Stanford University School of Medicine, Stanford, CA.
Department of Orthopedic Surgery, Stanford University School of Medicine, Stanford, CA; Robert A. Chase Hand and Upper Limb Center, Stanford University Medical Center, Stanford, CA.
J Hand Surg Am. 2024 Sep;49(9):914-922. doi: 10.1016/j.jhsa.2024.05.013. Epub 2024 Jul 31.
Flexor tendon injuries are complex, and management of these injuries requires consideration of the surgical timing, injury location, approach, and soft tissue handling. Complications are common, including adhesions, tendon rupture, infection, and a high reoperation rate for zone 2 repairs. Special considerations are given to chronic ruptures, concomitant fractures, and pediatric cases. We discuss current concepts that may improve patient outcomes.
屈肌腱损伤较为复杂,此类损伤的处理需要考虑手术时机、损伤部位、入路和软组织处理。常见并发症包括粘连、肌腱断裂、感染和 2 区修复的高返修率。慢性断裂、合并骨折和儿童病例需要特别考虑。我们讨论了可能改善患者预后的当前概念。