From the Division of Plastic and Reconstructive Surgery, Roth|McFarlane Hand and Upper Limb Center; and Division of Plastic and Reconstructive Surgery, Mayo Clinic.
Plast Reconstr Surg. 2022 Jan 1;149(1):108e-120e. doi: 10.1097/PRS.0000000000008692.
After studying this article, the participant should be able to: 1. Understand the indications and management options for secondary flexor tendon reconstruction, including tenolysis, tendon grafting, and tendon transfers. 2. Understand the reconstructive options for pulley reconstruction. 3. Understand the options for management of isolated flexor digitorum profundus injuries.
Despite current advances in flexor tendon repair, complications can still occur following surgery. This article presents the spectrum of treatment options for secondary flexor tendon reconstruction ranging from tenolysis to one- and two-stage tendon grafting, and tendon transfers. In addition, an overview of pulley reconstruction and the treatment of isolated flexor digitorum profundus injuries are discussed. A management algorithm for secondary flexor tendon reconstruction is provided.
学习本文后，参与者应能够：1. 了解继发性屈肌腱重建的适应证和治疗选择，包括松解术、肌腱移植和肌腱转位。2. 了解滑车重建的重建选择。3. 了解单纯性指深屈肌腱损伤的治疗选择。
尽管目前在屈肌腱修复方面取得了进展，但手术后仍可能出现并发症。本文介绍了继发性屈肌腱重建的治疗选择范围，从松解术到一期和二期肌腱移植和肌腱转位。此外，还讨论了滑车重建和单纯性指深屈肌腱损伤的治疗。提供了继发性屈肌腱重建的治疗方案。
