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肌腱功能的外科修复(作者译)

[Surgical restoration of tendon function (author's transl)].

作者信息

Meissner F

出版信息

Z Kinderchir Grenzgeb. 1980 Jul;30 Suppl:149-53.

PMID:7006248
Abstract

Among 3 000 injuries of the hand in 65 children over 10 years, 95 injuries to tendons were found. About a quarter of these were to the extensor tendon. Results from the lengemann-suture are good. Tearing of the extensor-tendons in the end-phalanx remains a problem. They are inreasingly being treated conservatively. 20 sutured flexor tendons proximal to the wrist healed well. 32 injuries in "No Man's Land" were sutured primarily, 19 were treated by secondary tendon transplant. 2 primary sutures, 4 transplants were unsuccessful. The primary suture technique of Kleinert is preferred. The healing phase is suported by a hyaluronidase preparation.

摘要

在65名10岁以上儿童的3000例手部损伤中,发现95例肌腱损伤。其中约四分之一为伸肌腱损伤。Lengemann缝合术的效果良好。末节指骨伸肌腱撕裂仍是一个问题,目前越来越多地采用保守治疗。20例腕部近端缝合的屈肌腱愈合良好。“无人区”的32例损伤主要进行了缝合,19例采用二期肌腱移植治疗。2例一期缝合、4例移植未成功。首选Kleinert一期缝合技术。透明质酸酶制剂有助于愈合阶段。

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