Mullett Hannan, Hausman Michael
Hand Service, Department of Orthopaedic Surgery, Mount Sinai Hospital, New York, USA.
Acta Orthop Belg. 2006 Jan;72(1):87-9.
Treatment of septic flexor tenosynovitis at the hand requires significant hospital resources in terms of operative time and subsequent management of tendon irrigation. Delayed recovery or treatment failure may require re-irrigation and drainage. This may be due to failure to adequately irrigate the entire flexor sheath. We describe a method of closed tendon sheath irrigation which is simple to use and ensures that the complete tendon sheath is adequately irrigated. Unwieldy continuous irrigation is avoided and patient inconvenience is kept to a minimum.
手部化脓性屈指肌腱腱鞘炎的治疗在手术时间和后续肌腱冲洗管理方面需要大量医院资源。延迟恢复或治疗失败可能需要再次冲洗和引流。这可能是由于未能充分冲洗整个屈指腱鞘。我们描述了一种闭合性腱鞘冲洗方法,该方法易于使用,并确保整个腱鞘得到充分冲洗。避免了繁琐的持续冲洗,将患者的不便降至最低。