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[手部“无人区”自体静脉替代腱鞘]

[Substitution of the tendon sheath by autologous vein in the "no-man's land" of the hand].

作者信息

Mihály F, Vilmos B

出版信息

Magy Traumatol Orthop Helyreallito Seb. 1975;18(1):42ł.

PMID:235050
Abstract

Reconstructive surgical interventions on the level of the proximal phalanges and performed after the lesions of the flexor tendons on the distal palm are discussed. In order to reduce the adhesions "bridging of the no man's land" by means of an autotransplanted vein is recommended by the authors. The vein-graft cannulated on a silicone bar is embedded within a few weeks, and after the removal of the silicone the "no man's land" is "over-bridged" by a pseudotendon sheath, stuffed with endothelium of good sliding surface. Thus, in the second sitting each of the plastic "bridge" methods (Bunnell, Paneva--Holevitch) may be performed. The operative technique and the first 4 cases are shortly discussed by the authors.

摘要

讨论了在近端指骨水平进行的重建手术干预,这些手术是在手掌远端屈肌腱损伤后进行的。为了减少粘连,作者推荐通过自体移植静脉来“桥接无人区”。将静脉移植物套在硅胶棒上,几周内即可植入,去除硅胶后,“无人区”被一个假腱鞘“过度桥接”,该假腱鞘填充有具有良好滑动表面的内皮。因此,在第二次手术中,可以采用每种整形“桥接”方法(邦内尔法、帕内娃 - 霍列维奇法)。作者简要讨论了手术技术和前4例病例。

相似文献

1
[Substitution of the tendon sheath by autologous vein in the "no-man's land" of the hand].[手部“无人区”自体静脉替代腱鞘]
Magy Traumatol Orthop Helyreallito Seb. 1975;18(1):42ł.
2
[Experimental tendon sheath formation by free transplantation of a long vein segment (comparative study of adhesions formed around free grafts and pedicled grafts)].
Magy Traumatol Orthop Helyreallito Seb. 1976;19(2):130-7.
3
[Reconstruction of flexor tendon injuries of unfavorable prognosis by transplantation of an autologous tendon-tendon sheath unit in the "no-man's land" of the hand].[采用自体肌腱-腱鞘单位移植修复手部“无人区”预后不良的屈指肌腱损伤]
Magy Traumatol Orthop Helyreallito Seb. 1986;29(4):267-72.
4
[Bridge transplantation in "no man's land"].["“无人区”的桥接移植"]
Handchirurgie. 1979;11(3-4):199-203.
5
[Reconstruction of flexor tendons following prognostically unfavorable injuries in the "no man's land" of the hand using transplantation of a tendon-tendon sheath unit--preliminary report].[采用肌腱-腱鞘单位移植对手部“无人区”预后不良损伤后的屈肌腱进行重建——初步报告]
Handchir Mikrochir Plast Chir. 1986 Nov;18(6):343-6.
6
[Reconstruction of tendon sheaths from veins in the "no-man's-land" of the hand].
Handchirurgie. 1980;12(3-4):189-91.
7
[Reconstruction of the injured flexor tendon in the proximal half of the "no man's land" by a modified method (tendon sheath reconstruction using a vein graft)].[改良方法(采用静脉移植重建腱鞘)修复“无人区”近侧半区的屈指肌腱损伤]
Magy Traumatol Orthop Helyreallito Seb. 1976;19(1):60-3.
8
[Short tendon graft in the no man's land (author's transl)].无人区的短肌腱移植术(作者译)
Magy Traumatol Orthop Helyreallito Seb. 1980;23(1):51-7.
9
[Subdivisions of "no man's land" of flexor tendon and the treatment of each subzone].[屈指肌腱“无人区”的分区及各亚区的治疗]
Zhonghua Wai Ke Za Zhi. 1991 Oct;29(10):608-11, 653.
10
[Prognostic evaluation of reconstructive surgery of the flexor tendons in the "no man's land" of the hand. Factors affecting the final results].[手部“无人区”屈指肌腱重建手术的预后评估。影响最终结果的因素]
Handchirurgie. 1981;13(3-4):192-6.