Winspur I, Phelps D B, Boswick J A
Plast Reconstr Surg. 1978 May;61(5):756-61. doi: 10.1097/00006534-197805000-00017.
We report the results in 11 cases of secondary flexor tendon reconstruction, employing a silicone rubber rod and a sublimis/profundus tenorrhaphy in the first stage, then hinging out the sublimis tendon on the profundus motor at the second stage. Achievement of a healed proximal tenorrhaphy before the second stage allows (1) inspection of the proximal tenorrhaphy (with assessment of its location, apperance, and strength) and (2) early postoperative motion in a controlled range (with greater confidence in the proximal tenorrhaphy, as rupture after free tendon grafting is not uncommon. The functional results attained were comparable to those in other series of secondary flexor tendon reconstructions.
我们报告了11例二期屈指肌腱重建的结果，第一阶段采用硅橡胶棒和指浅屈肌/指深屈肌腱缝合术，第二阶段将指浅屈肌腱在指深屈肌上铰链式引出。在第二阶段之前近端肌腱缝合愈合可实现：（1）检查近端肌腱缝合情况（评估其位置、外观和强度）；（2）术后早期在可控范围内活动（对近端肌腱缝合更有信心，因为游离肌腱移植后断裂并不少见）。获得的功能结果与其他二期屈指肌腱重建系列的结果相当。
