Ayhan Egemen, Tuna Zeynep, Oksuz Cigdem
Department of Orthopaedics and Traumatology, Diskapi Yildirim Beyazit Training and Research Hospital, University of Health Sciences Turkey, Ankara, Turkey.
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkey.
Plast Reconstr Surg Glob Open. 2021 Feb 18;9(2):e3432. doi: 10.1097/GOX.0000000000003432. eCollection 2021 Feb.
Recently, better outcomes have been reported when up-to-date developments in flexor tendon surgery and therapy were followed. Slightly tensioned multistrand repairs, judicious venting of pulleys, and early active motion are widely accepted principles. In addition to these principles, tailoring of the repair according to intraoperative active movement with wide awake local anesthesia no tourniquet (WALANT) surgical setting is recommended for better results. We aimed to describe our up-to-date approach to flexor tendon surgery and therapy with the help of visual communication tools of this age. The ideal primary repair of flexor tendons, the management of delayed presentation flexor tendon injuries, the key steps to achieve better results with flexor tendon therapy, and the tele-rehabilitation experience during COVID-19 pandemic will be highlighted. Zone 2 flexor tendon injuries are the most demanding part and will be focused on.
最近，有报道称，遵循屈指肌腱手术和治疗的最新进展可取得更好的治疗效果。轻微张力的多股修复、谨慎地松解滑车以及早期主动活动是广泛认可的原则。除了这些原则外，建议在无止血带的清醒局部麻醉（WALANT）手术环境下，根据术中主动活动情况调整修复方式，以获得更好的效果。我们旨在借助这个时代的视觉交流工具来描述我们最新的屈指肌腱手术和治疗方法。将重点介绍屈指肌腱的理想一期修复、延迟就诊的屈指肌腱损伤的处理、屈指肌腱治疗取得更好效果的关键步骤以及新冠疫情期间的远程康复经验。2区屈指肌腱损伤是最具挑战性的部分，将作为重点介绍。
