Stark H H, Zemel N P, Boyes J H, Ashworth C R
J Hand Surg Am. 1977 Nov;2(6):456-61. doi: 10.1016/s0363-5023(77)80027-0.
During a 14-year period, the flexor profundus mechanism was reconstructed with a free tendon graft in 25 fingers. The graft was passed either through or alongside the intact superficialis tendon. Five of the profundus tendons had ruptured, and 21 had been severed. One patient was under 10 years of age and only three were over 21 years of age. The result was considered to be satisfactory if the finger flexed to 3.2 cm or less of the mid-palm, had at lease 20 degrees of voluntary flexion of the distal joint, and lacked no more than 30 degrees of extension of the proximal interphalangeal joint. Additionally, to be satisfactory, the combined loss of extension of the proximal interphalangeal and distal interphalangeal joints ahd to be 40 degrees or less for an index or middle finger, and 60 degrees or less for a ring or little finger. Using these criteria, 20 patients were satisfactory, four were unsatisfactory, and one was unchanged. Selected patients who are between the ages of 10 and 21 years will benefit from this operation, providing that the finger had limber joints and minimal scar, and the superficialis tendon flexes the proximal interphalangeal joint at least 80 degrees.
在14年期间，25根手指采用游离肌腱移植重建了指深屈肌装置。移植肌腱从完整的指浅屈肌腱下穿过或与其并行。25根指深屈肌腱中，5根发生断裂，21根被切断。1例患者年龄在10岁以下，仅3例患者年龄超过21岁。如果手指能屈至手掌中部3.2厘米或以内，远侧关节至少有20度的主动屈曲，近侧指间关节伸直受限不超过30度，则结果被认为满意。此外，对于示指或中指，近侧指间关节和远侧指间关节伸直受限总和必须在40度或以内；对于环指或小指，则必须在60度或以内，结果才算满意。根据这些标准，20例患者结果满意，4例不满意，1例无变化。年龄在10至21岁之间的特定患者将从该手术中获益，前提是手指关节灵活、瘢痕最小，且指浅屈肌腱能使近侧指间关节至少屈曲80度。
