Kavouksorian C A, Noone R B
Ann Plast Surg. 1982 Nov;9(5):415-8. doi: 10.1097/00000637-198211000-00011.
Primary or delayed primary repair of flexor tendon lacerations in the digital sheath has become the accepted practice among surgeons expert in the treatment of hand injuries. The youngest patient reported in the literature we reviewed was 3 months old. We report a case of flexor tendon laceration at the time of delivery by emergency cesarean section. Delayed primary repair was carried out ten days later. Five months following surgery, functional results were judged to be good to excellent. The operating microscope is a valuable adjunct for tendon repair in the neonate. The procedure should be done by an experienced hand surgeon on an elective basis in a medical center where operating room personnel and anesthesia staff are familiar with neonatal patients. Under such conditions an excellent result can be obtained with a single definitive procedure.
在指腱鞘内对屈肌腱裂伤进行一期或延迟一期修复，已成为手部损伤治疗领域外科专家们公认的做法。在我们查阅的文献中，报道的最年轻患者为3个月大。我们报告1例在急诊剖宫产分娩时发生屈肌腱裂伤的病例。10天后进行了延迟一期修复。术后5个月，功能结果判定为良好至优秀。手术显微镜是新生儿肌腱修复的一项有价值的辅助工具。该手术应由经验丰富的手外科医生在医疗中心择期进行，该医疗中心的手术室人员和麻醉人员应熟悉新生儿患者。在这种情况下，通过单次确定性手术即可获得优异的结果。
