Novosti
Khirurgii

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Year 2015 Vol. 23 No 5

EXCHANGE OF EXPERIENCE

V.P. DEIKALO, A.N. TOLSTIK

THE USE OF CUTANEOUS AUTOPLASTY IN THE REHABILITATION OF PATIENTS WITH AN ACUTE HAND INJURY

EE "Vitebsk State Medical University"
The Republic of Belarus

Objectives. To examine the results, mistakes, and complications, to assess and characterize the capabilities of current methods of skin plasty in hand soft tissue defects.
Methods. In medical rehabilitation the patients who had sustained an acute hand injury accompanied by soft tissue defects, a necessity of skin integrity was occured. In these cases the different methods of autodermoplasty have been used. 289 operations of skin plasty in 248 patients with open hand injuries and (or) their consequences have been performed. There were 218 (87,90%) men and 30 (12,10 %) women. 98,2% of the patients were of working age. 230 (92,74%) patients with the open hand and finger injuries were operated, the dermepenthesis was made to 18 (7,26) patients after repairing of various posttraumatic contracture. In assessing of the long-term results the degree of a flap engraftment, complications and functional outcomes were taken into account.
Results. Analysis of the application of different methods of skin autodermoplasty has allowed to establish that the technique of free skin grafting (64,35%) in specialized care to patients with an acute hand injury was used more frequently. Unsuccessful outcomes (29,50%) after a free skin grafting have associated with mistakes made during surgery and in the postoperative period. To replace the deep defects of an acute hand injury is more expedient to use a non-free skin graft, allowing 100% of engraftment and good cosmetic outcomes.
Conclusion. The application of different skin grafting technique broader and more rational, careful planning and technical performance of operations as well as the proper management in the postoperative period have resulted in improved patient outcomes.

Keywords: hand injury, skin grafting, post-traumatic contracture, skin plasty, medical rehabilitation, engraftment, complications, postoperative period
p. 577-581 of the original issue
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Address for correspondence:
210023 Respublika Belarus',
g. Vitebsk, pr-t Frunze, d. 27,
UO "Vitebskii gosudarstvennyi
meditsinskii universitet", kafedra
travmatologii, ortopedii i voenno-polevoi khirurgii.
tel. 8 0212 57-40-84,
Deikalo Valery Petrovich
Information about the authors:
Deikalo V.P., MD, professor of traumatology, orthopedics and field surgery EE "Vitebsk State Medical University".
Tolstik A.N., PhD., an associate professor, a head of a chair of traumatology, orthopedics and field surgery of VSMU EE "Vitebsk State Medical University".
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