Tonkin M A
Hand and Microsurgery Unit, Royal North Shore Hospital, St. Leonards, Australia.
World J Surg. 1991 Jul-Aug;15(4):452-7. doi: 10.1007/BF01675640.
The anatomy, biology and bio-mechanics of the flexor tendon system demand a precise approach to flexor tendon repair. Within the fibroosseous canal, the synovial fluid and a complex intratendinous vascular network provide nutrition for intrinsic flexor tendon healing. Retention of the synovial sheath theoretically maintains an enclosed tendon/tendon sheat environment in which the tendon repair is bathed in synovial fluid, and may glide within a smooth tunnel. The preservation of the intricate double tendon inter-relationship and the annular pulley system is vital to the efficiency of finger flexion. This review details surgical and postoperative techniques aimed at restoring the normal anatomy and providing optimal conditions for the return of flexor tendon function.
屈肌腱系统的解剖结构、生物学特性和生物力学要求采用精确的方法进行屈肌腱修复。在纤维骨性管道内，滑液和复杂的腱内血管网络为屈指肌腱的愈合提供营养。理论上，保留滑膜鞘可维持一个封闭的肌腱/腱鞘环境，使肌腱修复部位浸泡在滑液中，并能在光滑的隧道内滑动。保留复杂的双肌腱相互关系和环形滑车系统对于手指屈曲的效率至关重要。本综述详细介绍了旨在恢复正常解剖结构并为屈肌腱功能恢复提供最佳条件的手术及术后技术。
