de Soras X, Thomas D, Guinard D, Moutet F, Gérard P
SOS Main, CHRU Grenoble.
Ann Chir Main Memb Super. 1994;13(5):317-27.
The electric stimulation is widely used in flexor tenolysis rehabilitation by the authors. Since 1983 implantable electrodes were used during the operative procedure. Actually they gave better access to the deep muscles (Flexor Profundus of the index), better specificity, less dysesthesia of the skin. Further more they allowed to tests the quality of the tenolysis without wrist incision. This procedure gave 76% of good or very good results over 25 finders in 20 patients. The results were especially good for the index finger which is usually unable to be stimulated by the surface electrodes and for the fingers badly damaged. In this type of situation prognostic was getting better (70% of good and very good results).
作者们广泛使用电刺激进行屈肌腱松解康复治疗。自1983年起,在手术过程中使用可植入电极。实际上,它们能更好地触及深层肌肉(示指的指深屈肌),特异性更强,皮肤感觉异常更少。此外,它们还能在不切开手腕的情况下测试肌腱松解的效果。该方法在20例患者的25根手指上取得了76%的良好或非常好的效果。对于通常无法被表面电极刺激的示指以及损伤严重的手指,效果尤其良好。在这种情况下,预后更佳(70%的良好和非常好的效果)。