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[采用游离屈肌腱移植修复离断屈肌腱后的功能结果]

[Functional results after reconstruction of severed flexor tendons by means of free flexor tendon grafts].

作者信息

Wintzer G, Pütz J, Reichmann W

出版信息

Handchirurgie. 1979;11(1):49-54.

PMID:527897
Abstract

From 93 free flexor tendon grafts which have been performed in the years 1959--1976 because of flexor tendon laceration 85% could be reinvestigated after 6 years 10 months (average intervall). Three reinvestigation schemes for classification of the functional results were used (VERDAN/MICHON 1961, McKENZIE 1967, BUCK-GRAMCKO 1976). This had the advantage that marked differences in the classification schemes could be demonstrated. With 56% of very good and 22% of good results according to the classification of McKENZIE or 30% of very good and 26% of good results according to the classification of BUCK-GRAMCKO the results of free flexor tendon graft in the area of the thumb are significantly better than those in the fingers. In addition the relationship between the objective reinvestigation results of the operation and the subjective results appraised by the patients is demonstrated and shows that BUCK-GRAMCKO's classification comes closest to the patients evaluation.

摘要

1959年至1976年间,因屈肌腱断裂而进行了93例游离屈肌腱移植手术,在6年10个月(平均间隔时间)后,85%的病例得以再次评估。采用了三种功能结果分类的再评估方案(VERDAN/MICHON,1961年;麦肯齐,1967年;巴克 - 格拉姆科,1976年)。这样做的好处是能够显示出分类方案中的显著差异。根据麦肯齐的分类,拇指区域游离屈肌腱移植的结果有56%为非常好,22%为好;根据巴克 - 格拉姆科的分类,30%为非常好,26%为好,拇指区域的游离屈肌腱移植结果明显优于手指区域。此外,还展示了手术客观再评估结果与患者主观评估结果之间的关系,结果表明巴克 - 格拉姆科的分类最接近患者的评价。

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