Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Hand/Wrist
Abstract number: 26770
DISTRACTION METHOD OF FRACTURED METACARPAL HAND BONES USING
THE DISTRACTION DEVICE
S.U ASILOVA, Sh HODJAEV, A.K HAYDAROV, N.Z NAZIROVA, D.A RAHBAROVA,
G.K NURIMOV
Tashkent Medical Academy, Tashkent (UZBEKISTAN)
Distraction method should provide possibility of early reposition of bone fractures and
movements in joints of fingers of a hand. The method allows early active movements
in interphalanx and metacarpal-phalanx joints of a hand in the first days after
operation and reduces time of patient's invalidity. The present research is based
on experience of treatment of 23 patients with the oblique and transversal fractures
which have not accreted and incorrectly accrete fractures metacarpal bones, who
were on treatment in department of hand surgery Tashkent edical cademy.
Operation carried out under local anesthesia with 1 % solution of Novocain. Level of
blockade of nervous trunks is defined depending on localization of fractures and
volume of forthcoming operative intervention.The device is placed to the patients
under local anesthesia for treatment of damaged joints of fingers. After installations
of the offered device the patient can independently develop interphalanx joints.The
long term results of treatment from 1 year till 7 years are studied on 20 (%) of
patients. Excellent and good results of treatment are received on 20 (%) of patients,
on 2 (%) - satisfactory, on 1 (%) - unsatisfactory. Thus, using our distraction device
on fractures metacarpal hand bones allows receiving excellent and good results of
treatment at the overwhelming majority of patients and recommended for wide
application.
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