Functional condition of forearm and hand muscles in patients with acquired defects and pseudoarthroses of forearm bones at the stages of rehabilitation by transosseous osteosynthesis technique

The results of studying the functional condition of neuromuscular structures have been demonstrated in 49 patients with defects and pseudoarthroses of forearm bones at the stages of transosseous osteosynthesis. The dynamics of neurophysiological condition of forearm and hand muscles in patients with acquired defects and pseudoarthroses of forearm bones was studied in the process of treatment-and-rehabilitation measures using transosseous osteosynthesis. It has been revealed that both localization and size of the forearm bone defect formed (defect-pseudoarthrosis, defect-diastasis) do not have a reliable and significant effect on the condition of limb neuromotor system. The formation of acquired defects of forearm bone framework as a result of injuries and repeated surgical interventions was usually combined with the changes of forearm muscle structure of organic character, and at the same time the disorders of segmental nerve structures were of functional character. The use of transosseous osteosynthesis technologies in treatment of patients with acquired defects and pseudoarthroses of forearm bones did not aggravate the functional condition of limb neuromuscular structures.