FIELD: medicine.
SUBSTANCE: invention relates to medicine, namely to traumatology and orthopedics and is intended for treating patients with Dupuytren's contracture of fingers. Method lies in dissection of pathologically changed aponeurosis on palm and fingers from two-level transversal skin incision and palm aponeurosis to subaponeurotic space. The first incision is made in middle part of palm on entire length of aponeurosis. The second incision is made parallel to the first one in distal part of palm on the width of degenerated cords. With additional oblique incision transversal incisions are connected and degenerated aponeurosis cords are dissected on palm. Longitudinal incision is made from distal transversal incision on palm to middle phalanx, on middle line of finger, which is in maximal flexion contracture. Finger-wide shaped incision is made, degenerated cords on it are dissected. From additional incision in lower third of forearm superficial flexor tendon is exposed, cut in Z-shaped way and elongated with application of interrupted adapting sutures on ends of tendon of superficial flexors.
EFFECT: method makes it possible to eliminate contracture in proximal inter-phalangeal joint.
1 ex, 9 dwg
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Authors
Dates
2011-06-20—Published
2009-11-30—Filed