Healy C, Mulhall K J, Bouchier-Hayes D J, Kneafsey B
R.C.S.I. Department of Surgery, Education and Research Centre, Beaumont Hospital, Beaumont, Dublin 9, Ireland.
Ir J Med Sci. 2007 Mar;176(1):41-4. doi: 10.1007/s11845-007-0009-y.
There is a considerable volume of literature describing new and supposedly superior methods of flexor tendon repair.
The purpose of this study was to assess the flexor tendon techniques currently used in the Republic of Ireland.
A postal survey was conducted of all consultant plastic surgeons and consultant orthopaedic surgeons who were members of the Irish Hand Surgery Society.
The response rate was 90% (27/30). A simple running peripheral suture was used by 73% (P = 0.03) and the Kessler was the core suture of choice for 68% (P = 0.06). A significant number of respondents use non-absorbable suture materials for core (P = 0.0028) and peripheral suture (P < 0.0001). Seventy-seven percent sutured the flexor sheath where possible (P = 0.009).
Notwithstanding the proposed advantages of newer techniques, it is evident from this study that the two-stranded Kessler core and simple running peripheral suture remains the most popular flexor tendon repair, with sheath closure preferred by the majority of respondents.
有大量文献描述了新的且据称更优的屈指肌腱修复方法。
本研究的目的是评估爱尔兰共和国目前使用的屈指肌腱修复技术。
对爱尔兰手外科学会的所有整形外科顾问医师和骨科顾问医师进行了邮寄调查。
回复率为90%（27/30）。73%的人使用简单连续周边缝合（P = 0.03），68%的人选择凯斯勒缝合法作为核心缝合方法（P = 0.06）。大量受访者在核心缝合（P = 0.0028）和周边缝合（P < 0.0001）中使用不可吸收缝合材料。77%的人尽可能缝合屈指腱鞘（P = 0.009）。
尽管新技术有其优势，但从本研究中可以明显看出，双股凯斯勒核心缝合和简单连续周边缝合仍然是最常用的屈指肌腱修复方法，大多数受访者更倾向于闭合腱鞘。
