APPLICATION OF TENDINOUS AUTOTRANSPLANT TENDOPLASTY IN PATIENTS WITH TRAUMATIC HAND FINGER AMPUTATION DURING REPLANTATION

Aim. To improve the results of surgical treatment of patients with incomplete traumatic amputation of hand finger at the expense of increasing strength of deep flexor tendon with the help of superficial flexor tendon of hand finger. Materials and methods. The paper presents the results of treatment of 72 patients with incomplete traumatic amputation of hand fingers and damage of finger deep flexor tendon in the region of proximal phalanx. In 38 patients of the main group, within the synovial sheath, defect replacement using tendinous autotransplant with the distal end of the superficial tendon attached to it was carried out during replantation. To estimate the results of treatment the method of measuring the total volume of active movements in the finger joint offered by The American Society of Hand Surgery was used. Results. The obtained data showed that in the main group the developed technique of surgical treatment permitted to decrease the level of unsatisfactory results from 2,9% to their full absence, to lower the level of satisfactory results by 14,2%, to increase the level of good results by 12,3% and excellent results by 4,8%, to reduce the terms of the postoperative training from 48,43±5,21 to 37,82±6,81 ( p <0,01) days. Conclusion. The suggested technique reduces the terms of the postoperative finger training by 10,61 days ( p <0,01), lowers the level of unsatisfactory results by 14,2%, raises the level of good results by 12,3% and excellent results by 4,8% ( p <0,05) and can be an alternative technique for preventing development of cicatrical contraction of the replanted finger in patients with incomplete traumatic amputation of hand finger.

Microsurgery, hand, replantation, finger flexor tendons, adults, human being