Chung U S, Kim J H, Seo W S, Lee K H
Department of Orthopaedic Surgery, Hanyang University College of Medicine, Seoul 133-792, Korea.
J Hand Surg Eur Vol. 2010 May;35(4):279-82. doi: 10.1177/1753193409339942. Epub 2009 Aug 17.
We evaluated the clinical outcome of tendon reconstruction using tendon graft or tendon transfer and the parameters related to clinical outcome in 51 wrists of 46 patients with rheumatoid arthritis with finger extensor tendon ruptures. At a mean follow-up of 5.6 years, the mean metacarpophalangeal (MP) joint extension lag was 8 degrees (range, 0-45) and the mean visual analogue satisfaction scale was 74 (range, 10-100). Clinical outcome did not differ significantly between tendon grafting and tendon transfer. The MP joint extension lag correlated with the patient's satisfaction score, but the pulp-to-palm distance did not correlate with patient satisfaction. We conclude that both tendon grafting and tendon transfer are reliable reconstruction methods for ruptured finger extensor tendons in rheumatoid hands.
我们评估了46例类风湿性关节炎伴手指伸肌腱断裂患者的51只手腕采用肌腱移植或肌腱转位进行肌腱重建的临床结果以及与临床结果相关的参数。平均随访5.6年时，掌指（MP）关节平均伸展滞后为8度（范围0 - 45度），视觉模拟满意度量表平均评分为74分（范围10 - 100分）。肌腱移植和肌腱转位之间的临床结果无显著差异。MP关节伸展滞后与患者满意度评分相关，但指腹至手掌距离与患者满意度无关。我们得出结论，肌腱移植和肌腱转位都是类风湿性手部手指伸肌腱断裂可靠的重建方法。
