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采用自体移植静脉移植物重建“无人区”指腱鞘。

Reconstruction of the digital tendon-sheath in "no-man's" land with autologous transplanted vein-graft.

作者信息

Forgon M, Bíró V

出版信息

Hand. 1978 Feb;10(1):28-36. doi: 10.1016/s0072-968x(78)80022-9.

DOI:10.1016/s0072-968x(78)80022-9
PMID:710980
Abstract

A two-stage procedure is described for severely damaged flexor tendons in "no man's land". In the first stage the damaged tendons and scarred tendon sheath are excised and a segment of the saphenous vein, cannulated by a silicone rubber rod is transplanted into the tendon bed. In the second stage the silicone-rod is replaced by a free transplanted tendon. The endothelial lining of the vein is a guarantee of a good gliding surface and an obstacle to adhesion formation, and so it ensures good function. A review of the method and a survey of thirty-nine cases are presented.

摘要

本文描述了一种针对“无人区”严重受损屈指肌腱的两阶段手术方法。第一阶段,切除受损肌腱和瘢痕化腱鞘,将一段经硅胶棒插管的大隐静脉移植到肌腱床。第二阶段,用游离移植肌腱替换硅胶棒。静脉的内皮衬里可确保良好的滑动表面并阻碍粘连形成,从而保证良好的功能。本文还介绍了该方法并对39例病例进行了调查。

相似文献

1
Reconstruction of the digital tendon-sheath in "no-man's" land with autologous transplanted vein-graft.采用自体移植静脉移植物重建“无人区”指腱鞘。
Hand. 1978 Feb;10(1):28-36. doi: 10.1016/s0072-968x(78)80022-9.
2
[Reconstruction of tendon sheaths from veins in the "no-man's-land" of the hand].
Handchirurgie. 1980;12(3-4):189-91.
3
[Substitution of the tendon sheath by autologous vein in the "no-man's land" of the hand].[手部“无人区”自体静脉替代腱鞘]
Magy Traumatol Orthop Helyreallito Seb. 1975;18(1):42ł.
4
Reconstruction of digital flexor tendons in "no man's land". Part II. Clinical investigation of frozen-stored allografts inserted by the silicon-rod method in severely damaged fingers.“无人区”手指屈肌腱重建。第二部分。采用硅棒法植入冷冻保存同种异体肌腱治疗严重损伤手指的临床研究。
Taiwan Yi Xue Hui Za Zhi. 1979 Apr;78(4):332-43.
5
[Flexor tendon grafts after provisional implantation of silicone rods. Study and results of 32 cases].[硅胶棒临时植入后屈肌腱移植。32例研究及结果]
Rev Chir Orthop Reparatrice Appar Mot. 1975 Oct-Nov;61(7):599-610.
6
[Subdivisions of "no man's land" of flexor tendon and the treatment of each subzone].[屈指肌腱“无人区”的分区及各亚区的治疗]
Zhonghua Wai Ke Za Zhi. 1991 Oct;29(10):608-11, 653.
7
Experience with a two-staged pedicled flexor tendon graft.两期带蒂屈肌腱移植的经验
Hand. 1979 Jun;11(2):198-205. doi: 10.1016/s0072-968x(79)80034-0.
8
[Experimental single-stage reconstruction of the tendon sheath and flexor tendon (free tendon graft, using a vein for sheath on the flexor tendon in dogs)].[犬屈指肌腱腱鞘及屈指肌腱的实验性一期重建(游离肌腱移植,采用静脉作为屈指肌腱的腱鞘)]
Magy Traumatol Orthop Helyreallito Seb. 1976;19(1):52-9.
9
Autogenous free sheath grafts in reconstruction of injured digital flexor tendon sheath at the delayed primary stage.自体游离腱鞘移植修复延迟一期损伤的指屈肌腱腱鞘
J Hand Surg Br. 1993 Feb;18(1):31-2. doi: 10.1016/0266-7681(93)90190-q.
10
Flexor tendon repair in "No Man's Land" an experimental study.“无人区”屈肌腱修复的实验研究
Hand. 1977 Jun;9(2):143-6. doi: 10.1016/s0072-968x(77)80008-9.

引用本文的文献

1
Gliding resistance and modifications of gliding surface of tendon: clinical perspectives.肌腱的滑动阻力及滑动表面的改变:临床视角
Hand Clin. 2013 May;29(2):159-66. doi: 10.1016/j.hcl.2013.02.001. Epub 2013 Mar 15.
2
[Late results of severe flexor tendon injuries of the hand after producing tendon-sheath from a vein (author's transl)].[利用静脉制作腱鞘后手部严重屈肌腱损伤的远期结果(作者译)]
Unfallchirurgie. 1982 Jun;8(3):180-4. doi: 10.1007/BF02585680.
3
The mechanical role of the digital fibrous sheath: application to reconstructive surgery of the flexor tendons.
指纤维鞘的力学作用:在屈肌腱重建手术中的应用。
Anat Clin. 1983;5(3):187-97. doi: 10.1007/BF01799004.