Authors
Anankin A.A.1, Kinzyagulov B.R.1, Ratush S.V.1, Kondratiev I.A.1, Semenov A.H.1, Gavrilchenko V.S.1, Ivanova A.O.1, Chernyshev R.S.1, Dzhojua A.V.1
1 Pirogov National Medical and Surgical Center, Moscow
2 Hospital «Bavaria reha», Moscow
Abstract
Mine blast injuries of the upper limb are difficult to classify, which makes every reconstructive surgery after such injuries unpredictable. A clinical observation of a 24-year-old patient who was wounded in the left forearm by a shell fragment is presented. After a complete diagnosis, surgical intervention was performed in the volume — transposition of m. brachioradialis to the common extensors of the fingers, tendon plasty of the radial extensors of the hand. Neurolysis of the median nerve. Due to the lack of standard algorithms for the treatment of such injuries, even careful preoperative planning cannot guarantee a favorable outcome. We are deeply convinced that such reconstructive interventions need a multidisciplinary strategy, and also need high technological support of the operation theater.
Keywords: сase report, tendon transfer, blast injury.
References
1. Severe Injuries to the Limbs: Staged Treatment. SpringerLink. Available from: https://link.springer.com/book/10.1007/978-3-540-70599-4. [cited 16.02.2024]
2. Mitchell SL, Hayda R, Chen AT, Carlini AR, Ficke JR, MacKenzie EJ. The Military Extremity Trauma Amputation/Limb Salvage (METALS) Study. The Journal of Bone and Joint Surgery. American Volume. 2019; 101(16): 1470-1478.
3. Dunn JC, Lenhart MK, Higgins JP, Nesti LJ. How the US Army Forged Hand Surgery. The Journal of Hand Surgery. 2020; 45(4): 354-357.
4. Daniels CA, Olsen CH, Scher AI, McKay PL, Niebuhr DW. Severe Upper Limb Injuries in U.S. Military Personnel: Incidence, Risk Factor and Outcomes. Military Medicine. 2020; 185(1-2): e146-e153.
5. Cannon JW, Gross KR, Rasmussen TE. Combating the Peacetime Effect in Military Medicine. JAMA Surgery. 2020.
6. Sari A, Ozcelik IB, Bayirli D, Ayik O, et al. Management of upper extremity war injuries in the subacute period: A review of 62 cases. Injury. 2020; 51(11): 2601-2611.
7. Srikanth R, Rayidi KR, Kakumanu S. Brachioradialis to flexor digitorum profundus tendon transfer to restore finger flexion. Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India. 2018; 51(2): 123-130.
8. Artiaco S, Ciclamini D, Teodori J, Dutto E, Benigno T, Battiston B. One bone forearm with vascularized fibular graft. Clinical experience and literature review. Injury. 2020; 51(12): 2962-2965.
