PERFECTION OF SECONDARY SINGLE-STAGE TENDOPLASTY IN MEDICAL REHABILITATION OF CONSEQUENCES AFTER INJURIES OF FLEXOR MUSCLE TENDONS OF FINGERS

Aim. The aim of the study was to improve the results of medical rehabilitation after injuries of flexor muscle tendons of fingers in the second zone. Materials and methods. Treatment of 90 patients with consequence of injuries of flexor muscle tendons of fingers in the second zone, who underwent medical rehabilitation using the secondary single-stage tendoplasty was analyzed. Two groups of patients were formed: the group of comparison ( n = 50) with traditional operative tactics used and the main group ( n = 40) with the developed complex of measures (preoperative adaptive preparation, new technique for fixation of tendinous transplant, modified protocol of functional rehabilitation). Results. Comparative analysis of efficiency reached during treatment of patients from different groups was conducted. It was established that the developed complex of medical rehabilitation applied gave positive long-term results in 93,7 % of follow-up observation. Efficiency of treatment versus the comparison group was 9,5 %. Conclusions. The offered complex of reconstructive medical rehabilitation of patients with consequences of injuries of flexor muscle tendons of fingers including preoperative preparation, surgical aids with new technical solution and rational rehabilitation permitted to improve the results of treatment in patients with this pathology.

Hand, flexor muscle tendon, injury consequences, medical rehabilitation