Fitoussi Frank, Badina Alina, Ilhareborde Brice, Morel Etienne, Ear Ravut, Penneçot Georges F
Department of Orthopaedic Surgery, Robert Debre Hospital, Paris VII University, Paris, France.
J Pediatr Orthop. 2007 Dec;27(8):863-6. doi: 10.1097/BPO.0b013e31815a60fc.
This study retrospectively analyzes primary extensor tendon repairs in children younger than 15 years.
Exclusion criteria were skin loss, devascularization, fractures, or flexor tendon injuries. Fifty patients who had sustained extensor tendon laceration with 53 digits injured were available for review. Treatment consisted of primary repair of the extensor tendon injury within the first 24 hours. The results were assessed by means of total active motion system and by Miller's rating system. The mean follow-up was 2 years.
Although 98% of the digits were rated as good or excellent according to the total active motion system and 95% according to Miller's classification, 22% of the fingers showed extension lag or loss of flexion at the last follow-up.
Pejorative influencing factors were injuries in zones I, II, and III; children younger than 5 years (P < 0.05), and complete tendon laceration. Articular involvement had no significant influence on final outcome.
本研究回顾性分析了15岁以下儿童的原发性伸肌腱修复情况。
排除标准为皮肤缺损、血运障碍、骨折或屈肌腱损伤。共有50例发生伸肌腱撕裂伤且53指受伤的患者可供回顾性研究。治疗包括在伤后24小时内对伸肌腱损伤进行一期修复。通过总主动活动系统和米勒评分系统对结果进行评估。平均随访时间为2年。
根据总主动活动系统，98%的手指评级为良好或优秀，根据米勒分类法为95%，但在最后一次随访时，22%的手指出现伸展滞后或屈曲丧失。
不良影响因素包括Ⅰ区、Ⅱ区和Ⅲ区损伤；5岁以下儿童（P<0.05）以及肌腱完全撕裂。关节受累对最终结果无显著影响。
