Soucacos P N, Beris A E, Malizos K N, Xenakis T, Touliatos A, Soucacos P K
Department of Orthopaedic Surgery, University of Ioannina, School of Medicine, Greece.
Acta Orthop Scand Suppl. 1997 Oct;275:48-51.
Complications during two-stage flexor tendon reconstruction may jeopardize the function of the repaired tendons. We reviewed complications encountered in 89 patients (109 digits) treated with a two-stage flexor tendon reconstruction using either silicone or Hunter rods. The complications could be distinguished according to the stage of reconstruction in which they occurred. Complications during stage I included rod buckling, rupture of the distal end of the rod, rod migration, synovitis and infection, and during stage II included distal rupture of the graft juncture, loose graft, tight graft, bowstringing, and flexion deformity of the PIP and DIP joints. The commonest complication was a flexion deformity of the PIP and/or DIP joint which was related to the surgical procedure. These deformities could easily be corrected in all cases with night splints.
两阶段屈肌腱重建术中的并发症可能会危及修复肌腱的功能。我们回顾了89例（109指）采用硅胶或亨特杆进行两阶段屈肌腱重建治疗的患者所遇到的并发症。这些并发症可根据其发生的重建阶段进行区分。第一阶段的并发症包括杆体弯曲、杆体远端断裂、杆体移位、滑膜炎和感染，第二阶段的并发症包括移植连接处远端断裂、移植肌腱松弛、移植肌腱过紧、弓弦状畸形以及近端指间关节（PIP）和远端指间关节（DIP）的屈曲畸形。最常见的并发症是PIP和/或DIP关节的屈曲畸形，这与手术操作有关。所有病例通过夜间夹板固定均可轻松矫正这些畸形。
