Schneider L H
Clin Orthop Relat Res. 1982 Nov-Dec(171):164-71.
Fifty-two flexor tendons were reconstructed using the staged technique described by Hunter. It is established that these patients would be unlikely to obtain gliding flexor systems by standard grafting techniques. This procedure was undertaken to salvage function in these severe problems. Most of the fingers did not have full passive motion prior to stage II, and 26 fingers (50%) achieved 80% or more of their passive potential after the Stage II graft. With the correct indications and technical skill, this procedure can give useful function to finger with poor flexor systems. Sixteen fingers were failures. There is still an indication for fusion or amputation in some fingers with massive injury, particularly when neurovascular deficiency is present.
采用亨特描述的分期技术重建了52条屈指肌腱。已证实,这些患者不太可能通过标准的移植技术获得滑动的屈指系统。进行该手术是为了挽救这些严重问题中的功能。大多数手指在二期手术前没有完全被动活动,26根手指(50%)在二期移植后达到了其被动活动潜能的80%或更多。有了正确的适应症和技术技巧,该手术可为屈指系统较差的手指提供有用的功能。16根手指手术失败。对于一些有严重损伤的手指,尤其是存在神经血管缺损时,仍有融合或截肢的指征。