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手部屈指肌腱损伤治疗的循证医学依据:综述

The evidence-base for the management of flexor tendon injuries of the hand: Review.

作者信息

Ishak Athanasius, Rajangam Akshaya, Khajuria Ankur

机构信息

Faculty of Life Sciences and Medicine, Centre for Human and Applied Physiological Science (CHAPS), King's College London, Strand, London, WC2R 2LS, United Kingdom.

Department of Plastic Surgery, St Thomas' Hospital, London, UK.

出版信息

Ann Med Surg (Lond). 2019 Oct 15;48:1-6. doi: 10.1016/j.amsu.2019.10.006. eCollection 2019 Dec.

DOI:10.1016/j.amsu.2019.10.006
PMID:31660149
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6806617/
Abstract

•There is no consensus on the optimal flexor tendon repair technique at each anatomical flexor zone.•There is paucity of high quality evidence.•Heterogenous study designs limit inter-study comparisons.•Patient reported outcome measures are crucial but there is a perennial need for robust disease-specific tools to be utilised.

摘要

•在每个解剖学屈肌区,对于最佳屈肌腱修复技术尚无共识。

•高质量证据匮乏。

•异质性的研究设计限制了研究间的比较。

•患者报告的结局指标至关重要,但长期以来一直需要使用可靠的针对特定疾病的工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fd2/6806617/cdc48e105d71/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fd2/6806617/cdc48e105d71/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fd2/6806617/cdc48e105d71/gr1.jpg

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Plast Reconstr Surg Glob Open. 2019 May 21;7(5):e2256. doi: 10.1097/GOX.0000000000002256. eCollection 2019 May.
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Zone II Flexor Tendon Repair by Modified Brunelli Pullout Technique and Very Early Active Mobilization.采用改良布鲁内利抽出技术及极早期主动活动对Ⅱ区屈指肌腱进行修复
J Hand Surg Am. 2019 Sep;44(9):804.e1-804.e6. doi: 10.1016/j.jhsa.2019.03.014. Epub 2019 May 22.
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Results of 4-strand modified Kessler core suture and epitendinous interlocking suture followed by modified Kleinert protocol for flexor tendon repairs in Zone 2.
超声成像在上肢肌腱修复术后并发症诊断中的应用
J Hand Microsurg. 2024 Aug 10;16(5):100146. doi: 10.1016/j.jham.2024.100146. eCollection 2024 Dec.
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Maximizing hand function following zone II flexor tendon repair: A systematic review and meta-analysis of rehabilitation strategies.II区屈指肌腱修复术后手部功能最大化:康复策略的系统评价与荟萃分析
J Hand Microsurg. 2024 Aug 26;16(5):100152. doi: 10.1016/j.jham.2024.100152. eCollection 2024 Dec.
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