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屈指肌腱损伤。第4部分。分期屈指肌腱重建与屈指腱鞘修复

Flexor tendon injuries. Part 4. Staged flexor tendon reconstruction and restoration of the flexor pulley.

作者信息

Strickland J W

机构信息

Indiana University School of Medicine, Indianapolis.

出版信息

Orthop Rev. 1987 Feb;16(2):78-90.

PMID:3331189
Abstract

Staged reconstruction of the flexor tendon is discussed and several surgical techniques involving implantation of a silicone or silicone-Dacron-reinforced gliding prosthesis into a scarred flexor tendon bed are described. Flexor pulley restoration and the importance of maintaining strong pulley support are discussed and surgical techniques including those for flexor tendon grafting and reconstruction are described. Though the results of these procedures leave much to be desired, the proper technique utilized under the right circumstances can restore satisfactory function following interruption or destruction of flexor tendons.

摘要

本文讨论了分期屈肌腱重建,并描述了几种手术技术,包括将硅胶或硅胶-涤纶增强滑动假体植入瘢痕化的屈肌腱床。文中还讨论了屈指腱鞘修复以及维持强大腱鞘支撑的重要性,并描述了包括屈肌腱移植和重建技术在内的手术技术。尽管这些手术的结果仍有很大的改进空间,但在合适的情况下采用正确的技术,可在屈肌腱中断或破坏后恢复令人满意的功能。

相似文献

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Flexor tendon injuries. Part 4. Staged flexor tendon reconstruction and restoration of the flexor pulley.屈指肌腱损伤。第4部分。分期屈指肌腱重建与屈指腱鞘修复
Orthop Rev. 1987 Feb;16(2):78-90.
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引用本文的文献

1
Two-stage tendon sheath reconstruction using sublimis tendon and silicone Penrose drain after severe purulent flexor tenosynovitis: a case report.严重化脓性屈指肌腱腱鞘炎后使用指浅屈肌腱和硅胶橡皮引流管进行两阶段腱鞘重建:病例报告
Hand (N Y). 2013 Sep;8(3):343-7. doi: 10.1007/s11552-013-9507-8.
2
Surface treatment of flexor tendon autografts with carbodiimide-derivatized hyaluronic Acid. An in vivo canine model.用碳二亚胺衍生化透明质酸对自体屈肌腱进行表面处理。犬体内模型。
J Bone Joint Surg Am. 2006 Oct;88(10):2181-91. doi: 10.2106/JBJS.E.00871.