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[手指屈肌腱的两期整形修复:适应证与技术]

[2-stage plastic repair of the flexor tendons of the fingers: the indications and technic].

作者信息

Belousov A E, Gubochkin N G, Shvyrev S P

出版信息

Vestn Khir Im I I Grek. 1993 Jan-Feb;150(1-2):57-60.

PMID:7701704
Abstract

Based on their experiences with treatment of 58 patients with consequences of severe traumas of the hand the authors analyze and substantiate indications for using the method of the two-stages tendoplasty of finger flexors. The technique of implantation of polychlorvinyl rods is described in detail. Relatively high frequency of additional procedures on different anatomical structures of the hand is noted. Special attention is given to intra- and postoperative prophylactics of infectious complications. It was found that time of the second operation should be determined not only by the time of formation of the smooth wall capsule around the implant but also by the degree of liquidation of finger joints contractures.

摘要

基于对58例手部严重创伤后果患者的治疗经验,作者分析并论证了采用手指屈肌两阶段肌腱成形术的适应症。详细描述了聚氯乙烯棒植入技术。注意到对手部不同解剖结构进行额外手术的频率相对较高。特别关注感染并发症的术中及术后预防。发现第二次手术的时间不仅应根据植入物周围光滑壁囊的形成时间来确定,还应根据手指关节挛缩的消除程度来确定。

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