Luenam Suriya, Kosiyatrakul Arkaphat, Prachaporn Sunya
Department of Orthopaedics, Phramongkutklao Hospital and College of Medicine, Bangkok, Thailand.
J Med Assoc Thai. 2012 May;95 Suppl 5:S172-6.
A variety of surgical treatment methods for an avulsion of the flexor digitorum profundus (FDP) from its insertion and simultaneous fracture of the volar base of the distal phalanx, the so-called type IV FDP avulsion had been reported. The need to simultaneously reattach the FDP tendon and fixate the avulsed bony fragment makes the treatment of this injury challenging. The authors described a surgical technique of repair using a pullout suture tied over an external dorsal button without the need for retained hardware.
已经报道了多种针对指深屈肌（FDP）从其止点处撕脱并同时伴有远节指骨掌侧基底部骨折的手术治疗方法，即所谓的IV型FDP撕脱伤。同时重新附着FDP肌腱和固定撕脱的骨块的需求使得这种损伤的治疗具有挑战性。作者描述了一种使用拉出缝线并系在外部背侧纽扣上的修复手术技术，无需保留内固定物。
