Karabeg Reuf, Arslanagic Selma, Jakirlic Malik, Dujso Vanis, Obradovic Goran
Med Arch. 2013;67(3):192-4. doi: 10.5455/medarh.2013.67.192-194.
Injuries of hand extensor tendons occur as isolated or combined injury or multiple tendons injuries associated with injuries of other hand structures. Clinical pictures of these injuries depends on the level of occurred injury, and can be expressed in loss of function extension of one or more fingers, wrist and creating contractures.
This is five-year retrospective study of 87 patients operated at Clinic for Plastic and reconstructive surgery, Clinical Centre University of Sarajevo. We studied the efficiency of primary surgical treatment in hand extensor tendons injuries in the prevention of hand dysfunction.
The best recovery results after surgical treatment of hand extensor tendons injury were in zones I, zone II and zone III. But, in zone VII recovery was difficult, and the outcome unpredictable. The most commonly injured zone was zone VI, and in zones of thumb usually violated zone was zone T-III. According to Miller's assessment criteria and recovery functions, after 6 weeks, with excellent finding was 41 (47,1%) and good results 21 (24,0%) of patients, while after 6 months, the excellent results were in 60 (68,9%) and good results in 28,7% of patients, due to well-conducted physical rehabilitation. Only two patient had complications at 6 months after surgery due to very complicated associated injuries of soft tissues and bone structures of the hand.
Results depends in extensivity of injury, anatomic zone, lack of infection, concomitant injuries, skills and operative methods of surgeon.
手部伸肌腱损伤可单独发生、合并发生，或与手部其他结构损伤相关的多条肌腱损伤。这些损伤的临床表现取决于损伤发生的部位，可表现为一个或多个手指、手腕伸展功能丧失及挛缩形成。
这是一项对萨拉热窝大学临床中心整形与重建外科诊所87例接受手术治疗患者的五年回顾性研究。我们研究了手部伸肌腱损伤一期手术治疗在预防手部功能障碍方面的效果。
手部伸肌腱损伤手术治疗后，I区、II区和III区恢复效果最佳。但VII区恢复困难，结果难以预测。最常受伤的区域是VI区，拇指区域通常受损的是T-III区。根据米勒评估标准和恢复功能情况，6周后，41例（47.1%）患者恢复良好，21例（24.0%）患者恢复较好；6个月后，60例（68.9%）患者恢复良好，28.7%患者恢复较好，这得益于良好的物理康复治疗。仅2例患者术后6个月出现并发症，原因是手部软组织和骨骼结构的合并损伤非常复杂。
结果取决于损伤范围、解剖区域、有无感染、合并损伤、外科医生的技术和手术方法。
