[手部的滑车重建]
[Pulley reconstruction in the hand].
作者信息
Langer M F, Oeckenpöhler S, Hartensuer R, Herrmann K, Wieskötter B
机构信息
Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Waldeyerstr. 1, 48149, Münster, Deutschland.
出版信息
Orthopade. 2015 Oct;44(10):757-66. doi: 10.1007/s00132-015-3158-0.
BACKGROUND
To ensure proper function of the flexor tendons, pulleys are extremely important. Pulleys can be impaired by injury, infection, but also sometimes iatrogenically. The consequences of this failure are often poorly understood.
OBJECTIVES
What is the impact of pulley insufficiency, what are the clinical signs, and what are the reconstruction options?
METHODS
The experiences of 64 patients with different forms of pulley insufficiency are presented.
RESULTS
All patients benefit from a ring ligament reconstruction. A phalanx fracture can be one complication.
CONCLUSIONS
Pulley reconstructions are very beneficial operations.
背景
为确保屈肌腱的正常功能，滑车极为重要。滑车可能因损伤、感染受损，有时也会因医源性因素受损。这种功能障碍的后果往往未得到充分理解。
目的
滑车功能不全的影响是什么，临床体征有哪些，重建选择有哪些？
方法
介绍了64例不同形式滑车功能不全患者的经验。
结果
所有患者均从环状韧带重建中获益。指骨骨折可能是一种并发症。
结论
滑车重建是非常有益的手术。
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