The comparative analysis of the treatment results of congenital syndactylia of the hand in children by traditional method (33) and using preliminary distraction (32) is performed. The significan difference in results of these two methods is not revealed: good and satisfactory results in distraction are obtained in 48% of patients, in traditional method in 41% of the patients. However the distractional method provides skin reserves decreasing the volume of free epidermatoplasty. The causes of syndactylia relapse in remote terms are revealed.
On the basis of the study of the results of distractional stretching of peripheric nerves, and as well as their comparison with the results of the treatment using plaster bars, a number of advantages of the apparatus method is revealed in replacing nerves defects. These advantages allow to improve significantly the results of the treatment of patients concerning the recovery of sensory and motor functions of the injuried peripheric nerve.
The working classification of radial polydactylia is given which includes three basic forms of this pathology as well as types of surgical interventions depending on the fonn. The remote results are followed in 27 sick children (67,5%) of 40 sick children with radial polydactylia. The best results are obtained in patients with the first form of polydactylia (63%) after removing the underdeveloped additional finger. The analysis of remote results showed the efficiency of operative interventions performed taking into account radial polidactylia forms.
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