Mahmoud Mostafa, Elian Motaz, Seif Elnasr Abdalah
*Faculty of Medicine, Kasr Al Ainy Hospital, Cairo University, Cairo†Hand Clinic, Giza, Egypt.
Tech Hand Up Extrem Surg. 2017 Dec;21(4):143-148. doi: 10.1097/BTH.0000000000000167.
Injuries to flexor tendons in zone I has always been challenging during repair. Over the time several techniques were developed and modified to achieve the highest repair strength and thus the best functional outcome. These techniques vary from pull-out sutures with internal and external fixation to the use of bone anchors. All techniques were accompanied with advantages and disadvantages as well as postoperative morbidities related to certain techniques. In the present technique we introduce a subperiosteal pull-out suturing technique. It is a simple, strong, and cost-effective method for repair of flexor tendon injuries in zone I or in the context of tendon grafting.
I区屈肌腱损伤在修复过程中一直具有挑战性。随着时间的推移，人们开发并改进了多种技术，以实现最高的修复强度，从而获得最佳的功能结果。这些技术各不相同，从带有内固定和外固定的抽出缝合法到使用骨锚。所有技术都有其优缺点以及与某些技术相关的术后并发症。在本技术中，我们介绍一种骨膜下抽出缝合法。它是一种用于修复I区屈肌腱损伤或肌腱移植的简单、牢固且经济高效的方法。
