Schweizer P, König M
Z Kinderchir Grenzgeb. 1980 Jul;30 Suppl:127-9.
This is a comparison of the results of 14 primary sutures of the flexor tendon, 11 secondary (one-stage) and 14 seconary (two-stage) interposition grafts. Flexion and extension of the fingers treated were best after the primary tendon suture, worst after the secondary interposition graft at one sitting. Since good results were obtained with the primary flexor tendon suture even in unclean, crushed tissues, we conclude that in children a primary tendon suture should be aimed at as a rule. Where the primary treatment is unsuccessful, the secondary two-stage procedure should be preferred to the one-stage interposition graft. The comparison also shows that the two-stage secondary procedure gives better results when the proximal tendon anastomosis is sutured near the muscle, instead of in the palm of the hand.
这是对14例屈指肌腱一期缝合、11例二期（一期）和14例二期（两期）间置移植结果的比较。接受治疗的手指屈伸功能在一期肌腱缝合后最佳，在二期间置移植一期手术后最差。由于即使在污染、挤压的组织中，一期屈指肌腱缝合也能取得良好效果，我们得出结论，儿童通常应首选一期肌腱缝合。若一期治疗失败，二期两阶段手术应优先于一期间置移植。比较还表明，当近端肌腱吻合口缝合在靠近肌肉处而非手掌时，二期两阶段手术效果更佳。
