Novosti
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Year 2022 Vol. 30 No 5
TRAUMATOLOGY AND ORTHOPEDICS
SH.M. MUMINOV, T.R. MINAEV, O.N. NIZOV, D.A. KHUDAYNAZAROV, A.B. KHакIMOV, ZH.KH. DAVLATOV, KH.R. SUVONOV
EMERGENCY RECONSTRUCTIVE INTERVENTIONS FOR TRAUMATIC DEFECTS OF THE TENDONS OF THE UPPER LIMB
Republican Scientific Center for Emergency Medical Care, Tashkent City,
Republic of Uzbekistan
The article analyzes the experience of treating 15 patients with open concomitant injuries of the upper extremities with extensive defects of the flexor or extensor tendons over a considerable length, urgently reconstructed. In 11 (73.3%) patients, muscle-tendon transposition was performed, in 4 (26.7%) autotendinoplasty, with the use of the fascia lata of the thigh – in 3 (20%) and free fragments of waste tendons – in 1 (6.7 %). Skin defects in 10 (66.7%) cases were closed with local displaced flaps. A radial flap was used in 4 (25.7%) cases, and a pedicle flap from the anterior abdominal wall was used in 1 (6.7%) case. Intramedullary osteosynthesis was performed in 7 (46.7%) patients. In the next period, 2 (13.3%) cases of complications in the form of marginal skin necrosis of displaced flaps were noted, which did not require additional interventions. The main finding is that emergency repairs versus routine tendon repairs can shorten the period of disability by at least 3 months.
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100060, Tashkent, Republic of Uzbekistan,
Yakkasaray district, St. Yakkasarayskaya 2/5
e-mail mshm22@rambler.ru
Tel. +998911344524
Muminov Shukhrat Manapovich
Muminov Shukhrat M., MD, Professor , Head of Branch, Republican Scientific Center for Emergency Medical Care, Tashkent City, Republic of Uzbekistan.
https://orcid.org/0000-0001-5845-0432
Minaev Timur R., PhD, Intern, Republican Scientific Center for Emergency Medical Care, Tashkent, Republic of Uzbekistan.
https://orcid.org/0000-0002-7780-9305
Nizov Oleg N., PhD, Intern. Republican Scientific Center for Emergency Medical Care, Tashkent City, Republic of Uzbekistan.
https://orcid.org/0000-0002-5159-4326
Hudaynazarov Dilshod A., Intern, Republican Scientific Center for Emergency Medical Care, Tashkent City, Republic of Uzbekistan.
https://orcid.org/0000-0001-5675-5830
Khakimov Anvar B., Intern, Republican Scientific Center for Emergency Medical Care, Tashkent City, Republic of Uzbekistan.
https://orcid.org/0000-0003-4876-474X
Davlatov Jahongir K. Ugly, Intern, Republican Scientific Center for Emergency Medical Care, Tashkent City, Republic of Uzbekistan.
Suvanov Khusniddin R., Intern, Republican Scientific Center for Emergency Medical Care, Tashkent City, Republic of Uzbekistan.
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