Tang J B
Nantong Medical College, Jiangsu.
Zhonghua Wai Ke Za Zhi. 1991 Oct;29(10):608-11, 653.
"No man's land" of the flexor tendon system was divided into 4 divisions according to our anatomical study. Clinically, 72 flexor tendon injuries in "no man's land" were repaired during the primary and delayed primary stages. Different treatment methods of flexor tendons, sheath, vincule and postoperative exercises were used according to the degree of injuries, anatomical and functional characteristics of each division. Excellent or good results were obtained in 81.3% of cases. The significance of the sa division of Bunnell's "no man's land" and selection of treatment method in each subzone were discussed. We believe that primary and delayed primary repair can restore good function to the repaired tendon. The effective way to enhance the results of tendon repair is to apply comprehensive treatments according to the extent of injury to the intrinsic healing capacity of the flexor digitorum profundus tendon.
根据我们的解剖学研究，屈肌腱系统的“无人区”被分为4个分区。临床上，在一期和延迟一期修复了72例“无人区”屈肌腱损伤。根据损伤程度、各分区的解剖和功能特点，采用了不同的屈肌腱、腱鞘、腱纽治疗方法及术后锻炼方法。81.3%的病例获得了优良效果。文中讨论了Bunnell“无人区”各分区的意义及各亚区治疗方法的选择。我们认为一期和延迟一期修复可使修复后的肌腱恢复良好功能。根据屈指深肌腱自身愈合能力的损伤程度进行综合治疗是提高肌腱修复效果的有效方法。
