Shin Eon K, Bae Donald S
Hand/Upper Extremity Service, Brigham & Women's Hospital, Boston, MA, USA.
Tech Hand Up Extrem Surg. 2007 Dec;11(4):262-5. doi: 10.1097/BTH.0b013e31812f5714.
The treatment of chronic mallet finger deformities in children can be challenging. Previously proposed for the treatment of chronic mallet fingers in adults, tenodermodesis is a reconstructive procedure that may also be applied to the pediatric population. The technique of tenodermodesis for chronic mallet finger injuries in children is presented here, featuring careful repair of the extensor mechanism and temporary transarticular Kirschner wire fixation of the distal interphalangeal joint. Preliminary clinical results with this procedure have been encouraging, with high patient/parent satisfaction and few complications. Most importantly, tenodermodesis allows anatomical reconstruction of the injured extensor mechanism while preserving skeletal growth and distal interphalangeal joint motion in children and adolescents.
儿童慢性锤状指畸形的治疗具有挑战性。腱膜固定术先前被提议用于治疗成人慢性锤状指，这是一种重建手术，也可应用于儿童群体。本文介绍了儿童慢性锤状指损伤的腱膜固定术技术，其特点是仔细修复伸肌装置并临时经关节克氏针固定远侧指间关节。该手术的初步临床结果令人鼓舞，患者/家长满意度高且并发症少。最重要的是，腱膜固定术能够在保留儿童和青少年骨骼生长及远侧指间关节活动的同时，对受损的伸肌装置进行解剖重建。
