Biryuk I. G., Khmara T. V., Komar T. V., Kovalchuk P. Ye., Zamorskii I. I.

MODERN VIEWS ON THE MORPHOLOGICAL PREREQUISITES OF THE OCCURRENCE OF HAND DEFECTS

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About the author:

Biryuk I. G., Khmara T. V., Komar T. V., Kovalchuk P. Ye., Zamorskii I. I.

Heading:

LITERATURE REVIEWS

Type of article:

Scientific article

Annotation:

The article discusses current views on upper limb prosthetics. Amputations of the upper extremities are more often performed at the level of the upper arm - 29.0%, forearm - 40.3%, and hand - 30.6% (p=0.35). In connection with the full-scale invasion of Ukraine, there is an increase in the number of amputations of fingers and hands at the level of metacarpal and carpal bones, which significantly limits the possibilities of social rehabilitation and reduces the quality of life of such patients. Hand defects occur more often as a result of gunshot wounds, frostbite, and mechanical trauma, but congenital malformations of the hand also happen. The article analyses the clinical and anatomical aspects of limb amputations since the functionality of the hand stump is determined by the level of anatomical defect. It is proposed that the limb stump be considered a new organ of the musculoskeletal system. It is formed over a long period of time and is unstable, constantly changing depending on the influence of many exogenous and endogenous factors. As a result of trauma, surgical treatment, and various adverse factors, stump defects and diseases often develop. A stump defect is a persistent morphological change in a truncated limb that goes beyond the anatomical variants of its structure, shape and function. Complications are the result of errors in the amputation technique, unclear choice of the level of amputation, and improper management of the postoperative period. Children develop stump defects if individual and age-related anatomical features are not considered. Treatment of stump defects is carried out using various methods, including surgery. Many stump defects can be overcome by individual prosthetics.

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Bibliography:

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Publication of the article:

«Bulletin of problems biology and medicine», 2024 Issue 3, 174, 10-16 pages, index UDC 517.576-002.2

DOI:

10.29254/2077-4214-2024-3-174-10-16