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一期屈肌腱修复后立即进行控制性活动。

Primary flexor tendon repair followed by immediate controlled mobilization.

作者信息

Lister G D, Kleinert H E, Kutz J E, Atasoy E

出版信息

J Hand Surg Am. 1977 Nov;2(6):441-51. doi: 10.1016/s0363-5023(77)80025-7.

DOI:10.1016/s0363-5023(77)80025-7
PMID:336675
Abstract

A study was made of the results of immediate repair and controlled mobilization in 156 severed flexor tendons in 68 patients occuring over an 18-month period. Eight patients with 16 tendon injuries could not be followed. Results were obtained from examinations done 6 weeks to 18 months (mean, 5.3 months) after repair. Thirty-one of the 60 patients were less than 20 years old, and 44 of the 60 were less than 30 years old. Seventy-nine (56%) of the injuries occurred in the area known as "no man's land"; 28 patients with repair of tendons in this area were rated by our standards as "excellent" or "good"--75% of patients as compared to 84.4% for the results of repair in other areas. In one fourth of the cases of severance of both tendons, because of local conditions in the wound, the superficialis was excised, but in all others it was repaired.

摘要

对68例患者的156条屈指肌腱在18个月内进行即时修复和控制性活动的结果进行了研究。8例患者的16条肌腱损伤无法随访。结果来自修复后6周-18个月(平均5.3个月)所做的检查。60例患者中31例年龄小于20岁,60例中44例年龄小于30岁。79处(56%)损伤发生在被称为“无人区”的区域;按照我们的标准,28例在此区域进行肌腱修复的患者被评为“优秀”或“良好”,占患者的75%,而其他区域修复结果的比例为84.4%。在两肌腱均断裂的病例中,四分之一因伤口局部情况切除了浅肌腱,但在其他所有病例中均进行了修复。

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Primary flexor tendon repair followed by immediate controlled mobilization.一期屈肌腱修复后立即进行控制性活动。
J Hand Surg Am. 1977 Nov;2(6):441-51. doi: 10.1016/s0363-5023(77)80025-7.
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