Method for surgical treatment of lesions of the central portion of the dorsal aponeurosis of II-V fingers at the proximal interphalangeal joints

摘要

The invention relates to medicine, namely, to orthopedics. It is proposed at surgical treatment of lesions of the central portion of the dorsal aponeurosis of II-V fingers at the proximal interphalangeal joints passive motion in the latter to develop at preoperative period - extension should be in the range 180-175 °, flexion - 90 °. With access to the palmar surface of the finger to select and cut off at mid-palm of one leg of superficial flexor, which is already pre-fixed in the bone, which is guided onto the back surface finger through the channel, formed inn the middle phalanx and sutured to the extensor digitorum of metacarpophalangeal articulations at full extension in proximal interphalangeal joints. The fixation is carried out during three weeks after surgery, with the second week - a removable, with passive movements from the second week, and active from the third week. The claimed method has significant advantages with respect to prototype, which allows to use it widely in clinical practice.