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Orthopaedic department №8
Chief of the dept.
Natalia G. Shikhaleva |
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Specialization
- acute trauma of hand and forearm associated with injury of soft tissues and bones, as well as with injury of neurovascular fascicles and tendomuscular structures
- upper limb segment amputation
- unreduced dislocations of fingers
- inveterate injury of tendons of fingers' flexors and extensors
- posttraumatic contractions of hand joints
- short- and long-standing dislocations of wrist joints
- posttraumatic stumps of fingers
- congenital anomalies of hand development with shortening and finger deformities, hand splitting
- congenital and acquainted syndactyly
- congenital and acquainted contractions of radiocarpal joint and hand joints
- congenital and acquainted false joints of short tubular bones
- malunions of hand bones
- Dupuytren's contracture
- Sudeck's atrophy
- Volkmann's contracture
- tendinous channel stenosis
- radial clubhand
- polydactyly
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Staff
| Natalia G. Shikhaleva |
- chief of the dept., PhD, investigates congenital and acquainted diseases, as well as traumatic injuries of hand |
| Denis A. Shabalin |
- research assistant, investigates the problem of thumb forming in congenital and acquainted pathology |
| Denis E. Tiagunov |
- postgraduate |
Case report
Case 1
| Patient V., age 46, diagnosis: extensive tear-incised wound of right hand and forearm with incomplete abjunction of V-th phalanx, tendon injury of III-V finger extensors, marginal defect of basis and head of IV metacarpal bone, distal radioulnar joint injury. Osteosynthesis by Ilizarov was applied |
| before treatment |
after treatment |
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Case 2
| Patient A., age 25, diagnosis: posttraumatic stump of III finger distal phalanx, posttraumatic arthrosis of distal interphalangeal joint of II finger with unreduced injury of extensor's tendon. The following treatment was applied: arthrodesis of distal interphalangeal joint of II finger, osteotomy of the stump of III finger distal phalanx, osteosynthesis by Ilizarov. |
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after treatment |
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Case 3
| Patient A., age 43, diagnosis: simple splintered fracture of the I metacarpal bone basis of the left hand with displacement of bone segments |
| before treatment |
after treatment |
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Case 4
| Patient Z., age 23, diagnosis: long-standing simple dorsal dislocation II, III, V metacarpal bones, fracture of the shaft of IV metacarpal bone, fracture of the hamulus of hamate bone of right hand. |
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| X-ray image before treatment |
after the device installation |
X-ray image after treatment |
Case 5
| Patient Sh., age 28, diagnosis: multiple single fractures of bones of right hands: fracture of distal metaphysis of II metacarpal bone, diaphysis of III metacarpal bone, fracture of basis of IV metacarpal bone, marginal fracture of basis of I metacarpal bone. |
| X-ray before treatment |
X-ray after treatment |
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| range of motion before treatment |
range of motion after treatment |
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Case 6
| Patient R., age 59, diagnosis: Dupuytren's contracture of the III-rd stage of both hands, flexion contracture of III-V fingers of both hands. Concomitant diagnosis: radiation sickness, remission. Essential hypertension of the II-nd stage. Transitory hyperbilirubinemia. |
| before treatment |
after treatment |
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Case 7
| Patient A., age 32, diagnosis: amputation of the III-rd finger of the left hand at proximal interphalangeal joint's level, crushing of distal phalanx of the IV-th finger. |
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| X-ray before treatment |
X-ray after treatment |
restored hand's function |
Case 8
| Patient Z., age 12, diagnosis: congenital syndactyly of the III-rd interdigital space of the right hand, cosmetic defect, functional disturbance. The installation of Shevtsov-Danilkin apparatus was applied. The fixation period lasted for 25 days. |
| before treatment |
after treatment |
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