N.N. Priorov Journal of Traumatology and OrthopedicsN.N. Priorov Journal of Traumatology and OrthopedicsВестник травматологии и ортопедии им. Н.Н. Приорова0869-86782658-6738Eco-Vector11204810.17816/vto112048SCIENTIFIC REVIEWSНаучные обзорыReview ArticleTwo-stage flexor tendon reconstruction of the fingers in chronic injuries: the history of this a unique method of treatmentДвухэтапная пластика сухожилий сгибателей пальцев кисти при застарелых повреждениях: история уникального метода леченияhttps://orcid.org/0000-0002-0045-93193925-9025ZolotovAlexandr S.ЗолотовАлександр Сергеевич
Russian Federation

MD, Dr. Sci. (Med.), Professor, Traumatologist-Orthopedist

д.м.н., профессор, врач травматолог-ортопед

dalexpk@gmail.comhttps://orcid.org/0009-0009-7107-3614DyachkovaJulia D.ДьячковаЮлия Сергеевна
Russian Federation

MD, Cand. Sci. (Med.), Traumatologist-Orthopedist

к.м.н., врач травматолог-ортопед

diachkova.iua@dvfu.ruhttps://orcid.org/0009-0001-4910-4391SidorenkoIlya S.СидоренкоИлья Сергеевич
Russian Federation

Traumatologist-Orthopedist

врач травматолог-ортопед

sidorenko.is@dvfu.ruhttps://orcid.org/0000-0002-1240-9247MbekiJoshua A.МбекиДжошуа Ариемо
Russian Federation

Graduate Student

аспирант

jmbeki@mail.ruFEFU Medical CenterМедицинский центр ДВФУ03032023151220222944134222710202210012023Copyright ©; 2022, Eco-VectorCopyright ©; 2022, Эко-Вектор2022Eco-VectorЭко-Векторhttps://journals.eco-vector.com/0869-8678/article/view/112048

In 1965 the American surgeon J.M. Hunter published a pioneering work on a new method of treatment (in 2 stages) of finger flexor tendons complex injuries using a special artificial tendon implant at the 1st stage to prepare the fibrosynovial canal. After replacement of the prosthesis with a tendon graft, the walls of the new case provided a nourishing and sliding surface for the tendon graft. The method of two-stage tendon grafting was widely used all over the world. The followers of J.M. Hunter's method are constantly modifying (not substantially) the original method and continue discussions about this treatment method. However, the basic principles of two-stage tendoplasty formulated by the American surgeon remain relevant to this day. The authors analyzed the changes in the treatment tactics and technique of two-stage tendoplasty that occurred during the last decades. J.M. Hunter provided hand surgeons with a unique method of treatment, which made it possible to help the most complex patients who were previously considered incurable.

В 1965 году американский хирург J.M. Hunter опубликовал пионерскую работу о новом способе лечения (в 2 этапа) сложных повреждений сухожилий сгибателей пальцев кисти с использованием на 1-м этапе особого искусственного сухожильного имплантата для подготовки фиброзно-синовиального канала. После замены протеза на сухожильный графт стенки нового футляра обеспечивали питание и скользящую поверхность для сухожильного трансплантата. Метод двухэтапной сухожильной пластики получил широкое распространение во всём мире. Последователи метода J.M. Hunter постоянно вносят изменения (не существенные) в оригинальную методику и продолжают дискуссии по поводу этого метода лечения. Однако основные принципы двухэтапной тендопластики, сформулированные американским хирургом, остаются актуальными и по сей день. Авторами проанализированы изменения в тактике лечения и технике выполнения двухэтапной тендопластики, произошедшие за последние десятилетия. J.M. Hunter вооружил кистевых хирургов уникальным методом лечения, благодаря которому появилась возможность помочь самым сложным пациентам, ранее считавшимся неизлечимыми.

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