Schaller Peter
Department of Hand, Plastic-Reconstructive and Microsurgery, Kliniken Dr Erler gGmbH, Nürnberg, Germany.
Scand J Plast Reconstr Surg Hand Surg. 2010 Jun;44(3):163-6. doi: 10.3109/02844311.2010.484975.
Nowadays direct repair is the treatment of choice for a lacerated flexor pollicis longus (FPL) tendon in any anatomical zone. Up to now repair with the motion-stable Mantero technique has not been published. Over a five years period (2004-2008) 21 complete divisions of FPL tendons in zones 1 and 2 were treated surgically with the Mantero technique. Seventeen patients were evaluated at a mean of 33 (range 14-59) months postoperatively by measuring the range of movement of interphalangeal (IP) and metacarpophalangeal (MP) joints and assessing the results with the Buck-Gramcko score. Fourteen of the patients reported excellent or good results. The mechanical rupture rate was zero. Mantero repair therefore provides a means other than more complex methods to repair FPL tendons and rehabilitation, adding strength while simplifying suture of the FPL.
如今，对于任何解剖区域的拇长屈肌腱（FPL）断裂，直接修复是首选的治疗方法。到目前为止，尚未有关于采用运动稳定的曼泰罗技术进行修复的报道。在五年期间（2004 - 2008年），采用曼泰罗技术对21例拇长屈肌腱在1区和2区的完全断裂进行了手术治疗。在术后平均33个月（范围14 - 59个月）时，对17例患者进行了评估，通过测量指间关节（IP）和掌指关节（MP）的活动范围，并采用巴克 - 格拉姆科评分法评估结果。其中14例患者报告结果为优或良。机械断裂率为零。因此，曼泰罗修复术为拇长屈肌腱修复及康复提供了一种不同于更复杂方法的手段，在增强强度的同时简化了拇长屈肌腱的缝合。
