Haas H G
Handchirurgie. 1981;13(3-4):199-206.
Therapeutic conclusions are derived from the anatomical peculiarities of the extensor apparatus of the fingers and the extensor tendons of the metacarpus and the wrist. In open wounds primary sutures are universally possible and promising except in cases with tendon defects or with special risk of infection. Our preferred technique employs a central wire suture which is barbed to resist proximal traction, combined with fine peripheral sutures. In closed ruptures at the DIP-level conservative as well as operative treatment can be advised, whereas at the PIP-joint and in more proximal regions operative measures are preferred.
治疗结论源自手指伸肌装置、掌骨伸肌腱及腕部伸肌腱的解剖学特点。在开放性伤口中，除存在肌腱缺损或有特殊感染风险的情况外，一期缝合通常可行且效果良好。我们首选的技术是采用带倒刺以抵抗近端牵引的中央钢丝缝合，并结合精细的周边缝合。在远侧指间关节水平的闭合性断裂中，保守治疗和手术治疗均可考虑，而在近端指间关节及更靠近近端的区域，首选手术措施。
