Forli A, Corcella D, Semere A, Mesquida V, Moutet F
Clinique de chirurgie de la main et des brûlés, hôpital Albert-Michallon, CHU de Grenoble, 38243 Grenoble cedex 9, France.
Clinique de chirurgie de la main et des brûlés, hôpital Albert-Michallon, CHU de Grenoble, 38243 Grenoble cedex 9, France.
Chir Main. 2014 Dec;33 Suppl:S13-27. doi: 10.1016/j.main.2014.03.002. Epub 2014 Mar 25.
Flexor tendons repair in zone 1 is classically considered providing good results with an overall satisfactory finger function. However, the objective functional results after surgical repair of flexor digitorum profundus are sometimes disappointing. The authors describe the different surgical repair techniques available to the operator from so-called "traditional" sutures to newer methods of internal fixation using miniaturized anchor sutures. The management of postoperative procedures, that of failures and old cases are reported.
传统上认为，Ⅰ区屈肌腱修复能带来良好效果，手指功能总体令人满意。然而，指深屈肌手术修复后的客观功能结果有时并不理想。作者描述了手术医生可采用的不同手术修复技术，从所谓的“传统”缝合到使用小型锚钉缝合的新型内固定方法。还报告了术后处理、失败病例及陈旧病例的处理情况。
