Kuroda Takuma, Moriya Koji, Tsubokawa Naoto, Maki Yutaka, Inagaki Katsunori, Yoshizu Takae
Niigata Hand Surgery Foundation, Niigata, Japan.
Department of Orthopedic Surgery, Showa University School of Medicine, Tokyo, Japan.
J Hand Surg Eur Vol. 2022 May;47(5):520-526. doi: 10.1177/17531934211073751. Epub 2022 Jan 27.
The purpose of this study was to compare the outcomes of bridge tendon grafts and end-to-side tendon transfers for treating closed ruptures of the flexor tendons in Zones 3 to 5 of the little finger. We selected the surgical procedure based on the passive distraction amplitude of the proximal part of the ruptured flexor tendon. Eleven patients comprised the bridge tendon graft group and ten patients comprised the end-to-side tendon transfer group. We found no significant between-group differences in the total active motion, percentage of total active motion, functional assessment by the Strickland and Glogovac criteria and grip strength compared with the unaffected hand. We believe that choosing the surgical procedure after determining the passive distraction amplitude of the ruptured tendon can be useful in clinical practice. III.
本研究的目的是比较桥接肌腱移植术和端侧肌腱转移术治疗小指3至5区屈肌腱闭合性断裂的疗效。我们根据断裂屈肌腱近端的被动牵张幅度选择手术方式。桥接肌腱移植组有11例患者，端侧肌腱转移组有10例患者。与健侧手相比，我们发现两组在总主动活动度、总主动活动度百分比、Strickland和Glogovac标准的功能评估以及握力方面均无显著组间差异。我们认为，在确定断裂肌腱的被动牵张幅度后选择手术方式在临床实践中可能是有用的。III.
