A LONG-TERM RESULT OF SURGICAL TREATMENT OF A SERVICEMAN WITH A HEAVY INJURY TO THE UPPER LIMB (CLINICAL OBSERVATION)
According to different authors, up to 70 % of injuries to the musculoskeletal system are occupied by injuries of the upper limb. The leading place in the frequency of occurrence is occupied by hand injuries, the proportion of which reaches 28-30 % of all injuries. In 4.8 % of cases, they are accompanied by extensive tissue defects requiring plastic substitution. Objective - to present the possibilities of modern reconstructive surgery in the treatment of a patient with heavy polystructural trauma of the extremities. Materials and methods. The study presents the case of the treatment of the serviceman T., 20 years old, about the consequences of a combined head, chest, limb injury in the form of an open fracture of the large tubercle of the right humerus, stumps of the thumb and second finger of the right hand, right-sided shoulder plexopathy. Trauma is received after a traffic accident (mototrauma). The victim consistently performed stage surgical interventions aimed at restoring the lost functions of the right upper limb. The general term of treatment of the victim was 18 months. Conclusion. The presented clinical observation demonstrates the possibilities of successful complex surgical and rehabilitation treatment of heavy trauma of the upper limb in the affected serviceman with polytrauma.