STAGED FLEXOR TENDON RECONSTRUCTION IN THE FINGERS AND HAND
STAGED FLEXOR TENDON RECONSTRUCTION IN THE FINGERS AND HAND
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DOI：
10.1016/s0363-5023(88)80095-9
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发表时间：
1988-07-01
影响因子：
1.9
通讯作者：
BOGARD, SD
中科院分区：
文献类型：
--
作者：
AMADIO, PC;WOOD, MB;BOGARD, SD
自1973~1984年间，我们采用二期肌腱移植技术重建了101例患者的130个手指。对89例117指手术患者在II期手术后6个月或以上进行评估。65%的患者在手术前属于Boyes抢救组。总体而言，根据总主动运动()占总被动运动(TPM)的百分比，54%的患者具有良好或优秀的结果，尽管只有19%的人最终评分大于180度。并发症包括感染占15%，破裂占4%，截肢占4%，反射性交感神经营养不良占1%。16%的患者在II期手术后需要肌腱松解术。与不良结果相关的因素包括I区或II区损伤以及10岁以下的患者。与较好结果相关的因素包括IV区或V区损伤和所有术后在治疗医生的直接监督下进行的治疗。
A two-stage tendon-grafting technique was used to reconstruct 130 fingers in 101 patients between 1973 and 1984. Eighty-nine patients with 117 fingers that had undergone operation were evaluated 6 months or longer after stage II surgery. Sixty-five percent of the patients were in the Boyes salvage group before operation. Overall, 54% had good or excellent results by the total active motion (TAM) as a percentage of total passive motion (TPM) method, although only 19% had final TAM of greater than 180 degrees. Complications included infection in 15%, rupture in 4%, amputation in 4%, and reflex sympathetic dystrophy in 1% of the patients. Sixteen percent of the patients required tenolysis after stage II surgery. Factors associated with a poor result included zone I or II injury and patients who were less than 10 years of age. Factors associated with a better result included zone IV or V injury and all postoperative therapy under the direct supervision of the treating surgeon.