Agarwal Pawan, Sharma Dhananjaya
Department of Surgery NSCB Government Medical College, Jabalpur, MP, 482003, India.
J Clin Orthop Trauma. 2020 Jul-Aug;11(4):637-641. doi: 10.1016/j.jcot.2020.05.003. Epub 2020 May 11.
Staged flexor tendon reconstruction is most appropriate treatment for delayed zone II flexor tendon injuries of hand. The Hunter's silicon rod used in this procedure is costly and not simply available. The aim of this study was to evaluate the results using PVC feeding tube as a cheaper and readily available alternative.
this study include 6 patients(8 digits) were treated by the staged flexor tendon reconstruction using PVC feeding tube for first stage followed by tendon graft in second stage and the patients were followed for mean period of 6 months.
Excellent results were seen in 5 digits and good results in 3 digits, according to both LaSalle system and Strickland-Glogovac grading system.
PVC feeding tube is a cost effective, simply accessible and an effective alternative to Hunter's silicon rod for staged flexor tendon reconstruction.
分期屈指肌腱重建术是治疗手部Ⅱ区屈指肌腱延迟损伤的最佳方法。该手术中使用的亨特硅胶棒成本高昂且不易获得。本研究的目的是评估使用PVC喂食管作为一种更便宜且易于获得的替代品的效果。
本研究纳入6例患者(8指),采用分期屈指肌腱重建术,第一期使用PVC喂食管,第二期进行肌腱移植,对患者平均随访6个月。
根据拉萨尔系统和斯特里克兰-格洛戈瓦茨分级系统,5指效果优秀,3指效果良好。
对于分期屈指肌腱重建术,PVC喂食管是一种经济有效、易于获取且可替代亨特硅胶棒的有效材料。