Unglaub F, Bultmann C, Reiter A, Hahn P
Handsurgery, Vulpiusklinik, Bad Rappenau, Germany.
J Hand Surg Br. 2006 Aug;31(4):432-5. doi: 10.1016/j.jhsb.2006.02.014. Epub 2006 Apr 18.
The purpose of this study was to evaluate the results of two-stage reconstruction of the flexor pollicis longus (FPL) tendon. Sixteen patients who underwent reconstructive surgery of the FPL tendon were assessed retrospectively. Eight weeks after implantation of a silastic spacer, a tendon graft was used for reconstruction (thirteen palmaris longus tendons, two plantaris tendons, one half of the flexor carpi radialis tendon). Power grip, active range of motion, passive range of motion, the Buck-Gramcko assessment, the ASSH assessment and the DASH score were used to evaluate the results. Adequate function in 75% of the cases and a median of 11 on the DASH score was achieved. The results showed that two-stage reconstruction of the FPL tendon can produce satisfactory results, even if primary repair is the ideal.
本研究的目的是评估拇长屈肌腱（FPL）两阶段重建的结果。对16例行FPL肌腱重建手术的患者进行了回顾性评估。在植入硅橡胶间隔物8周后，使用肌腱移植物进行重建（13条掌长肌腱、2条跖肌腱、1条桡侧腕屈肌腱的一半）。采用强力握力、主动活动范围、被动活动范围、Buck-Gramcko评估、ASSH评估和DASH评分来评估结果。75%的病例功能良好，DASH评分中位数为11分。结果表明，FPL肌腱的两阶段重建可以产生令人满意的结果，即使一期修复是理想的选择。
