Kotwal Prakash P, Ansari Mohammed Tahir
Department of Orthopaedics, AIIMS, Ansari Nagar, New Delhi, India.
Indian J Orthop. 2012 Nov;46(6):608-15. doi: 10.4103/0019-5413.104183.
Flexor tendon injuries are seen commonly yet the management protocols are still widely debated. The advances in suture techniques, better understanding of the tendon morphology and its biomechanics have resulted in better outcomes. There has been a trend toward the active mobilization protocols with development of multistrand core suture techniques. Zone 2 injuries remain an enigma for the hand surgeons even today but the outcome results have definitely improved. Biomolecular modulation of tendon repair and tissue engineering are now the upcoming fields for future research. This review article focuses on the current concepts in the management of flexor tendon injuries in zone 2.
屈指肌腱损伤很常见,但其治疗方案仍存在广泛争议。缝合技术的进步、对肌腱形态及其生物力学的更好理解带来了更好的治疗效果。随着多股核心缝合技术的发展,出现了积极活动方案的趋势。即使在今天,2区损伤对手外科医生来说仍是一个谜,但治疗结果肯定有所改善。肌腱修复的生物分子调节和组织工程是未来研究的新兴领域。这篇综述文章重点关注2区屈指肌腱损伤治疗的当前概念。