Grishkevich V M
Department of Reconstructive and Plastic Surgery, A. V. Vishnevsky Institute of Surgery, Russian Academy of Medical Sciences, Moscow, Russia.
Plast Reconstr Surg. 1996 Jan;97(1):126-32. doi: 10.1097/00006534-199601000-00021.
A new method of surgical treatment of postburn boutonniere deformity was used in 124 fingers of 66 patients. This method includes reconstruction of the lateral band's position of an extensor apparatus and anatomic continuity of a central band. Before tendon plasty, passive movements in a proximal interphalangeal joint are restored and contracture of others joints is released. If the soft tissue of the digital back is affected, tendon grafts are covered with a groin pedicled flap. With this method we could restore active movements in the proximal interphalangeal joint in 89.2 percent of the patients and avoid fusion or amputation. The failures were connected with serious intrajoint changes.
对66例患者的124根手指采用了一种治疗烧伤后纽扣畸形的新手术方法。该方法包括重建伸肌装置外侧束的位置和中央束的解剖连续性。在肌腱成形术前，恢复近端指间关节的被动活动并松解其他关节的挛缩。如果指背软组织受累，肌腱移植用腹股沟带蒂皮瓣覆盖。采用这种方法，89.2%的患者近端指间关节可恢复主动活动，避免了关节融合或截肢。失败与严重的关节内改变有关。
