Department of Orthopedics and Traumatology, Medical Park Gaziantep Hospital, Şehitkamil/Gaziantep, Turkey.
Department of Plastic Reconstructive and Aesthetic Surgery, Medical Park Gaziantep, Şehitkamil/Gaziantep, Turkey.
J Hand Surg Am. 2023 Nov;48(11):1161.e1-1161.e8. doi: 10.1016/j.jhsa.2022.03.024. Epub 2022 Jun 9.
The purpose of the study was to compare clinical outcomes between patients who underwent endoscope-assisted flexor tendon repair and those who underwent conventional surgery.
Patients were divided into 2 groups. Group 1 (endoscope-assisted surgery) included 21 patients (27 fingers) and group 2 (conventional surgery) included 19 patients (25 fingers). Outcomes assessed included the mean total active motion, Strickland classification, prevalence of rerupture, tenolysis requirement, and infection rate.
The mean total active motion was 152.3° in group 1 and 134.7° in group 2, which was significantly higher in group 1 compared to group 2. An excellent or good outcome was achieved in 25 (92.5%) of the fingers in group 1 as opposed to 17 (68%) fingers in group 2.
We conclude that endoscope-assisted surgery is an alternative method for tendon surgery, enables a minimally invasive approach, and provides a favorable range of motion.
TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.
本研究旨在比较内镜辅助屈肌腱修复术与传统手术患者的临床疗效。
患者分为两组。组 1（内镜辅助手术）包括 21 例（27 指），组 2（传统手术）包括 19 例（25 指）。评估的结果包括平均总主动活动度、Strickland 分级、再断裂发生率、需要松解术以及感染率。
组 1 的平均总主动活动度为 152.3°，组 2 为 134.7°，组 1 明显高于组 2。组 1 的 25 指（92.5%）获得了优秀或良好的结果，而组 2 的 17 指（68%）获得了该结果。
我们得出结论，内镜辅助手术是一种替代肌腱手术的方法，可实现微创，提供良好的活动范围。
研究类型/证据水平：治疗性 IV 级。
