Mozafari Naser, Hosseini Seyed Nejat, Abdolzadeh Madjid, Mozafari Mohammed Ali
*Department of Plastic and Microsurgery, Khordad Hospital, Zanjan, Iran.
Tech Hand Up Extrem Surg. 2011 Jun;15(2):78-81. doi: 10.1097/BTH.0b013e3181ec44a0.
Flexor tendon lacerations still represent a challenging problem for the hand and the plastic surgeon, particularly in zone II. Many techniques have been devised accordingly to make the surgery of this zone easier. Hence, we too have devised an added complementary technique (ie, the parachute technique) to the common surgical techniques of the tendon repair to ease the repairing process and improve the outcomes. In this study, 79 patients, from whom 21 patients had 2 injured fingers, with flexor tendon injury in zone II (ie, 100 fingers) underwent this new technique. Finally, the results were hopeful. Thus, this complementary parachute technique combined with an early active mobilization with almost full range of flexion and extension, starting on the first postoperative day, resulted in improved outcomes compared with both passive mobilization and gentle active mobilization with a limited range of motion (ie, "controlled"). The Strickland formula (total active motion) system was used to evaluate the functional results of the flexor tendon repair. Finally, this technique is applicable for tendon repairs, and is shown to produce good results in their hands.
屈指肌腱损伤对手外科医生和整形外科医生来说仍然是一个具有挑战性的问题，尤其是在II区。因此，人们设计了许多技术来简化该区域的手术。我们也设计了一种额外的辅助技术（即降落伞技术），用于肌腱修复的常规手术技术，以简化修复过程并改善治疗效果。在本研究中，79例II区屈指肌腱损伤患者（其中21例患者有2根手指受伤，共100根手指）接受了这项新技术。最终，结果令人满意。因此，与术后第一天开始的被动活动及活动范围有限的轻柔主动活动（即“控制性”活动）相比，这种降落伞辅助技术结合早期几乎全范围屈伸的主动活动，取得了更好的治疗效果。采用Strickland公式（总主动活动）系统评估屈指肌腱修复的功能结果。最后，这项技术适用于肌腱修复，且在实际应用中显示出良好的效果。
