Experimental STUDY OF OPTIMAL LOCATION OF FLEXOR TENDON PULLEYS
Experimental STUDY OF OPTIMAL LOCATION OF FLEXOR TENDON PULLEYS
复制标题
屈肌腱滑轮最佳位置的实验研究
DOI：
10.1097/00006534-196902000-00002
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发表时间：
1969
影响因子：
3.6
通讯作者：
N. Barton
中科院分区：
文献类型：
--
作者：
N. Barton
涉及手指屈肌腱的重建手术通常需要解剖肌腱所在的纤维韧带隧道。在这种手术中，外科医生切除足够的纤维隧道，以提供令人满意的通路和最小的术后粘连机会，但也保留足够的纤维隧道，以提供防止肌腱弓状牵拉的滑轮。不太常见的情况是，感染或肌腱移植失败后，会有广泛的瘢痕形成，以致纤维隧道不能保留;然后就有必要使用游离肌腱移植物、1、2一半的升华插入物、3或阔筋膜条来构建新的滑车。4这种滑车重建可以在初次手术时完成，或作为一个单独的和以后的程序。5本文报告了一项实验研究，使用新鲜的尸体，以确定保留或重建滑轮，以防止弓弦的最小数量和最佳位置。
A reconstructive operation involving the flexor tendons in the fingers usually requires dissection of the fibro-ligamentous tunnel in which the tendons lie. In such procedures, the surgeon removes enough of the fibrous tunnel to give satisfactory access and the least chance of postoperative adhesions, but also preserves enough to provide pulleys which prevent the tendon from bow-stringing. Less commonly, following infection or an unsuccessful tendon graft, there is such extensive scarring that none of the fibrous tunnel can be preserved; and it then becomes necessary to construct new pulleys, using free tendon grafts,1, 2 one-half of the sublimis insertion,3 or strips of fascia lata.4 Such pulley reconstruction can be done at the time of the primary surgery, or as a separate and later procedure.5 This paper reports an experimental study, using fresh cadavers, to determine the minimum number and the optimum position of retained or reconstructed pulleys to prevent bow-stringing.