MacMillan M, Sheppard J E, Dell P C
J Hand Surg Am. 1987 Jul;12(4):582-9. doi: 10.1016/s0363-5023(87)80212-5.
An experimental method of approximating severed flexor tendons in zone II that allows immediate postoperative mobilization is described. The repair uses a nonabsorbable suture anchored into the severed tendon in zone III. This experimental repair was performed on one foot in each of 18 adult, white Leghorn chickens. The control side used the modified Kessler technique to repair the zone II laceration. The animals were prevented from weight-bearing activities but were allowed active motion of the foot for 5 to 6 weeks postoperatively. The results demonstrated a marked diminution in flexor tendon adhesions, with intrinsic tendon collagen formation serving to reconstitute tendon continuity on the experimental side. The breaking strengths of the two repair methods were equivalent. These results suggest that this method may allow primary repair of tendon injuries in zone II, with minimal formation of adhesions.
描述了一种在II区近似修复离断屈肌腱的实验方法，该方法允许术后立即进行活动。修复使用不可吸收缝线固定于III区的离断肌腱。对18只成年白色来亨鸡的每只脚的一只进行这种实验性修复。对照侧采用改良凯斯勒技术修复II区撕裂伤。术后5至6周内，动物被禁止负重活动，但允许足部进行主动运动。结果表明，实验侧屈肌腱粘连明显减少，固有肌腱胶原形成有助于重建肌腱连续性。两种修复方法的断裂强度相当。这些结果表明，该方法可能允许对II区肌腱损伤进行一期修复，粘连形成最少。
