Department of Surgery, King Saud University, PO Box 18097, Riyadh 11415, Saudi Arabia.
Injury. 2011 Nov;42(11):1262-5. doi: 10.1016/j.injury.2011.01.003. Epub 2011 Feb 11.
A six-strand repair for zone II flexor-tendon repair in children younger than 2 years of age has not been reported in the literature because of the small size of the flexor tendon in this very young age group.
The aim is to introduce the use of a six-strand repair in zone II flexor-tendon repair in children younger than 2 years of age.
A total of 12 children younger than 2 years, with 12 injured fingers, were treated over a 10-year period. A 'profundus only' repair was done using three separate 'figure of eight' core sutures and a continuous epitendinous suture. The repair site was bulky and 'venting' of the pulley system proximal to the repair site was done. The hand was immobilised for 3.5 weeks after surgery and then physiotherapy exercises were started. The final net range of motion at the interphalangeal joints was measured and the outcome was assessed as per the Strickland-Glogovac criteria.
There were no ruptures. The final outcome in range of motion was excellent in nine children and good in the remaining three children. None of the children required tenolysis.
Our six-strand technique is an alternative technique for zone II flexor-tendon repair in children younger than 2 years of age, but the bulky repair site requires a 'profundus only' repair and 'venting' of the pulley system.
由于这个非常年幼的年龄组的屈肌腱很小，因此在 2 岁以下儿童的 II 区屈肌腱修复中尚未有六股修复的报道。
旨在介绍在 2 岁以下儿童的 II 区屈肌腱修复中使用六股修复的方法。
在 10 年期间，共治疗了 12 名 2 岁以下的儿童，共 12 个受伤手指。使用三个单独的“8”字形核心缝线和连续的腱膜缝线进行“仅深肌腱”修复。修复部位体积较大，在修复部位近端的滑轮系统进行“通风”。手术后手固定 3.5 周，然后开始进行物理治疗。测量指间关节的最终净活动范围，并根据 Strickland-Glogovac 标准评估结果。
没有发生断裂。9 名儿童的运动范围最终结果优秀，3 名儿童的结果良好。没有儿童需要进行肌腱松解术。
我们的六股技术是 2 岁以下儿童 II 区屈肌腱修复的替代技术，但体积较大的修复部位需要进行“仅深肌腱”修复和滑轮系统的“通风”。
Zotero 插件