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Treatment of patients with traumatic hand defects in Krasnodar region

Abstract

Traumatic defects of hand tissues require mostly plasty covering with vascularised flaps. There are a great number of various variants with tissue complexes applied for hand reconstruction. In the present study we demonstrate our clinical experience with plasty substitution of traumatic defects in 35 patients with free and non-free radial flaps, insular digital flaps on the digital neurovascular bundle, flaps on the dorsal metacarpal arteries, cross digital flaps, non-free inguinal flaps and those from the anterior abdominal wall, temporal palm flaps. We showed reconstruction of fingers and hands with their soft tissues total and subtotal defects. The aim of this study is to point the indications for reconstructive plastic treatment in patients with traumatic hand defects with vascularised flaps application depending on the defect location and size.

About the Authors

A. M. Aristov
Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1, The Krasnodar Krai Ministry of Health
Russian Federation


A. A. Afaunov
Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1, The Krasnodar Krai Ministry of Health
Russian Federation


S. N. Kurinny
Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1, The Krasnodar Krai Ministry of Health
Russian Federation


A. V. Shevchenko
Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1, The Krasnodar Krai Ministry of Health
Russian Federation


References

1. Волкова А.М. Хирургия кисти / А.М. Волкова. -Екатеринбург: Сред. - Урал. кн. изд-во, 1991. -Т1. - 304 с.

2. Декайло В.П. Повреждения кисти: эпидемиология, потери трудоспособности, медицинская реабилитация: автореф. дис.. д-ра мед наук / В.П. Декайло. - Минск, 2003. - 41 с.

3. Брянцева Л.Н. Первичные операции при открытых повреждениях кисти / Л.Н. Брянцева, М.Ф. Ерецкая, П.В. Юрьев // Повреждения и заболевания кисти: сборник науч. Трудов. - Л., 1976. - С. 8 - 21.

4. Родоманова Л.А. Реконструктивные микрохирургические операции при травмах конечностей / Л.А. Родоманова, А.Ю. Кочиш. - СПб.: РНИИТО, 2012. - 116 с.

5. Нельзина З.Ф. Неотложная хирургия открытых повреждений кисти и пальцев / З.Ф. Нельзина. - М.: Медицина, 1980. - 183 с.

6. Green’s operative hand surgery / ed. by Scott W. Wolfe [et al.] - 6th ed. - Churchill Livingstone, 2010. -2302 p.

7. Родоманова Л.А. Возможности реконструктивной микрохирургии в раннем лечении больных с обширными посттравматическими дефектами конечностей: автореф. дис.. д-ра мед наук / Родоманова Л.А. - СПб., 2010. - 40 с.

8. Hierner R. Flaps in hand and upper limb reconstruction / R. Hierner, R. Putz, A. Bishop // Elsevier GmbH, Munich, 2014. - 583.

9. Slutsky D. The art of microsurgical hand reconstruction / D. Slutsky // Thieme Medical Publishers, Inc, 2013. - 481.

10. Heping Z. Color atlas of microsurgical anatomy: Surgical Flaps of the Limbs / Z. Heping, Z. Fahui, L. Jianhua // PMPH. - 2008. - 363.

11. Beasley Robert W. Beasley’s Surgery of the hand / Robert W. Beasley. // Thieme.- 2003.-544p.

12. Wolff K. - D. Raising of microvascular flaps: A systematic approach / K. - D. Wolff, F. Holzle // Springer. - 2005. - 185.

13. Littler J.W. Neurovascular pedicle transfer of tissue in reconstructive surgery of the hand / J.W. Littler // J. Done Joint Surg. - 1956. - Vol. 38 - A, N 4. - P. 917 - 923.


Review

For citations:


Aristov A.M., Afaunov A.A., Kurinny S.N., Shevchenko A.V. Treatment of patients with traumatic hand defects in Krasnodar region. Innovative Medicine of Kuban. 2016;(3):12-18. (In Russ.)

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ISSN 2541-9897 (Online)