FACTORS INFLUENCING THE RESULT OF TREATMENT OF PATIENTS WITH INJURY OF THE FLEXOR TENDONS
Injuries to the flexor tendons of the fingers occupy one of the leading places in terms of frequency in the structure of hand injuries. Treatment outcomes for patients with flexor tendon injuries are not always predictable, despite the fact that this topic is well studied in the context of surgical treatment. Based on the results of the available studies, an up-to-date consensus has been formulated regarding the preferred options for the surgical technique, including the surgical suture. At the same time, functional outcomes still have a significant scatter when assessed by specialized scales. The aim of this study was to evaluate the medium-term functional results after the restoration of the flexor tendons of the triphalangeal fingers in the same institution and the impact of various external factors on them. An analysis was made of the impact on the results of the conditions of the operation (including the timing, time of day of the operation, stay in the hospital), the characteristics of the team (including the experience of the surgeon, his specialization, the presence and characteristics of the assistant, the anesthesiologist), the characteristics of the patient (including age, state of alcoholic intoxication), features of the postoperative period. It was found that the characteristics of the rehabilitation in the postoperative period had a statistically significant effect of the greatest strength. Functional results are better when undergoing rehabilitation under the supervision of an operating surgeon, performing surgery by a narrow specialist, in the daytime. The negative impact was confirmed with a delay or refusal to carry out rehabilitation, alcohol intoxication of the patient.