title: [Outcomes of the therapy of old injury of finger flexor tendons].
abstract: 193 fingers of 131 patients have been treated at the level of the I, II and III zones due to inveterate tendon damages. In case of isolated damage of deep flexor tendon of the II-V fingers at the level of the I zone there were made palliative operations of 12 fingers: tenodesis and arthrodesis of distal interphalangeal articulation in functionally advantageous position. They failed to achieve successful outcome with one finger. In 17 cases long flexor tendon of the I finger had been restored by different methods; in all cases there were achieved good and excellent outcomes. Three fingers (IV, V) with the tendon, damaged at the II zone level, were subjected to plasty by free autotransplant. The outcomes are as follows; satisfactory--2, bad--I. At the remaining 161 finger (II-V) deep flexor tendon has been restored by different methods with utilization of autotendon with its natural blood circulation or revascularized one. There was formed an artificial tendon sheath in some methods. Positive outcomes, as evaluated by the system of the American association of hand surgeons, were achieved in 138 (85.7%) cases, by Buch-Gramcko system--in 143 (88.8%) cases.
authors.forename: V V
authors.initials: VV
authors.lastname: Lapin
mesh_terms: D000328:Adult; D002648:Child; D002908:Chronic Disease; D005383:Finger Injuries / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D011184:Postoperative Period; D012086:Reoperation / Q000295:instrumentation / Q000534:rehabilitation*; D013708:Tendon Injuries / Q000209:etiology / Q000601:surgery*
vernacular_title: Iskhody lechenia zastarelykh povrezhdeniĭ sukhozhiliĭ pal'tsev kisti.