R.I. MULLIN¹, R.T. RADKOV², D.S. EFLOVA¹

 ¹Kazan Federal University, Kazan

²Kazan State Medical University, Kazan

Contact details:

Mullin R.I. — PhD (medicine), plasty surgeon of the Department of Traumatology No. 2

Address: 138 Orenburgskiy trakt, Kazan, Russian Federation, 420064, tel.: +7-903-306-39-44, e-mail: rusdan@mail.ru

The purpose — clinical assessment of the algorithm of terms of the restoration of the finger tendons’ flexor after an injury with a profiled metal sheet.

Results. Based on the study results, an algorithm for restorative operations on tendons after an injury with a profiled metal sheet was proposed. When the skin-tendon flap width-to-length ratio is 1:3 or more, one-stage reconstruction of the deep flexor tendon is possible. If the flap width-to-length ratio is less than 1:3, it is necessary to conduct a primary delayed (in 7–10 days) or staged reconstruction of the deep flexor tendon with skin restoration.

Conclusion. The presented graphical model of «profiled metal sheet injury» allows giving a clinical assessment of the blood supply to the skin-tendon flap and differentiating treatment of patients with varying degrees of injury severity. In turn, the restoration of normal blood circulation in the injured segment accelerates the healing process, reduces the percentage of complications, and ultimately determines the success of the surgical intervention.

Key words: skin-tendon flap, profiled metal sheet injury, blood supply to the flexor tendons of fingers.

REFERENCES

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