Possibilities to optimize total replacement of fingers in patients with severe posttraumatic hand deformities

On the experience of total replacement of fingers in 49 patients with posttraumatic hand deformities the main strategies for the improvement of outcome are detected: 1) successive restoration of damaged structures, including skin restoration, re-establishment of normal anatomical correlation of bone structures and total joint replacement; 2) perfection of the implant design; 3) application of precious technique. Use of such approach enabled to restore the motion volume in injured joints within the limits of 30-40 degrees as well as to widen the quota of patients for reconstructive surgical treatment at the account of patients with more severe pathology.