Hunter J M
Hand Clin. 1985 Feb;1(1):181-6.
The purpose, as well as the value, of the two-stage system in the salvage situation is for the surgeon to perform all the reconstructive surgery needed at Stage 1. Nerves are repaired, vessels are repaired if necessary, the intrinsic system is inspected, a Swanson implant is added if needed, and pulleys are built. If everything is done correctly at Stage 1 and if the tendon grafting technique goes well, the patient will have a good result. The concept of the active tendon implant with its many possible applications will set a trend for great advancement in the future.
两阶段系统在挽救手术中的目的和价值在于,让外科医生在第一阶段完成所有必要的重建手术。修复神经,必要时修复血管,检查内在系统,如有需要添加斯旺森植入物,并构建滑车。如果在第一阶段一切操作正确,且肌腱移植技术进展顺利,患者将会获得良好的效果。具有多种可能应用的主动肌腱植入概念将为未来的巨大进步奠定趋势。