FIELD: medicine; orthopedics and traumatology.
SUBSTANCE: extensor is mobilised along the main phalanx proximally and distally from injury point. Excessive regenerate between injured extensor ends is cut off. Ends are brought together with overlay of proximal end over distal end, and sutured with two mattress sutures. First suture is laid over distal extensor end drawing thread from palm to dorsal side and further by 5-6 mm closer to proximal extensor end. Second suture is laid over proximal end of injured extensor in direction from dorsal to palm side. Distal sinew end is sutured, threads are drawn out in 5-6 mm stitches farther from distal end of injured extensor. Distal and proximal thread ends are pulled together and bound. Proximal intraphalanx joint is fixated in extended state by wire for 3 weeks.
EFFECT: prevention of sinew suture eruption, enhanced mechanic durability of suture, early functioning of finger.
1 ex, 10 dwg
