Scientific journal
Научное обозрение. Медицинские науки
ISSN 2500-0780
ПИ №ФС77-57452

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FORCE AMPLITUDE CHARACTERISTICS OF THE HAND WITHIN THE PROCESS OF REHABILITATION OF PATIENTS AFTER SUTURING THE NERVES, VESSELS AND TENDONS AT THE LEVEL OF LOWER THIRD OF THE FOREARM

Shedrina M.A. 1 Novikov A.V. 1 Donchenko E.V. 1
1 Nizhny Novgorod Research Institute of Traumatology and Orthopedics
The assessment of the amplitude of the motion and force of the hand in 3 weeks, 3, 6 and 12 months after surgery was performed within the process of rehabilitation of 81 patients after surgical repair of the median and (or) the ulnar nerve, flexor tendons and the ulnar artery at the level of the lower third of the forearm. The most significant decrease in the amplitude of movements in comparison with other groups, was found in the patients after suturing both nerves, vessels and tendons. Amplitude of motion was restored in patients after an isolated interruption of the median nerve in 6 months after suturing in patients after combined injury of the median nerve and flexor tendons, the ulnar neurovascular bundle and flexor tendons – in 12 months after the operation, a slight limitation of movement in patients after suturing both nerves maintained. Indicators of dynamometery of the hand do not exceed 30-50% of normal even after a year later. It that The strength of the hand was revealed to be higher within the observational period in patients who’d undergone bypass of ulnar artery than in patients who underwent ligation of it. This indicates that the reconstruction of the ulnar artery influences positively to the restoration of hand force, and hence, to the process of nerve regeneration.