Department of Orthopedics, Spine Surgery and Traumatology, King Edward Medical University, Mayo Hospital Lahore.
Department of Orthopedics Surgery, King Edward Medical University, Mayo Hospital, Lahore. Pakistan.
J Pak Med Assoc. 2020 Mar;70(3):539-542. doi: 10.5455/JPMA.290352.
The aim of the study was to assess the functional outcomes after two stage flexor tendon reconstruction in zone II tendon injury of the hand using paediatric silicon catheter. A prospective case series of total 22 digits of 21 patients having Boyes grades I, II and III neglected flexor tendon injury, for a mean time of 10 months since injury were included. Two stage reconstructive procedure was performed. A final follow-up was done at one year to assess the functional outcome using Buck-Gramcko scale. Out of 22 digits, there were 06 (27.27%) Boyes grades I digits, 11 (50%) grades II and 5 (22.72%) grades III. At final follow-up thirteen (59.09%) digits had excellent, five (22.72%) had good while three (13.63%) had satisfactory result and one (4.54%) had poor result. We concluded that two stage flexor tendon reconstruction using silicon catheter yields good results and is cost effective.
本研究旨在评估使用小儿硅导管对儿童手部 II 区屈肌腱损伤进行两期屈肌腱重建后的功能结果。共纳入 21 例患者的 22 个手指，均为 Boyes Ⅰ、Ⅱ和Ⅲ级失治性屈肌腱损伤，受伤时间平均为 10 个月。行两期重建手术，于 1 年时采用 Buck-Gramcko 量表进行最终随访，评估功能结果。22 个手指中，Boyes Ⅰ级 6 个（27.27%），Ⅱ级 11 个（50%），Ⅲ级 5 个（22.72%）。最终随访时，13 个（59.09%）手指功能优秀，5 个（22.72%）手指功能良好，3 个（13.63%）手指功能满意，1 个（4.54%）手指功能差。我们得出结论，使用硅导管进行两期屈肌腱重建可获得良好的效果，且具有成本效益。
