[Treatment of complications of plastic surgery on the tendons of finger flexors].
From experience in the treatment of more than 800 patients by various methods of autotendoplasty which had been developed in the clinic earlier, the authors analysed the most characteristic complications of these operations. Separation of the wound edges and partial marginal necroses of the skin occurred in 7-8% of patients, mainly in bilateral damage to the neurovascular bundles of the fingers, ligature fistulas in 6-7%, ruptures in 5%, flexion contractures of the fingers formed in 2% of patients who had been operated on, suppuration of the wounds was practically not encountered. The peculiarities of surgical sanative procedures for ligature fistulas depending on their localization are described. The operative tactics in rupture of the tendon sutures after tendoplasty was elaborated: immediate repeated autoplasty is recommended in late-term ruptures, whereas in early ruptures the best results are produced by two-stage tendoplasty with temporary endoprosthetics of the tendon with silicone no earlier than 2-3 months after the rupture. The authors discuss the method for treatment of formed flexion contractures of the fingers by means of a distraction apparatus at a slow distraction mode, which produces good functional results.
Miguleva
I Iu
IIu
D000328:Adult; D005383:Finger Injuries / Q000601:surgery*; D005385:Fingers / Q000294:innervation; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D012086:Reoperation; D013537:Sutures; D013708:Tendon Injuries / Q000601:surgery*; D013710:Tendons / Q000637:transplantation*
Lechenie oslozhneniĭ plasticheskikh operatsiĭ na sukhozhiliiakh sgibateleĭ pal'tsev.