Tang J B, Shi D, Gu Y Q, Chen J C, Zhou B
Department of Orthopaedics, Affiliated Hospital, Nantong Medical College, Jiangsu, China.
J Hand Surg Br. 1994 Dec;19(6):699-703. doi: 10.1016/0266-7681(94)90238-0.
We report our experience of using double or multiple looped sutures for primary tenorrhaphy combined with early active mobilization. In 46 patients involving 51 fingers with flexor tendon lacerations, double threads of the looped nylon suture were placed to repair injured FDP or FDS tendons, or three threads of looped nylon suture were made to repair the FDP tendons. Using White's (1956) criteria, the results were good or excellent in 76.5% of fingers. The double and multiple looped sutures are of sufficient strength to sustain early motion, and cause little disturbance in the circulation. Satisfactory function following primary tendon repair can be expected with these new techniques.
我们报告了使用双环或多环缝线进行一期肌腱缝合并结合早期主动活动的经验。在46例涉及51根手指屈肌腱损伤的患者中，采用双股环行尼龙缝线修复损伤的指深屈肌腱（FDP）或指浅屈肌腱（FDS），或用三股环行尼龙缝线修复FDP肌腱。根据怀特（1956年）的标准，76.5%的手指结果为良好或优秀。双环和多环缝线具有足够的强度来维持早期活动，并且对血液循环干扰很小。采用这些新技术有望在一期肌腱修复后获得满意的功能。
