Wheen D J, Tonkin M A, Green J, Bronkhorst M
Department of Hand Surgery, Royal North Shore Hospital, St. Leonards, Australia.
J Hand Surg Am. 1995 Sep;20(5):790-4. doi: 10.1016/S0363-5023(05)80433-2.
A retrospective review of flexor tenosynovectomy for rheumatoid flexor tenosynovitis in the palm and digit was performed. Fifteen patients (61 fingers) were reviewed for at least 1 year (average, 4 years) after surgery. An average of 2.2 cm improvement in active flexion (pulp to distal palmar crease) was observed. A significant difference in preoperative and postoperative results was found. Sixty-seven percent of digits were classified as having excellent or good results, 21% fair results, and 12% poor results. The clinical recurrence rate was 31% and the reoperation rate was 15%. Only minimal complications from the extended surgical approach were observed. Debulking the fibro-osseous canal by excising a slip of flexor digitorum superficialis was associated with a reduction in the recurrence and reoperation rates.
对掌部和手指类风湿性屈肌腱腱鞘炎行屈肌腱滑膜切除术进行了回顾性研究。15例患者（61指）在术后至少随访1年（平均4年）。观察到主动屈曲（从指尖到掌远侧横纹）平均改善2.2厘米。术前和术后结果存在显著差异。67%的手指结果为优或良，21%为一般，12%为差。临床复发率为31%，再次手术率为15%。仅观察到扩大手术入路引起的轻微并发症。通过切除一条指浅屈肌来减容纤维骨性管道与复发率和再次手术率的降低相关。
