Biró V
Handchirurgie. 1981;13(3-4):192-6.
For flexor tendon lacerations in "no man's land" of the hand the author has developed a preoperative classification system for predicting functional results which is an extension of the work of Boyes and Buck-Gramcko. On the basis of a review of the literature as well as his own experience, the author found that the prognosis after secondary reconstructive procedures depends above all on the age of the patient, the interval between injury and surgery, the nature and severity of the injury and the associated injuries. After considering these factors, a point system was developed by which very good, good, satisfactory, and poor results could be predicted. In this way, a standardized and moderate surgical approach can be developed and an exact evaluation and comparison of results can be instituted, Since a system for predicting of functional results has been developed, it is recommended that this system be adapted to help identify improved surgical methods of handling certain severe tendon injuries.
对于手部“无人区”的屈肌腱损伤，作者在博伊斯（Boyes）和巴克 - 格拉姆科（Buck - Gramcko）工作的基础上进行拓展，开发了一种术前分类系统以预测功能结果。基于文献综述及自身经验，作者发现二次重建手术后的预后主要取决于患者年龄、受伤与手术之间的间隔时间、损伤的性质和严重程度以及相关联的损伤。综合考虑这些因素后，制定了一个评分系统，据此可预测出非常好、好、满意和差的结果。通过这种方式，可以制定出标准化且适度的手术方法，并对结果进行准确评估和比较。既然已经开发出一个预测功能结果的系统，建议采用该系统来帮助确定处理某些严重肌腱损伤的改进手术方法。
