Khimenko S. Diagnostic and treatment of extensor tendon injury in the hand

The work is devoted to decision of an actual problem of orthopedics and traumatology - improvement of results of treatment of patients with extensor tendons injures. The results of diagnostics and treatment of 259 patients with extensor tendons injuries. The retrospective analysis treatment results of patients with extensor tendons injuries detect a significant amount of failing (22,4 %) in diagnostics and treatment of these case, and also not high general effectiveness as operative and conservative treatment. Analysis results of treatment show 60,6 % excellent and good results with operative technique and 65,8 % - conservative technique. Perfection metodic and development protocol of ultrasound diagnostic enable improvement to make out a diagnosis of extensor tendons injures. The retrospective analysis treatment results of patients with extensor tendons injuries permit to develop optimal approach criteria for their treatment and build a strategy of treatment whith accounting a type and level of injuries, term after accident, defect size, contracture rate interphalangeal joint of the hand and kind of treatment. A flexion-extention movement of fingers at mathematical simulation was draw a results of "critical" defects for extensors tendons of fingers which cause a limit rage of movement interphalangeal joint of the hand and according results received to make criterion of choice a surgical technique. Comparative analysis of rehabilitation strategy for patients whith extensor tendons injures, was determined a passive-control schedule as optimal. For this schedule was develop a protocol of rehabilitation accounting a type of treatment and level of injuries. For prevention recurring recover extensor tendons during rehabilitation treatment we was developt a "safe" rage passive movement detection metod whith ultrasound-assisted. Proposal improvements in diagnostics, new approaches to formation tactics treatment, together with new and advanced techniques of treatment, whith new approaches to rehabilitation into treatment extensor tendons injures, allowed authentically (р <0,005) to improve results