Reill P
Handchirurgie. 1978;10(4):215-21.
Staged flexor tendon repair utilizing temporary silastic rod implants has proved to be an effective method for restoring the grip function of severely injuried hands. Since its inauguration by CARROLL and BASSETT in 1958 this method has been successfully practiced by numerous hand surgeons. In this review the patho-physiological principles of the development of the so-called "pseudo tendon sheath" are described. The various findings as far as the formation of the new tendon sheath is concerned, are presented. The theories about incorporation of the subsequent graft and its revascularization are described. Following a detailed description of the surgical procedure our own results with 272 silastic rod implants in 184 patients are presented. Because of the kind of patients selected for the procedure, excellent results were not obtained. However, in 62% of cases results were graded "good" and in 23%, "satisfactory", while 15% were "poor". It seems to be justified to utilize two-stage flexor tendon repair for restoring grip function in severely injured hands in spite of the considerably high technical requirements, the prolonged course of rehabilitation and consequently increased cost of treatment.
利用临时硅橡胶棒植入物进行分期屈肌腱修复已被证明是恢复严重受伤手部抓握功能的有效方法。自1958年卡罗尔（CARROLL）和巴塞特（BASSETT）开创该方法以来，众多手外科医生已成功应用。在这篇综述中，描述了所谓“假腱鞘”形成的病理生理原理。介绍了关于新腱鞘形成的各种发现。阐述了关于后续移植肌腱的纳入及其血管化的理论。在详细描述手术过程之后，展示了我们对184例患者使用272个硅橡胶棒植入物的自身结果。由于所选患者的类型，未获得优异结果。然而，62%的病例结果评为“良好”，23%为“满意”，15%为“差”。尽管技术要求相当高、康复过程延长且治疗成本相应增加，但采用两期屈肌腱修复来恢复严重受伤手部的抓握功能似乎是合理的。
