Paar O, Rubach A
Aktuelle Traumatol. 1983 Apr;13(2):88-92.
In fresh ruptures of the collateral ligaments of the proximal thumb joint conservative therapy often fails; therefore these lesions ought to be operated. A reinsertion of the ligaments which at the most part are torn out at their distal end, using the suture described by Lengemann, proved successful in 16 cases. At old ligament lesions we used the palmaris longus tendon as a ligament-substitute. 6 patients operated according to this method were completely painless at the reexamination which took place on an average 8 months after the operation.
在拇指近端关节侧副韧带新鲜断裂时，保守治疗常常失败；因此，这些损伤应该进行手术治疗。使用伦格曼描述的缝线，对大多在其远端撕裂的韧带进行重新缝合，在16例患者中取得了成功。对于陈旧性韧带损伤，我们使用掌长肌腱作为韧带替代物。按照这种方法进行手术的6例患者，在术后平均8个月进行复查时完全没有疼痛。
