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Silicone infusion tubing instead of Hunter rods for two-stage zone 2 flexor tendon reconstruction in a resource-limited surgical environment.在资源有限的手术环境中,用硅胶输注管替代亨特氏棒进行二区屈肌腱二期重建。
Hand Surg Rehabil. 2017 Oct;36(5):384-387. doi: 10.1016/j.hansur.2017.06.004. Epub 2017 Jul 17.
2
Silicone Foley's catheter as an effective alternative to Hunter's rod in staged flexor tendon reconstruction of the hand.硅胶Foley导尿管作为手部分期屈肌腱重建中Hunter棒的有效替代物。
Indian J Plast Surg. 2016 Sep-Dec;49(3):322-328. doi: 10.4103/0970-0358.197232.
3
Zone II Flexor Tendon Repairs in the United States: Trends in Current Management.美国二区屈肌腱修复:当前治疗趋势
J Hand Surg Am. 2017 Feb;42(2):e99-e108. doi: 10.1016/j.jhsa.2016.11.022. Epub 2016 Dec 10.
4
Use of Infant Feeding Tube for Staged Flexor Tendon Reconstruction.婴儿喂养管在分期屈肌腱重建中的应用。
Indian J Surg. 2015 Dec;77(Suppl 3):1423-4. doi: 10.1007/s12262-014-1040-7. Epub 2014 Feb 8.
5
Two-stage nerve graft using a silicone tube.使用硅胶管的两阶段神经移植术。
Front Surg. 2015 Apr 23;2:12. doi: 10.3389/fsurg.2015.00012. eCollection 2015.
6
Zone 2 flexor tendon injuries: Venturing into the no man's land.2区屈肌腱损伤:踏入无人区。
Indian J Orthop. 2012 Nov;46(6):608-15. doi: 10.4103/0019-5413.104183.
7
Hunter's technique without Hunter's rod.无亨特杆的亨特技术。
Acta Orthop Belg. 2012 Aug;78(4):479-83.
8
An unsuitable alternative to silicone rod in two-stage flexor tendon reconstruction.在两阶段屈肌腱重建中,硅橡胶棒的一种不合适替代物。
J Hand Surg Eur Vol. 2011 Nov;36(9):816-7. doi: 10.1177/1753193411419441. Epub 2011 Sep 13.
9
Immediate vs delayed repair of the digital flexor tendons.
Ann West Med Surg. 1947 Jun;1(4):145-52.
10
Prevention of adhesions in surgery of the flexor tendons of the hand: what is the evidence?手部屈肌腱手术中粘连的预防:证据是什么?
Br Med Bull. 2009;90:85-109. doi: 10.1093/bmb/ldp013. Epub 2009 Apr 24.

普通PVC喂养管:手部Ⅱ区屈肌腱分期重建中硅棒的低成本替代品。

Ordinary PVC feeding tube: A low-cost alternative to silicon rod for staged flexor tendon reconstruction in zone II of hand.

作者信息

Agarwal Pawan, Sharma Dhananjaya

机构信息

Department of Surgery NSCB Government Medical College, Jabalpur, MP, 482003, India.

出版信息

J Clin Orthop Trauma. 2020 Jul-Aug;11(4):637-641. doi: 10.1016/j.jcot.2020.05.003. Epub 2020 May 11.

DOI:10.1016/j.jcot.2020.05.003
PMID:32684702
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7355062/
Abstract

BACKGROUND

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.

MATERIALS AND METHODS

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.

RESULTS

Excellent results were seen in 5 digits and good results in 3 digits, according to both LaSalle system and Strickland-Glogovac grading system.

CONCLUSIONS

PVC feeding tube is a cost effective, simply accessible and an effective alternative to Hunter's silicon rod for staged flexor tendon reconstruction.

摘要

背景

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。

材料与方法

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。

结果

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。

结论

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。