FEATURES OF REHABILITATION TREATMENT IN CHILDREN WITH CONGENITAL AND ACQUIRED DISORDERS OF THE FIRST RAY OF THE HAND

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Abstract


In this paper we evaluated the results of rehabilitation treatment in 55 children aged from 1 to 6 years after the following surgical treatment: pollicization of the second finger and microsurgical autografting of the second toe in the position of the thumb. A comparative analysis of standard techniques of rehabilitation treatment and the technique developed at the department was carried out. Application of individual-oriented approach depending on the functionality of the hand provided better results in rehabilitation. In the main subgroup of children after the operation of the second finger pollicization, excellent results were obtained in 11 patients (50 %), good - 9 patients (40.9 %), satisfactory - 2 patients (9.1 %). In the control subgroup, excellent results were obtained in 5 patients (20.83 %), good - in 9 (37.5 %), satisfactory - in 8 (33.33 %), poor - in 2 (8.33 %). In the group of children who underwent free autografting of toes, in the main subgroup the excellent results were obtained in 3 patients (60 %), good - in 2 patients (40 %). In the control subgroup good results were obtained in 3 patients (75 %), satisfactory - in 1(25 %). Also we revealed a correlation between the timing of the appearance of bilateral grip and functional ability of the hand in older age.

About the authors

Anna Dmitrievna Ovsyannikova

FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian Federation

Email: med_ovsyannikova@mail.ru
MD, orthopedic and trauma surgeon of the department of reconstructive microsurgery and hand surgery.

Sergei Ivanovich Golyana

FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian Federation

Email: ser.golyana@yandex.ru
MD, PhD, head of the department of reconstructive microsurgery and hand surgery.

Anton Vladimirovich Govorov

FSBI “Scientific and Research Institute for Children’s Orthopedics n. a. G. I. Turner” under the Ministry of Health of the Russian Federation

MD, research associate of the department of reconstructive microsurgery and hand surgery

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Copyright (c) 2014 Ovsyannikova A.D., Golyana S.I., Govorov A.V.

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