Strickland J W
Indiana University School of Medicine, Indianapolis.
Orthop Rev. 1987 Feb;16(2):78-90.
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.
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。