of choice in the reconstruction of the thumb in patients with the most severe deformities of the hand and the forearm should be the movement of the damaged segments of the brush using the approaches developed by us. The study showed the feasibility of the reconstruction of the fingers in patients with scar deformities of the hand, including the extreme severity, regardless of their nature and etiology.
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About authors
- Alexandrov Nikolay Mikhailovich
- doctor of medical sciences, microsurgery unit leading researcher, Volga Medical Research Center, Russia, Nizhny Novgorod (aleksandrov-chetai@rambler.ru; )
- Uglev Oleg Ivanovich
- orthopedic traumatologist, Republican Clinical Hospital, Russia, Cheboksary (olezimmer5@mail.ru; )
- Kiselev Denis Vasilievich
- orthopedic traumatologist, MedAS LLC, Russia, Nizhny Novgorod (deathmed@mail.ru; )
Article link
Alexandrov N., Kiselev D., Uglev O. Restore the fingers with use supply blood skin-bone graft flaps in patients with severe posttraumatic deformities of the hand [Electronic resource] // Acta medica Eurasica. – 2015. – №4. P. 1-9. – URL: https://acta-medica-eurasica.ru/en/single/2015/4/1/.