Operations for the Post-traumatic Flexion Contracture of the Fingers

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Journal of the Korean Society for Surgery of the Hand 1997;2(1):63-71.
Published online January 1, 1997.

Kwang Hyun Lee,Myung Ryool Park,Do Hyeung Kim

외상성 수지 굴곡 구축의 수술적 치험

이광현,박명률,김도현

Abstract

We evaluated 74 fingers of 48 patients with the post-traumatic flexion contracture of fingers who had been treated with operative measures from April, 1990 to October, 1995. The findings confirmed in operation field and final results of long term follow up were analysed according to the causes of initial insult and modalities of treatment. The anatomical site, extent and pathologic nature of the lesion which was confirmed to be the direct cause of the tlexion contracture were classified arbitarily into 4 categories. Introducing the concept of total active motion(TAM) system, the functional status of operated fingers was evaluated preoperatively and postoperatively. The results on final follow up were favorable in the cases with initial insults of burn, infection, fracture without articular involvement with or without dislocation and even in some cases of crushing injury with limited damage to the motor unit of the finger. Analysis of the final results concerned with treatment modalities showed close correlation to nature and extent of the lesion. In the cases with repeated operations performed in the same finger more than twice, the final result showed little improvement of function.

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