Greulich M, Gubisch W, Reichert H
Klinik für Plastische und Wiederherstellungschirurgie des Marienhospitals Stuttgart.
Handchir Mikrochir Plast Chir. 1990 Mar;22(2):59-63.
Microangiographic studies in the flexor profundus tendon of the rabbit show the relationship between the gaps in tendon-stumps and tendon adhesions of the suture line. Reasonably low average gaps could be achieved by the Kirchmayr/Kessler-type and by the Tsuge-type of tendon suture, which have both the same principle of fixation: solid anchorage in a set distance from the suture line and axial traction of the thread. Clinical cases show the advantages of the Tsuge suture for flat and oval tendons especially for the flexor superficialis tendon and the extensor apparatus. For distal fixation of tendon sutures to bone, pulley and tendon insertion it has also proven to be a reliable and simple technique.
对兔指深屈肌腱进行的微血管造影研究显示了肌腱残端间隙与缝合线处肌腱粘连之间的关系。Kirchmayr/Kessler型和津下型肌腱缝合术能实现相对较低的平均间隙，这两种缝合术具有相同的固定原理：在距缝合线一定距离处进行牢固锚定并对线进行轴向牵引。临床病例表明，津下缝合术对于扁平及椭圆形肌腱具有优势，尤其适用于指浅屈肌腱和伸肌装置。在将肌腱缝合线远端固定于骨、滑车和肌腱附着点方面，该技术也已证明是一种可靠且简单的方法。
