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屈肌腱修复技术:M 形腱修复。

Flexor Tendon Repair Techniques: M-Tang Repair.

机构信息

Department of Hand Surgery, The Hand Surgery Research Center, Affiliated Hospital of Nantong University, Nantong, Jiangsu, China.

Hand Surgery, Yixing City Hospital, Yixing, Jiangsu, China.

出版信息

Hand Clin. 2023 May;39(2):141-149. doi: 10.1016/j.hcl.2022.08.015.

Abstract

The authors present the methods and outcomes from six institutes where M-Tang repairs with early active flexion exercise are used for zone 2 digital flexor tendon repair. The authors had close to zero repair ruptures, and few digits needed tenolysis. The excellent to good results are generally between 80% and 90%. In the pandemic period, less stringent therapy supervision might have allowed some patients to move too aggressively, with repair ruptures not seen before the pandemic in one institute. In Nantong, Yixing, and Saint John, the rupture incidence is zero to 1%. In Florence and Heidelberg, the rupture incidence was 3%.

摘要

作者介绍了六家机构的方法和结果,这些机构采用 M-Tang 修复术并结合早期主动活动进行 2 区指屈肌腱修复。作者的修复断裂接近零,需要松解术的手指很少。优良率一般在 80%到 90%之间。在疫情期间,治疗监督的放宽可能使一些患者过于激进地活动,导致一家机构出现了疫情前未见过的修复断裂。在南通、宜兴和圣约翰,断裂发生率为 0%到 1%。在佛罗伦萨和海德堡,断裂发生率为 3%。

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