Lin Yan-bin, Feng Er-you, Zhang Yi-yuan, Xiao Li-li, Li Ren-bin, Li Ping, Cai Chong-wang
Department of Orthopaedics, the 2th Hospital of Fuzhou, Fuzhou 350007, Fujian, China.
Zhongguo Gu Shang. 2009 Mar;22(3):214-5.
To investigate the therapeutic effects of microsurgical one-stage repair of hand flexor tendon injuries.
Among 97 patients with (182 flexor tendons) hand injuries, 59 patients were male and 38 patients were female, ranging in age from 6 to 65 years, with an average of 32 years. Twenty-two patients got injuries by glasses, 32 patients got injuries by knife, 29 patients got injuries by saw, and 14 patients got crush injuries. The tendon injuries in this study consisted of 12 cases of I zone, 35 cases of II zone, 28 cases of III zone, 8 cases of IV zone and 14 cases of V zone. Sixty-eight patients complicated with injuries of blood vessel and nerve, and 53 patients also had fingers fractures. All the patients were treated with modified Kessler method to repair tendon at one-stage, and were given early rehabilitation step by step.
After the treatment, 97 patients were followed up from 3 to 24 months. According to TAM standard, 48 patients got an excellent result, 39 good, 8 fair and 2 bad.
Microsurgical one-stage tendon repair should be applied. Early rehabilitation and microsurgery repair are important for preventing tendon adhesion.
探讨手部屈指肌腱损伤显微外科一期修复的治疗效果。
97例手部损伤患者（共182条屈指肌腱），男59例，女38例，年龄6～65岁，平均32岁。致伤原因：玻璃伤22例，刀伤32例，锯伤29例，挤压伤14例。本研究中肌腱损伤I区12例，II区35例，III区28例，IV区8例，V区14例。68例合并血管神经损伤，53例合并手指骨折。所有患者均采用改良Kessler法一期修复肌腱，并逐步进行早期康复治疗。
治疗后对97例患者进行3～24个月随访。按TAM标准评定，优48例，良39例，可8例，差2例。
应采用显微外科一期肌腱修复。早期康复和显微外科修复对预防肌腱粘连很重要。
