2 -2 (34/1) 2021 — Suvonov U., Khudjanazarov I. — THE COMPARATIVE ANALYSIS OF THE SURGICAL TREATMENT RESULTS OF OLD SOFT TISSUE INJURIES OF THE FRONT SURFACE OF THE LOWER THIRD OF FOREARM

THE COMPARATIVE ANALYSIS OF THE SURGICAL TREATMENT RESULTS OF OLD SOFT TISSUE INJURIES OF THE FRONT SURFACE OF THE LOWER THIRD OF FOREARM

Suvonov U., Traumatology Department, Tashkent Medical Academy, Uzbekistan

Khudjanazarov I. Traumatology Department, Tashkent Medical Academy, Uzbekistan

Resume

Fractures of the forearm in childhood and adolescence are a fairly common type of injury to the upper limb. This pathology is always accompanied by damage to soft tissue formations including the interosseous membrane, muscles and adjacent interosseous vessels, which aggravates the severity of the injury and largely determines the outcome of treatment. Based on the foregoing, the surgical method of treating chronic injuries of soft tissues of the anterior surface of the lower third of the forearm is one of the urgent problems that has not yet been resolved and requires further discussion. Neurolysis, tenolysis, myolysis, capsulotomy, muscle-tendon transposition, arthrodesis, with this pathology are poorly studied, in addition, the so-called long-term combined damage like soft tissues + tendons + ligaments + nerve + vascular damage requiring a differentiated approach, still little studied in the literature. This study analyses the results of the treatment of chronic soft tissue lesions of the anterior surface of the lower third of the forearm by applying individual surgical tactics.

Keywords: Obsolete, soft tissue, forearm, neurolysis,injury

First page

9

Last page

14

For citation: Suvonov U., Khudjanazarov I. The comparative analysis of the surgical treatment results of old soft tissue injuries of the front surface of the lower third of forearm // New Day in Medicine 2(34/1)2021 9-14 https://cutt.ly/fv618dx

LIST OF REFERENCES

1. Abalmasov K.G. Traumatology. National leadership / K.G. Abalmasov, P.K. Abalmasov, V.G. Golubev et al. // M: Geotar-Media, 2008.808s
2. Anisimov V.N., Stroganov A.B., Lunin. S. A. Surgery Akhmedov P.P., Avezov S.P. Rehabilitation treatment of patients with combined injuries of bones, blood vessels, nerves of the extremities / LI Congress of neurosurgeons of Russia: Materials of the Congress. – SPb., 2002 .- S. 522.
3. Baitinger V.F. Anatomical and physiological substantiation of the epineural suture of the nerve, “Commedium for Hand Surgery”, Tomsk, 2004, pp. 56-59.
4. Belenky, I. G. Ultrasound diagnostics of soft tissue injuries of extremities / I.G. Belenky, O. V. Imshennik // Man l health – 2005: abstracts of the congress. SPb., 2005 .– S. 13 – 14.
5. Bolshakova G.A., Lazareva V.V., Bondarenko E.A. Physio- and pharmacotherapy in medical rehabilitation of patients with chronic post-traumatic defects of the peripheral nerves of the forearm, hand and fingers // Modern technologies for the diagnosis, treatment and rehabilitation of injuries and diseases of the hand: abstracts. report II anniversary scientific-practical conf. – Moscow, 2005 .– S. 368-370.
6. Golubev V.G. New methods for diagnosing injuries of the median and radial nerves at the level of the forearm and hand / V.G. Golubev, I.A. Krupatkin, D.E. Panov, // Abstracts of the 1st Congress of Hand Surgeons of Russia. – Yaroslavl, 2006.S. 47 – 48
7. Kozyukov V.G. Restoration of hand function in patients with consequences of injuries of the flexor tendons of the fingers / Tokarev A.E., Stepanova V.A., Kournikova O.V. // Perm honey. zhurn. 2007. No. 31 S. 43-46.
8. Kurinnoy IM Surgical treatment of open nerve injuries at the level of the lower third of the forearm and hand in residents of agricultural areas // Trauma. 2002. T. 3, No. 3. S. 298-302.
9. Minasov B.Sh., Valeev M.M. Surgical treatment of chronic injuries of the flexor tendons of the fingers of the hand: A guide for physicians. – Ufa: Healthcare of Bashkortostan, 2002 .- 72 p.
10. Azari К. K. Flexor tenolysis// Hand Clinics. – USA, 2005. -Vol.21. – P. 211-217.
11. Виепо F.R., Shah S.B. Implications of tensile loading for the tissue engineering of nerves // Tissue Eng. Part B. Rev. – 2008. – Vol. 14(3). – P. 219-233.
12. Bunata R.E. Primary pulley enlargement in zone 2 by incision and repair with an extensor retinaculum graft // The Journal of Hand Surgery. – 2009. – Apr. 6.-P. 126-128.
13. Davas Aksan A. [et al.] Epidemiology of injuries treated at a hand and microsurgery hospital // Orthop Traumatol Turc. 2010;44 (5):352-60. doi: 10.3944/AOTT/2010.2372.
14. Duff S.V. Impact of peripheral nerve injury on sensorimotor control // J. Hand Ther.-2005.-V. 18, N2,- P.277-291.
15. Fan W., Gu J., Hu W., Deng A., Ma Y., Liu J., Ding F., Gu X. Repairing a 35-mm-long median nerve defect with a chitosan/PGA artificial nerve graft in the human: a case study // Microsurgery. – 2008. – Vol. 28(4). – P. 238-242.140.
16. Gruber H., Peer S., Meirer R. et al. Peroneal Nerve Palsy Associated with Knee Luxation: Evaluation by Sonography-Initial Experiences // Am. J. Roentgenol. 2005. V. 185. P. 1119-1125. Peer S., Bodner G High-Resolution Sonography of the Peripheral Nervous System // 2003. Springer. 140 p.
17. Hough D., Moore A.P., Jones M.P. Peripheral nerve motion measurement with spectral Doppler sonography: a reliability study //J. Hand Surg. – 2000. – V.25B,N6.-P.585-589.
18. Jester A., Harth A., Wind G et al. Disabilities of the arm, shoulder and hand (DASH) questionnaire: Determining functional activity profiles in patients with upper extremity disorders. // J. Hand Surg. – 2005. – V.30B, N1. – P.23-28
19. Jaquet J. B. Spaghetti Wrist Trauma: Functional Recovery, Return to Work, and Psychological Effects / J. B. Jaquet [et al.] // Plast. & Reconstr. Surg. 2005. V. 6. P. 1609-1617.
20. Jin K., Patterns of work-related traumatic hand injury among hospitalized workers in the People’s Republic of China. [et al.] // Inj Prev. 2010 Feb;16 (1):42-9.