Combined therapy for contractures of the hand joints

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Abstract

Aim – to study the effectiveness of the combined treatment of contractures of proximal interphalangeal joint.

Material and methods. The study included 30 patients with a diagnosis of post-traumatic mixed contracture of the proximal interphalangeal joint. The patients were divided into 3 groups. In the first group, the patients were administered a combined treatment, including the arthrolysis of the joint, the imposition of a dynamic distraction apparatus, the injection of hyaluronic acid preparations and platelet-rich plasma. The second group of patients underwent the arthrolysis of the joint and the application of the apparatus. The third group underwent only arthrolysis.

Results. The results of the study indicated the effectiveness of all three methods of treatment. However, in the first group where the combined treatment was used, the registered improvement in the angles of joint function and a decrease in pain were significant, which ultimately led to better functional indices of the hand and a shorter treatment period.

About the authors

Rustem R. Fasakhov

Republican Clinical Hospital of the Ministry of Health of the Republic of Tatarstan

Author for correspondence.
Email: rustem080@yandex.ru
ORCID iD: 0000-0002-8457-5500

Junior Researcher of the Research Department, Orthopaedic Traumatologist, Traumatology Department No. 2.

Russian Federation, Kazan

Andrey A. Bogov

Republican Clinical Hospital of the Ministry of Health of the Republic of Tatarstan

Email: Bogov.a@mail.ru
ORCID iD: 0000-0003-2394-8788

PhD, Associate Professor, Chief Researcher of the Research Department

Russian Federation, Kazan

Murad R. Zhuravlev

Republican Clinical Hospital of the Ministry of Health of the Republic of Tatarstan

Email: sguirl@mail.ru
ORCID iD: 0000-0002-0419-7635

Junior Researcher of the Research Department, Orthopedic Traumatologist, Traumatology Department No. 2

Russian Federation, Kazan

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Supplementary files

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2. Scheme 1. The device of external single-plane dynamic fixation. From left to right: proximal, middle and distal phalanges. Straight lines are spokes; wavy lines are elastic bands.

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Copyright (c) 2023 Fasakhov R.R., Bogov A.A., Zhuravlev M.R.

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