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[手指屈肌松解术在腱性挛缩综合治疗中的价值与地位]

[Value and place of tenolysis of the flexors of the fingers in the complex treatment of tenogenic contractures].

作者信息

Kolontaĭ Iu Iu, Belyĭ S I

出版信息

Ortop Travmatol Protez. 1989 Jul(7):30-3.

PMID:2682432
Abstract

Having analysed their experience in the treatment of 102 patients with tendogenic contractures of the hand fingers the authors have proposed a test for prognosis of the recovery of the slipping function of the flexor tendons after suturing and tendoplasty. In cases of ineffective conservative therapy it is recommended to make tenolysis at the early stages of rehabilitation. Indications and contraindications, the operative technique including application of microsurgical technique and the authors' devices have been determined. The principles of postoperative management of this category of patients have been elucidated. It has been noted that tenolysis at the early stages allows to considerably reduce the terms of rehabilitation.

摘要

通过分析治疗102例手指肌腱挛缩患者的经验,作者提出了一种用于预测屈肌腱缝合和肌腱成形术后滑动功能恢复预后的测试方法。对于保守治疗无效的病例,建议在康复早期进行肌腱松解术。确定了手术的适应证和禁忌证、手术技术,包括显微外科技术的应用以及作者的器械。阐明了这类患者术后管理的原则。值得注意的是,早期进行肌腱松解术可显著缩短康复时间。

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