Iarova M. The two-stage deep flexor tendons plastics in I-st and II-d zones in their isolated damage

The work is devoted to solving the urgent problem of Orthopedics and Traumatology - improv treatment results in patients with flexor tendon injuries to fingers and I-II zones based on biomechanical experiment, ultrasound study, a retrospective analysis of treatment and improvement of existing methods of surgical treatment. The study is based on the analysis of diagnosis and treatment of 102 patients with flexor tendon injuries to fingers and I-II zones. Analyzed the severity of injuries and revealed features burdens injury as a result of prior treatment in specialized hospitals. Identified the following major complications after primary surgical treatment of flexor tendon injuries of fingers: joint contractures of the fingers (3.9% - 53.9%), scar skin transformation (2.9% - 21.6%) and purulent necrotic complications (3 9%). A biomechanical study of distribution efforts in different parts of the bending apparatus fingers with standard truck and proved that by increasing the load on your finger over allowable, provided the deep flexor tendon functioning, increasing the risk of injury. The ultrasound method of functional capacity pulleys in the postoperative period was assessmented. Research and analysis of the relationship of clinical data and ultrasound studies allowed to evaluate patients outcomes and justify the tactics of treatment. For the prevention and treatment of complications in surgery of the fingers flexor tendons in the proposed two-stage method of deep flexor tendon with saving flexor tendon superfcialis. Evaluation of long-term results of treatment was carried by QuickDash and by J. Strickland. The use of new techniques increased the functional results of treatment in the study group (17% excellent, good results 5%) compared with the control group (6% excellent, 32% - good results). The most important factors affecting functional outcome is severity, prescription injuries and damage of pulleys.