Zhou X, Li X R, Qing J, Jia X F, Chen J
1 Department of Hand Surgery, People's Hospital of Jiangyin, Wuxi, Jiangsu, China.
2 Jiangsu Medical Research Centre, Nantong, Jiangsu, China.
J Hand Surg Eur Vol. 2017 Jun;42(5):462-468. doi: 10.1177/1753193417691390. Epub 2017 Feb 14.
We repaired complete divisions of flexor tendons in zone 2 in 54 fingers using a six-strand core M-Tang repair method. Partial active digital motion started with early passive digital motion carried out first in the first 3-4 weeks after surgery and full range of active motion in later weeks. The patients were followed for 4-27 months. According to Strickland criteria or Tang criteria, 24 (83%) had excellent or good, four fair and one poor results in 28 fingers with follow-up of more than one year. In the other 25 fingers which were followed for less than 12 months, 19 (76%) had excellent and good, four fair and two poor results. There were no repair ruptures. We analysed outcomes against ages, gender, pulley integrity, accompanied injuries and follow-up times. The patients younger than 37 years old, male patients and with their A2 pulley(s) vented there were significantly better outcomes. The patients with longer than one year follow-up had significantly smaller extension deficits than those with less than one year follow-up.
IV.
我们采用六股核心M-Tang修复方法修复了54根手指在2区的屈肌腱完全断裂。术后最初3 - 4周先进行早期被动手指活动，随后开始部分主动手指活动，后期实现全范围主动活动。对患者进行了4 - 27个月的随访。根据Strickland标准或Tang标准，在随访超过一年的28根手指中，24根（83%）结果为优或良，4根为可，1根为差。在随访时间不足12个月的另外25根手指中，19根（76%）结果为优和良，4根为可，2根为差。未发生修复断裂。我们分析了年龄、性别、滑车完整性、伴随损伤和随访时间对结果的影响。年龄小于37岁的患者、男性患者以及A2滑车通畅的患者结果明显更好。随访时间超过一年的患者伸展功能缺损明显小于随访时间不足一年的患者。
IV级。
