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严重损伤手指的两阶段屈肌腱重建评估

Evaluation of the two-stage flexor-tendon reconstruction in severely damaged digits.

作者信息

Weinstein S L, Sprague B L, Flatt A E

出版信息

J Bone Joint Surg Am. 1976 Sep;58(6):786-91.

PMID:956223
Abstract

From July 1971 to July 1974, the two-stage tendon-grafting procedure of Hunter and Salisbury was performed in thirty-two severely damaged digits in twenty-five patients. Of these digits, twenty-three fingers and five thumbs could be evaluated for gain in total active flexion (expressed as per cent of preoperative passive flexion) and for gain in total active motion (expressed as per cent of total preoperative passive motion) after follow-ups ranging from six to fifty months. The results for total active flexion were 60.9 per cent good, 21.7 per cent fair, and 17.4 per cent poor, and for total active motion 21.7 per cent good, 56.5 per cent fair, and 21.7 per cent poor. Complications were frequent after both stages and included infection, migration of the rod, and adhesions within the proximal end of the newly formed sheath. Flexion contractures were a significant problem.

摘要

1971年7月至1974年7月,对25例患者的32个严重受损手指实施了Hunter和Salisbury的两阶段肌腱移植手术。在这些手指中,对23根手指和5根拇指进行了评估,评估内容为随访6至50个月后总的主动屈曲增加情况(以术前被动屈曲的百分比表示)以及总的主动活动增加情况(以术前总的被动活动的百分比表示)。总的主动屈曲结果为60.9%为优,21.7%为良,17.4%为差;总的主动活动结果为21.7%为优,56.5%为良,21.7%为差。两个阶段后并发症均很常见,包括感染、杆移位以及新形成腱鞘近端内的粘连。屈曲挛缩是一个严重问题。

相似文献

1
Evaluation of the two-stage flexor-tendon reconstruction in severely damaged digits.严重损伤手指的两阶段屈肌腱重建评估
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Eur J Orthop Surg Traumatol. 2018 Jul;28(5):877-883. doi: 10.1007/s00590-017-2102-x. Epub 2017 Dec 7.
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Stuart Weinstein: advancing the specialty of orthopaedics.
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