Biró V, Vilmos S
Handchir Mikrochir Plast Chir. 1986 Mar;18(2):73-6.
The authors studied the late functional results of primary and secondary Kleinert-Kessler flexor tendon sutures in "no man's land" in their five-year clinical material. They compared the data of preoperative prognosis and postoperative results and found good correlation. Best results were achieved after primary tendon suture. Therefore, they--like others--advise operation if the conditions for primary tendon suture exist. In secondary tendon repairs mainly the preoperative state of the injured hand determined the postoperative results. In the part of their cases with the worst prognosis, late results were unfavourable because of peritendinous adhesions. In these cases new methods to improve the end results are necessary.
作者在其五年的临床资料中研究了原发性和继发性Kleinert-Kessler屈肌腱缝合术在“无人区”的远期功能结果。他们比较了术前预后和术后结果的数据，发现两者有良好的相关性。原发性肌腱缝合术后取得了最佳效果。因此，他们和其他人一样建议，如果存在原发性肌腱缝合的条件，应进行手术。在继发性肌腱修复中，主要是受伤手的术前状态决定了术后结果。在他们预后最差的部分病例中，由于腱周粘连，远期结果不理想。在这些病例中，需要新的方法来改善最终结果。
