ANATOMO-FUNCTIONAL CLASSIFICATION OF THE HAND POST-TRAUMATIC SOFT TISSUE DEFECTS

The aim: Develop a classification of post-traumatic soft tissue defects of the hand to standardize the care of this group of patients. And in order to simplify the choice of plastic technic for post-traumatic soft tissue defects of the hand by surgeons and traumatologists.Materials and methods: We analyzed the treatment of 54 patients with hand injury and PTSTD. 14 physicians used AFC in the choice of surgical method for the closure of PTSTDH. The practical application of AFC and effectiveness of providing medical care to patients with PTSTDH was performed on a ten-point scale by anonymous questioning immediately at the time of discharge from the hospital and 6 months after the injury.Results: The results of the practical application analysis of AFC by physicians were as follows: «convenience» - 8.7 ± 0.6; «usefulness» is 9.4 ± 0.2. The results of treatment for 54 patients were: hands «functionality» - 8,3 ± 0,4, «aesthetics» - 7,6 ± 1,7. The results in the retrospective group, in which the AFC was not applied, were as follows: «functionality» - 6.8 ± 0.7, and «aesthetics» - 5.6 ± 1.1.Conclusions: The proposed AFC of PTSTDH help to choose the proper method of surgical management and get good results.