Doletsky-Pugachev Tendon Suture

Doletsky-Pugachev tendon suture is one of the most effective ways to treat tendon injuries. It was developed by Soviet surgeons Sergei Yakovlevich Doletsky and Alexander Georgievich Pugachev.

The Doletsky-Pugachev tendon suture is a combination of two methods: an end-to-end suture and an end-to-middle suture. This technique allows you to reliably fix damaged tendons and restore their function.

To perform the Doletsky-Pugachev tendon suture, several steps must be performed. First, the surgeon makes a small incision in the skin and subcutaneous tissue to gain access to the damaged tendon. He then separates the ends of the tendon and sutures them using a special needle. After this, the tendon is fixed using metal clamps.

After surgery, the patient must follow all the surgeon's recommendations. This includes limiting physical activity and using special orthopedic devices. In most cases, the Doletsky-Pugachev tendon suture allows you to completely restore the function of the damaged tendon.

Doletsky-Pugachev tendon suture is a surgical operation used in the treatment of felon in the case of cicatricial narrowing of the wound, facilitating the removal of necrotic tissue and the formation of a cavity for the outflow of purulent exudate. This suture is used when inflammation is localized in the forearm or hand. Surgeon A. G. Pugachev, in collaboration with Ya. S. Doletsky, proposed a tendon (articular-fiber) suture and used it as a surgical method for opening purulent cavities in children. The tendon suture according to Pugachev-Doletsky is carried out as follows: after trephination of the bone, a monofilament is placed between its fragments. Then a cerclage suture is applied. The operation is complemented by drainage of the bottom or walls of the purulent cavity and immobilization with a Deso bandage.