Kang N, Pratt A, Burr N
Department of Plastic Surgery, Mount Vernon Hospital, Northwood, Middlesex HA6 2RN, UK.
J Hand Surg Br. 2003 Aug;28(4):363-8. doi: 10.1016/s0266-7681(03)00100-1.
This article describes the use of a miniplate and cortical screws in the treatment of five cases of flexor digitorum profundus (FDP) tendon avulsion. One case was type II, three cases were type III and one case was type IV. Near normal joint congruity was restored together with bony union in all cases. Six months after surgery four cases had near normal range of motion at the distal interphalangeal joint compared with the contralateral uninjured finger. These four patients were to return to their previous activities without restriction by 3 months. One repair of a type III avulsion ruptured but the distal interphalangeal joint was pain free and stable and the patient declined further surgery. Miniplate fixation offers some advantages over existing methods of repair and adds to the range of techniques available for reattachment of the FDP tendon in these injuries.
本文描述了使用微型钢板和皮质骨螺钉治疗5例指深屈肌腱（FDP）撕脱伤的情况。其中1例为Ⅱ型，3例为Ⅲ型，1例为Ⅳ型。所有病例均恢复了接近正常的关节一致性并实现了骨愈合。术后6个月，与对侧未受伤手指相比，4例患者远侧指间关节活动范围接近正常。这4例患者在3个月时可不受限制地恢复先前活动。1例Ⅲ型撕脱伤修复失败，但远侧指间关节无痛且稳定，患者拒绝进一步手术。与现有的修复方法相比，微型钢板固定具有一些优势，并增加了这些损伤中FDP肌腱重新附着可用的技术范围。
