Earley M J, Milward T M
Br J Plast Surg. 1982 Apr;35(2):133-9. doi: 10.1016/0007-1226(82)90149-7.
This paper presents the results of 80 out of 98 severed flexor tendons repaired between 1976 and January 1981 using the Kleinert technique with immediate dynamic splintage. In this series 13 repairs were in the thumb and 85 in the fingers (19 in Zone 1; 66 in Zone 2). Only 10% of the injuries were industrial. A total of 80 tendon repairs were available for assessment using the methods of White and Kleinert; 60% of these were graded excellent to good, with 55% excellent to good for Zone 2 repairs. An "injury score" has been devised to indicate severity of injury and this correlated well with poor results in Zone 2 injuries. Better results were obtained in the young and in well motivated patients. Delayed repairs did badly, especially in Zone 2.
本文介绍了1976年至1981年1月期间采用克莱纳特技术并立即进行动态夹板固定修复的98条屈指肌腱中的80条的修复结果。在这一系列病例中，13条是拇指肌腱修复，85条是手指肌腱修复（1区19条；2区66条）。仅10%的损伤是工伤所致。共有80条肌腱修复可供采用怀特和克莱纳特的方法进行评估；其中60%的修复结果评为优至良，2区修复结果为优至良的占55%。已设计出一种“损伤评分”来表明损伤的严重程度，这与2区损伤的不良结果密切相关。年轻患者和积极性高的患者取得了更好的结果。延迟修复效果不佳，尤其是在2区。
