Battiston B, Triolo P F, Bernardi A, Artiaco S, Tos P
UOC Traumatology - Reconstructive Microsurgery, Department of Orthopaedics and Traumatology, A. O. CTO - Maria Adelaide, Torino, Italy.
UOC Traumatology - Reconstructive Microsurgery, Department of Orthopaedics and Traumatology, A. O. CTO - Maria Adelaide, Torino, Italy.
Injury. 2013 Mar;44(3):340-5. doi: 10.1016/j.injury.2013.01.023. Epub 2013 Jan 21.
Tendon adhesions or even secondary ruptures causing severe hand functional impairment still represent a frequent complication after repair of flexor tendon injuries. Secondary treatment of these problems includes tenolysis, one or two stages flexor tendons reconstruction by grafts or even the use of tendon prosthesis. The mechanism and severity of injury, the status of the surrounding tissues and injured finger, the presence of associated lesions, the age of the patient, post-operative management, patient motivation and the surgeon's skill, may all have implications in the final outcome of the tendon reconstruction. A correct evaluation of the problem by means of classifications such as the one described by Boyes, may help the surgeon in choosing the appropriate technique.
肌腱粘连甚至继发性断裂导致严重的手部功能障碍，仍然是屈指肌腱损伤修复后常见的并发症。这些问题的二次治疗包括肌腱松解术、通过移植进行一或两期屈指肌腱重建，甚至使用肌腱假体。损伤的机制和严重程度、周围组织和受伤手指的状况、相关损伤的存在、患者的年龄、术后管理、患者的积极性以及外科医生的技术，都可能对肌腱重建的最终结果产生影响。通过如博伊斯所描述的分类方法对问题进行正确评估，可能有助于外科医生选择合适的技术。
