SURGICAL TREATMENT OF THE HARD OPEN FRACTURES OF FIRST METACARPAL BONE, COMBINED WHIS TISSUE DEFECTS

In case of severe open fractures of the first metacarpal bone combined with a tissue defect, to obtain good results of reposition and fixation of the bone during the whole period of healing of soft tissue wounds in the prevention of the leading contracture of the thumb, it is necessary to use the external fixation device with threaded rods, composing them with controlled fixation to the second metacarpal bone. The obtained results of the clinical application of the method of installing the subsystems of the selected external fixation device for stabilizing the open fragmentation fracture of the first metacarpal bone testify to the high efficiency and good functional result of the osteosynthesis used. We consider the use of transosseous rods with thread optimal and least traumatic to ensure a long-lasting controlled opposition of the thumb.