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儿童屈肌腱松解术

Flexor tenolysis in children.

作者信息

Birnie R H, Idler R S

机构信息

Indiana Hand Center, Indianapolis, USA.

出版信息

J Hand Surg Am. 1995 Mar;20(2):254-7. doi: 10.1016/S0363-5023(05)80019-X.

DOI:10.1016/S0363-5023(05)80019-X
PMID:7775763
Abstract

This study aimed to determine whether there is an age below which flexor tenolysis may not be beneficial and whether there is any detriment to waiting for a more appropriate age. In this study, patients in their first decade had minimal improvement in their active flexion after flexor tenolysis. Six patients were tenolysed more than 1 year after their original operation and none appeared to have been compromised by the prolonged interval between injury repair and tenolysis. Significant improvement in active flexion after tenolysis can be confidently expected only in children over 11 years old.

摘要

本研究旨在确定是否存在一个年龄界限,低于该年龄进行屈指肌腱松解术可能并无益处,以及等待更合适的年龄进行手术是否会有任何不利影响。在本研究中,十岁以下的患者在屈指肌腱松解术后主动屈曲功能改善甚微。六名患者在初次手术后一年多进行了肌腱松解术,似乎没有一例因损伤修复与肌腱松解术之间的间隔延长而受到影响。只有11岁以上的儿童在肌腱松解术后有望实现主动屈曲功能的显著改善。

相似文献

1
Flexor tenolysis in children.儿童屈肌腱松解术
J Hand Surg Am. 1995 Mar;20(2):254-7. doi: 10.1016/S0363-5023(05)80019-X.
2
[Outcome of flexor tenolysis after injury in zone 2].[2区损伤后屈指肌腱松解术的结果]
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Optimizing independent finger flexion with zone V flexor repairs using the Massachusetts General Hospital flexor tenorrhaphy and early protected active motion.采用麻省总医院屈肌腱缝合术及早期保护性主动活动优化Ⅴ区屈肌腱修复后的独立手指屈曲功能。
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Long-term results after primary repairs of zone 2 flexor tendon lacerations in children younger than age 6 years.6岁以下儿童2区屈肌腱裂伤一期修复后的长期结果。
J Pediatr Orthop. 2002 Nov-Dec;22(6):732-5.
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Staged flexor tendon reconstruction using pedicled tendon graft from the flexor digitorum superficialis.采用来自指浅屈肌的带蒂肌腱移植进行分期屈肌腱重建。
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Effectiveness of flexor tenolysis in zone II: A retrospective series of 40 patients at 3 months postoperatively.Ⅱ区屈肌腱松解术的疗效:40例患者术后3个月的回顾性研究系列。
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引用本文的文献

1
[Tenoarthrolysis after flexor tendon injuries].[屈指肌腱损伤后的腱鞘松解术]
Unfallchirurg. 2020 Feb;123(2):104-113. doi: 10.1007/s00113-020-00778-7.
2
[Treatment of flexor tendon injuries in children].[儿童屈指肌腱损伤的治疗]
Unfallchirurg. 2020 Feb;123(2):97-103. doi: 10.1007/s00113-019-00757-7.
3
[Tenolysis of the flexor tendons in the hand].[手部屈肌腱松解术]
Orthopade. 2015 Oct;44(10):767-76. doi: 10.1007/s00132-015-3157-1.