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14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Our experience of surgical treatment of old instability of finger joints

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  • presenting/speaker Anton Ivanov - Pirogov Russian National Research Medical University, Moscow, Russia
  • Maria Skvortsova - Pirogov Russian National Research Medical University, Moscow, Russia
  • Karen Egiazaryan - Pirogov Russian National Research Medical University, Moscow, Russia
  • Alexander Sushkov - Pirogov Russian National Research Medical University, Moscow, Russia
  • Fyodor Dolgov - Pirogov Russian National Research Medical University, Moscow, Russia

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-1635

doi: 10.3205/19ifssh0262, urn:nbn:de:0183-19ifssh02627

Published: February 6, 2020

© 2020 Ivanov et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Objectives/Interrogation: Old instability of finger jonts is a common problenm in trauma region due to the diagnostic and treatment tactic problems. Examination and treatment results of 17 patients with lateral instability of metacarpal-phalanx thumb joint and 1 patient with front-back instability of proximal interphalangeal joint of index finger were presented.

The indication to operation and technique of surgical intervention in dependence on the terms from injury moment, presence or absence of instability, value of passive lateral deviation angle were detected.Surgical technique for the treatment of complete tears of collateral ligaments of metacarpal-phalanx thumb joint was perfected.

Methods: Surgical technique for the treatment of complete tears of collateral ligaments of metacarpal-phalanx thumb joint was perfected. We performed intraosseal reinsertion with ancor and screw fixation, ligament reconstruction with palmaris muscle tendon free grafts. We used additional transarticular fixation by single K-wire in cases with lateral instability.

Results and Conclusions: Follow up period ranged from 6 to 12 months. Excellent results were achieved in 3 (11,1%), good - in 14(51,9%), satisfactory - in 10 (37%) patients.