Atik Bekir, Sarici Murat, Kalender Ali Murat, Isik Daghan, Aydin Osman Enver
Medeniyet University, Istanbul, Turkey.
Acta Orthop Belg. 2012 Aug;78(4):479-83.
Silicon rods initially advocated by Hunter have been widely used in two-stage flexor tendon reconstruction. Two-stage tendoplasty is an expensive procedure; with the addition of the high cost of rods, it is still more expensive. An experimental study investigated cheaper alternatives to silicon rods, but no clinical studies seem to have been reported so far. This study involved 17 patients undergoing two stage flexor tendon grafting. In all fingers, silicon urinary catheters were used as tendon prosthesis. The Wehbe et al modification of the Boyes and Stark classification was used for preoperative classification and Strickland formulation and Buck-Gramcko criteria for postoperative analysis. This clinical study showed that comparable clinical results and proper pseudosheaths for tendon grafting with similar histological and physical features can be obtained using a silicon urinary catheter which is fifty times less costly than Hunter's rod.
亨特最初倡导使用的硅棒已广泛应用于两阶段屈肌腱重建。两阶段肌腱成形术是一种昂贵的手术；再加上硅棒成本高昂，其费用仍然更高。一项实验研究探索了比硅棒更便宜的替代品，但目前似乎尚无临床研究报告。本研究纳入了17例接受两阶段屈肌腱移植的患者。在所有手指中，均使用硅制导尿管作为肌腱假体。术前分类采用韦赫贝等人对博伊斯和斯塔克分类法的改良，术后分析采用斯特里克兰公式以及巴克 - 格拉姆科标准。这项临床研究表明，使用成本比亨特硅棒低50倍的硅制导尿管，可获得相当的临床效果以及用于肌腱移植的合适假鞘，且具有相似的组织学和物理特征。
