Le Viet D
Hôpital Boucicaut, Paris, France.
Ann Plast Surg. 1986 Sep;17(3):239-46. doi: 10.1097/00000637-198609000-00010.
The author presents his experience with an established technique of flexor tendon lengthening by tenotomy at the musculotendinous junction. This technique can be used for digital stiffness of forearm origin when active extension is possible on flexion of the wrist. There must not be adherence in the carpal tunnel or in the digital sheath, and active flexion must be preserved. It can also be used for digital stiffness in addition to other techniques. This kind of lengthening has some advantages: there are no sutures in the tendon itself, and it allows early reeducation in association with dynamic extension splinting. Active flexion is preserved immediately and there is good tendon healing. It is possible to lengthen selectively the superficial flexor or the deep flexor and in some cases both. Results are presented according to cause.
作者介绍了他采用在肌腱肌肉连接处进行腱切断术来延长屈肌腱这一成熟技术的经验。当腕关节屈曲时能进行主动伸展时，该技术可用于治疗源于前臂的手指僵硬。腕管或指腱鞘内不得有粘连，且必须保留主动屈曲功能。除其他技术外，它也可用于治疗手指僵硬。这种延长术有一些优点：肌腱本身无需缝合，并且与动态伸展夹板配合可实现早期功能再训练。能立即保留主动屈曲功能，肌腱愈合良好。可以选择性地延长浅屈肌或深屈肌，在某些情况下两者都可延长。根据病因给出了结果。
