Coppolino S, Lupo F, Quatra F, Colonna M R, Merrino T, Ruggeri F, Risitano G, Galeano M
Gruppo Interdivisionale di Chirurgia della Mano, Policlinico Universitario, Messina, Italy.
Minerva Chir. 2003 Feb;58(1):93-6.
Prevention of adhesions that restrain tendon gliding is based on early mobilization techniques. Such approach, anyway, does not guarantee positive outcomes.
Seventy-five patients for a total number of 98 flexors tendons have been treated at the University Hospital of Messina between December 1993 and January 2000. Twenty-five patients, for a total number of 26 tendons, have been seen at follow-up. Seventeen lesions involved zone 2 and 9 involved zone 1. The modified Kessler suture has been generally used. All the repairs have been followed by an adequate early mobilization protocol, according to Kleinert (passive extension/active flexion) in nine patients and according to Risitano and Savage (active extension/active flexion) in 16.
Minimum follow-up was 12 months. We present results with an assessment performed according to Strickland and to Elliot for lesion in zone 1 and according to Strickland and using Total Active Motion of the finger for lesions in zone 2.
The suturing technique and mobilization protocol did not affect results, but we made some considerations about respective advantages and disadvantages of either method.
预防限制肌腱滑动的粘连基于早期活动技术。然而，这种方法并不能保证取得积极的效果。
1993年12月至2000年1月期间，墨西拿大学医院共治疗了75例患者的98条屈肌腱。25例患者的26条肌腱接受了随访。17处损伤位于2区，9处损伤位于1区。一般采用改良Kessler缝合。所有修复术后均按照适当的早期活动方案进行，9例患者按照克莱纳特法（被动伸展/主动屈曲），16例患者按照里西塔诺和萨维奇法（主动伸展/主动屈曲）。
最短随访时间为12个月。我们根据斯特里克兰德法和埃利奥特法对1区损伤进行评估，并根据斯特里克兰德法和手指总主动活动度对2区损伤进行评估，展示了结果。
缝合技术和活动方案并未影响结果，但我们对两种方法各自的优缺点进行了一些思考。
