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  • Title: [Use of the Volkov-Oganesjan distraction-reposition apparatus in treatment of flexion contractures of the interphalangeal joints].
    Author: Richtr M, Rysavý M.
    Journal: Acta Chir Orthop Traumatol Cech; 1991 Mar; 58(1-2):9-19. PubMed ID: 1872116.
    Abstract:
    In the submitted paper the authors present their experience with the treatment of flexion contractures by a Volkov-Oganesjan distraction reposition apparatus. The principle of treatment is continuous distension of shortened ligaments. The Volkov-Oganesjan apparatus makes systematic rehabilitation of the joint possible during gradual reposition of the contracture and at the same time prevents damage of the articular cartilage. The group comprised six patients who were treated and followed up. In four a post-traumatic condition was involved, once burns caused by electric current, and in one patient reoperation of a flexion contracture was involved. The mean grade of fixation of the PP joint before operation was 70 degrees. On average correction to 22 degrees was achieved. The mean period of treatment with the apparatus was 21 days. The therapeutic results was evaluated at least three months after removal of the apparatus. In all patients it proved possible to influence the flexion contracture by the method of an external fixation device. No complications of treatment were observed. The method and effect of therapy are consistent with the conclusions of work in vitro concerned with the role of traction in the shaping of ligaments.
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