PREVENTIVE MAINTENANCE OF ISCHEMIC CONTRACTURES AT PATIENTS WITH SEVERE HAND INJURIES

K. S. Melikhov; Мелихов К. С.; L. A. Rodomanova; Родоманова Л. А.; D. I. Kutyanov; Кутянов Д. И.

doi:10.21823/2311-2905-2010-0-3-41-46

PREVENTIVE MAINTENANCE OF ISCHEMIC CONTRACTURES AT PATIENTS WITH SEVERE HAND INJURIES

Authors: Melikhov K.S.¹, Rodomanova L.A.¹, Kutyanov D.I.¹
Affiliations:
1. ФГУ Российский научно-исследовательский институт травматологии и ортопедии им. P.P. Вредена Росмедтехнологий
Issue: Vol 16, No 3 (2010)
Pages: 41-46
Section: Clinical studies
Submitted: 20.11.2016
Accepted: 20.11.2016
Published: 19.11.2010
URL: https://journal.rniito.org/jour/article/view/563
DOI: https://doi.org/10.21823/2311-2905-2010-0-3-41-46
ID: 563

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Abstract

Results of surgical treatment of 35 victims who had received serious blunt open and closed injuries of hand were analyzed. All injuries of hand were divided into three types, depending on mechanism and circumstances of trauma. On the basis of the data received at direct measurement of compartment pressure, indirect signs of a menacing ischemia of intrinsic muscles have been defined, and the technique of preventive maintenance of an ischemic lesion of own hand muscles were developed. High efficiency of the offered medical approaches at the expense of the maximum restoration of function of the injured extremity was proved.

Keywords

ischemic contracture, treatment, hand injury

References

Дейкало В.П. Повреждения кисти: эпидемиология, потеря трудоспособности, медицинская реабилитация: автореф. дис.... д-ра мед. наук/Дейкало В.П. -Минск, 2003. -40 с.
Пирожкова Т.А. Оценка функции кисти в свете медико-социальной экспертизы/Т.А. Пирожкова, Л.А. Андреева//Медико-социальная экспертиза и реабилитация. -2000. -№ 3. -С. 25-27.
Abouzahr M.K. Carpal tunnel release using limited direct vision/M.K. Abouzahr, M.C. Patsis, D.T. Chiu//Plast. Reconstr. Surg. -1995. -Vol. 95, N3. -P. 534-538.
Matsen F.A. 3rd. Diagnosis and management of compartmental syndromes/F.A. Matsen 3rd, R.A. Winquist, R.B. Krugmire Jr.//J. Bone Joint Surg. -1980. -Vol. 62-A, N 2. -P. 286-291.
Rorabeck C.H. Tourniquet-induced nerve ischemia: an experimental investigation/C.H. Rorabeck//J. Trauma. -1980. -Vol. 20, N 4. -P. 280-286.
Von Schroeder H.P. Definitions and terminology of compartment syndrome and Volkmann's ischemic contracture of the upper extremity/H.P. von Schroeder, M.J. Botte//Hand Clin. -1998. -Vol. 14, N 3. -P. 331-334.
Whitesides Т.Е. Tissue pressure measurements as a determinant for the need of fasciotomy/Т.Е. Whitesides, T.C. Haney, K. Morimoto, H. Harada/Clin. Orthop. Relat. Res. -1975. -Vol. 113. -P. 43-51.
Wolfort F.G. Immediate interossei decompression following crush injury of the hand/F.G. Wolfort, T.C. Cochran//Arch. Surgery. -1973. -Vol. 106. -P. 826-828.

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PREVENTIVE MAINTENANCE OF ISCHEMIC CONTRACTURES AT PATIENTS WITH SEVERE HAND INJURIES

Full Text

Abstract

Keywords

About the authors

K. S. Melikhov

L. A. Rodomanova

D. I. Kutyanov

References

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