Frakking T G, Depuydt K P, Kon M, Werker P M
University Medical Centre Utrecht, Utrecht, The Netherlands.
J Hand Surg Br. 2000 Apr;25(2):168-74. doi: 10.1054/jhsb.1999.0338.
Forty staged flexor tendon reconstructions were done in 38 patients between 1991 and 1997. Results were assessed by clinical examination and questionnaire. At follow-up (mean, 35 months) a tenolysis had already been done in 12 cases. In the long fingers there was a significant difference between total active motion (187 degrees ) and total passive motion (237 degrees ). There was also a significant difference between active (24 degrees ) and passive (58 degrees ) IP motion in the thumbs. The mean power grip was 82%, pinch grip 74% and key grip 63% of the contralateral hand. None of the ten FPL reconstructions could be graded as excellent; four were good, using the criteria of Buck-Gramcko et al. (1976). Twenty-eight of the FDP reconstructions had excellent or good results. These results were better than the subjective scores given by the patients, 24 of whom complained of functional problems in daily life at follow-up.
1991年至1997年间，对38例患者进行了40次分期屈肌腱重建手术。通过临床检查和问卷调查对结果进行评估。随访时（平均35个月），12例患者已进行了肌腱松解术。在长手指中，总主动活动度（187度）和总被动活动度（237度）之间存在显著差异。拇指的主动指间关节活动度（24度）和被动指间关节活动度（58度）之间也存在显著差异。平均强力握力为对侧手的82%，捏力为74%，钥匙握力为63%。根据Buck-Gramcko等人（1976年）的标准，10例拇长屈肌腱重建手术中无一例可评为优秀；4例为良好。28例指深屈肌腱重建手术结果为优秀或良好。这些结果优于患者给出的主观评分，其中24例患者在随访时抱怨日常生活中的功能问题。
