CLASSIFICATION OF POST-TRAUMATIC DEFECTS AND DEFORMATIONS OF THE BRUSH AND FOREARM IN CHILDREN: PATHOLOGY WITHOUT LOSS OF DISTAL SEGMENTS OF THE HAND
None of the classifications of post-traumatic hand and forearm deformities presented in the literature is universal and does not take into account the characteristics of children. In this regard, it seems expedient to create a new working classification of these deformities, systematizing their various types and allowing a reasonable choice of tactics for surgical treatment of children. This article presents a part of classification based on an analysis of 813 children, which included 592 patients. The developed classification has four levels, reflecting the order and sequence of assessing the characteristics of existing pathological changes. At the first level of analysis, we evaluate the type of etiological factor of trauma. The second level of classification determines the division of deformities according to their localization and prevalence. The zones of the hand and forearm are divided into the palmar and dorsal surfaces, which is due to the differences in their structure and function. The third level divides deformities into three subgroups, differing in depth and types of damaged anatomical structures. At the fourth level, the age of affected children is taken into account, since this factor is important for choosing the tactics of surgical treatment. As a result of the study, a working classification was developed based on the results of analysis of a large volume of clinical material. This made it possible to cover the vast majority of pathomorphological variants of the discussed pathology. The classification, in addition to other important factors, considers the age characteristics of a growing organism.