Summary. The proximal interphalangeal and metacarpophalangeal joints play an important role in the function of the hand as an organ of labor and self-care. The frequency of joint injuries of this localization reaches 32% in the structure of hand injuries, and unsatisfactory consequences are associated with the severity of the injury. Wrong treatment ranges between 60-80%, which gives ground to classify the problem as socially significant. The development and improvement of implant designs came through the introduction of new materials, structural changes in the fasteners and mobility. Much of the implants design became a thing of the past, giving a push to the development of new models. The need for anatomical and functional compliance of the implant with the characteristics of a healthy joint gave an impulse to research on the manufacture of individual prostheses with the help of 3D modeling. The analysis of literature sources showed a high level of unfavorable consequences of damage to the finger joints and the prospects for the development of more anatomical designs of hand joints prostheses. The development of individual geometrically similar designs endoprostheses of the finger joints of hand that will provide conditions of improvement of quality of treatment of patients remains an actual problem. The relatively short period of operational suitability of existing endoprostheses affected by a limited number of medical supervision necessitates the expansion of research in the near and long terms after prosthetics.
Summary. The frequency of damage to the distal metaepiphysis of the radius reaches from 16% to 33% of all fractures of the bones of the skeleton, and the increase in the incidence of osteoporosis definitely maintains the tendency to increase the frequency of damage to this localization. About 53.3% of the injured need repositioning; half of them (26.6%) have large unstable fractures of type B and C, which are subject to surgical treatment. Materials and Methods. The study was carried out based on the materials of the trauma centers and trauma departments of the “City Clinical Hospital No. 2” of the DCC (Dnipro) and the MNPE “City Clinical Hospital No. 6” of the DCC (Dnipro). To assess the long-term consequences, a retrospective analysis of archive records of 318 patients with damage to the distal metaepiphysis of the radius was performed, including 271 radiographs of females (85.2%) and 47 males (14.8%). Results. The conducted analysis gives grounds to state that remote manifestations depend on the nature and severity of fractures, the quality of reposition or surgical treatment. Fractures of type A and C have a pronounced tendency to develop manifestations of deforming arthrosis of the radiocarpal joint in the remote period after the injury, which may be due to the presence of incongruity of the articular surfaces against the background of residual “permissible” displacements of the fragments. Conclusions. Ensuring accurate repositioning of fractures and expanding the indications for surgical treatment in case of “permissible” displacement of bone fragments in fractures of the distal metaepiphysis of the radial bone will reduce the frequency and severity of arthrosis in the remote period after the injury.
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