Breton A, Dautel G
Service de chirurgie plastique et reconstructrice de l'appareil locomoteur, centre chirurgical Émile-Gallé, 4, rue Hermitte, 54000 Nancy, France.
Service de chirurgie plastique et reconstructrice de l'appareil locomoteur, centre chirurgical Émile-Gallé, 4, rue Hermitte, 54000 Nancy, France.
Chir Main. 2014 Dec;33 Suppl:S48-57. doi: 10.1016/j.main.2014.07.005. Epub 2014 Sep 16.
Flexor tendon adhesions in zone II are common. The origin of these adhesions is multifactorial. Flexor tenolysis consists of releasing the adhesions to restore the tendon's normal path and the patient's active range of motion. This surgery is complex and extremely delicate. It must be associated with early active mobilization. Any surgical procedure that would hamper this active mobilization must be completed before the flexor tenolysis. The patient should be informed of the risk of flexor digitorum profundus rupture, which is the main complication of this surgery.
屈指肌腱Ⅱ区粘连很常见。这些粘连的成因是多方面的。屈指肌腱松解术包括松解粘连以恢复肌腱的正常路径和患者的主动活动范围。该手术复杂且极其精细。它必须与早期主动活动相结合。任何会妨碍这种主动活动的外科手术都必须在屈指肌腱松解术前完成。应告知患者指深屈肌腱断裂的风险,这是该手术的主要并发症。