Sakellarides H T, Papadopoulos G
Boston University School of Medicine, Massachusetts, USA.
J Hand Surg Br. 1996 Feb;21(1):63-6. doi: 10.1016/s0266-7681(96)80015-5.
The surgical treatment of the divided FDP tendon, more than 6 weeks old, in zone 2 is reviewed in 50 patients. The method used was the excision of the divided FDP tendon and the insertion of a thin tendon graft. There were 50 patients in this study; 36 were male and 14 female, aged from 18 to 60 years. All patients were markedly disabled because of loss of strength of the involved finger. Follow-up ranged from 1 to 25 years following tendon grafting. In 35 patients plantaris tendon was used and in 15 patients palmaris longus. Definite advantages were found in using the tendon grafting procedure; strength, dexterity, pinch and grasp were markedly improved. Functional results were evaluated by the Boyes method, with the Pulvertaft method as a secondary assessment. Among the 50 patients, 80% had excellent and good results (excellent 32%, good 48%) and 20% fair.
回顾了50例2区陈旧性（超过6周）指深屈肌腱断裂的手术治疗情况。采用的方法是切除断裂的指深屈肌腱并植入细肌腱移植物。本研究共50例患者，其中男性36例，女性14例，年龄18至60岁。所有患者均因患指力量丧失而严重致残。肌腱移植后随访时间为1至25年。35例患者使用了跖肌腱，15例患者使用了掌长肌腱。发现肌腱移植手术具有明显优势；力量、灵活性、捏力和抓力均有显著改善。功能结果采用Boyes法评估，Pulvertaft法作为次要评估方法。50例患者中，80%的结果为优和良（优32%，良48%），20%为可。
