Ebelin M
Ann Chir Plast Esthet. 1998 Dec;43(6):606-10.
After revealing tendon healing and the international classification adopted in 1980 for flexor tendon lesions, the author reviews the primary tendon repair procedures and the various postoperative mobilization protocols. The current tendency is towards early active mobilization with a protection orthosis. The various secondary surgical procedures are then critically discussed: secondary suture, tendon release, one-stage or two-stage tendon graft, total anterior tenoarthrolysis, tendon transfer, vascularized tendon graft, active tendon implants.
在介绍了肌腱愈合情况以及1980年采用的屈指肌腱损伤国际分类之后,作者回顾了一期肌腱修复手术及各种术后活动方案。当前的趋势是采用保护矫形器进行早期主动活动。随后对各种二期手术进行了批判性讨论:二期缝合、肌腱松解、一期或二期肌腱移植、全前侧腱鞘松解术、肌腱转移、带血管蒂肌腱移植、主动肌腱植入。