Yancey H A
Clin Orthop Relat Res. 1977 Jan-Feb(122):46-52.
The absence of any known reference in the medical literature to lacerations of the plantar aspect of the foot prompted the author to send an questionnaire to members of the American Orthopaedic Foot Society and Association of Bone and Joint Surgeons asking each one to outline his treatment for various combinations of lacerations of the flexor tendons and plantar nerves in a group of patients with varied ages and occupations. To simplify results, only clean wounds satisfactory for immediate surgery were considered. A majority of surgeons preferred primary repair of a lacerated flexor hallucis longus tendon or extensive laceration of all flexor tendons and nerves but were equally divided between repair and non-repair of flexor tendons and plantar nerves of the middle three toes. A majority of surgeons preferred not to repair isolated lacerations of flexor tendons other than the flexor hallucis longus. Most surgeons electing to repair the structures preferred to approach them through the original plantar laceration rather than through an accessory incision in the non weight-bearing portion of the foot.
医学文献中未发现任何关于足底侧裂伤的已知参考文献，这促使作者向美国足矫形外科学会和骨与关节外科医师协会的成员发送了一份调查问卷，要求他们概述针对不同年龄和职业的一组患者中屈肌腱和足底神经各种裂伤组合的治疗方法。为了简化结果，仅考虑适合立即手术的清洁伤口。大多数外科医生倾向于对拇长屈肌腱裂伤或所有屈肌腱和神经的广泛裂伤进行一期修复，但对于中间三个脚趾的屈肌腱和足底神经的修复与不修复意见平分。大多数外科医生倾向于不修复除拇长屈肌以外的屈肌腱孤立裂伤。大多数选择修复这些结构的外科医生更倾向于通过原有的足底裂伤而不是通过足部非负重部位的辅助切口来处理。
