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基于证据的屈肌腱修复

Evidence-based flexor tendon repair.

作者信息

Mehling Isabella M, Arsalan-Werner Annika, Sauerbier Michael

机构信息

Department of Plastic, Hand and Reconstructive Surgery, Hand Trauma Center, BG Trauma Center Frankfurt am Main, Friedberger Landstrasse 430, Frankfurt am Main 60389, Germany.

Department of Plastic, Hand and Reconstructive Surgery, Hand Trauma Center, BG Trauma Center Frankfurt am Main, Friedberger Landstrasse 430, Frankfurt am Main 60389, Germany.

出版信息

Clin Plast Surg. 2014 Jul;41(3):513-23. doi: 10.1016/j.cps.2014.03.009.

DOI:10.1016/j.cps.2014.03.009
PMID:24996468
Abstract

The goal of flexor tendon repair is to achieve normal range of motion of the finger or thumb. The surgical approach depends on the level of injury. Multistrand core suture repairs are recommended for primary flexor tendon repair. It is evident that at least 4 strands are required to an initiate and active range of motion protocol. The epitendinous suture can also increase the strength of the repair. Careful attention to the post-operative therapy regiment is critical to a successful repair.

摘要

屈指肌腱修复的目标是实现手指或拇指的正常活动范围。手术入路取决于损伤的部位。一期屈指肌腱修复建议采用多股核心缝合。显然,启动主动活动范围方案至少需要4股缝线。腱周缝合也可增强修复的强度。认真关注术后治疗方案对修复成功至关重要。

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