Jaroma H, Suomalainen O, Sivula U M, Turpeinen L
Ann Chir Gynaecol. 1985;74(4):176-9.
A total of 32 digits, including 3 thumbs, were reconstructed in an outpatient clinic. The patients were allowed to go home 3-4 hours after the operation. The patients had injury to the flexor tendon in no man's land without other complications except for an injury to the digital nerve in 6 cases. The tendon was reconstructed secondarily using a free graft. The minimum follow-up time was 6 months. The results were classified in three ways. With all methods the results, which were deemed satisfactory in 79% and poor in 21%, reached the average standard for this type of repair. Increasing age of the patients, injury to the pulley, preoperative adhesions, digital nerve injury, and time elapsed from injury to surgery impaired the results. This study indicates that tendon surgery of the hand with short postoperative care can also be conducted with satisfactory results in an outpatient clinic.
在门诊共重建了32个手指，包括3个拇指。患者术后3 - 4小时即可回家。患者在无人区屈肌腱损伤，除6例指神经损伤外无其他并发症。采用游离移植二期重建肌腱。最短随访时间为6个月。结果通过三种方式分类。所有方法的结果中，79%被认为满意，21%较差，达到了此类修复的平均标准。患者年龄增加、滑车损伤、术前粘连、指神经损伤以及受伤至手术的时间延长均会影响结果。本研究表明，手部肌腱手术术后护理时间短，在门诊进行也可获得满意结果。
