Efficiency of different fixation methods of open fractures and dislocations of hand tubular bones on the basis of treatment experience of 206 patients has been investigated in clinical conditions. Immobilization with a plaster bandage, osteosynthesis and transarticulation fixation by wires, osteosynthesis by external fixation apparatus were used. An analysis of long-term results of treatment of 128 patients demonstrated that fixation of damaged bones and joints by the external fixation apparatus is the most effective one.

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