Swanson A B
Ann Plast Surg. 1979 Oct;3(4):346-54. doi: 10.1097/00000637-197910000-00009.
The use of an intramedullary stemmed flexible (silicone) hinge in reconstruction of the proximal interphalangeal joint has allowed us to obtain more predictable, durable, and reproducible results. The indications, surgical technique, and postoperative rehabilitation of this technique vary with each type of deformity presented and must be carefully followed. Adequate reconstruction of the extensor mechanism and the collateral ligament system, and appropriate postoperative rehabilitation are essential to obtain good balance of the digit, with functional mobility and stability of the reconstructed proximal interphalangeal joint.
在近端指间关节重建中使用带髓内柄的柔性（硅胶）铰链，使我们能够获得更可预测、持久且可重复的结果。该技术的适应症、手术技巧及术后康复，会因所呈现的每种畸形类型而有所不同，必须严格遵循。充分重建伸肌机制和侧副韧带系统，以及适当的术后康复，对于实现手指良好的平衡、重建近端指间关节的功能活动度和稳定性至关重要。
