Foucher G, Merle M, Sibilly A, Michon J
Rev Chir Orthop Reparatrice Appar Mot. 1978 Dec;64(8):703-5.
The authors describe a modification of Hunter's technique of flexor tendon grafting. The operation is performed in two stages. At the first stage, a silastic prosthesis is inserted and the proximal end of the flexor digitorum profundus is sutured to the tendon of palmaris longus. This suture will represent the proximal suture of the future graft. At the second stage, six weeks later, the palmaris longus is divided proximally and the graft is passed distally to be sutured to the terminal phalanx. This modified technique allows a gain in time, a better blood supply to the graft and a safer proximal suture.
作者描述了一种对亨特屈肌腱移植技术的改良方法。该手术分两个阶段进行。在第一阶段,插入一个硅橡胶假体,将指深屈肌的近端缝合到掌长肌腱上。这一缝合将作为未来移植肌腱的近端缝合。六周后的第二阶段,在近端切断掌长肌,将移植肌腱向远端穿过并缝合到末节指骨上。这种改良技术节省了时间,为移植肌腱提供了更好的血液供应,并且近端缝合更安全。