FIELD: medicine.
SUBSTANCE: invention relates to medicine, namely to hand surgery. Transverse cut on back part of DIPJ, mobilisation of skin cut edges and revision of tendon with transverse excision of skin in form of 20 mm long and 2-3 mm wide "petal" on DIPJ back part are performed. Tourniquet is released from finger under hemostasis control. Skin is sewn with interrupted or "П"-shaped sutures from non-absorbable suture material. After wound healing skin sutures are removed, control ultrasonic examination is carried out. If formation of tendon regenerate with sufficient strength is confirmed, Kirschner-wire is removed. 2-3 days after wire removal rehabilitation procedures are performed by making passive and active movements with distal phalange of operated finger with gradual increase of amplitude of movement during two weeks.
EFFECT: method makes it possible to join tendon ends without tendon suture, which makes it possible to make active and passive movements in early terms.
1 ex, 10 dwg
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Authors
Dates
2013-06-27—Published
2012-03-11—Filed