手屈指肌腱损伤的临床修复效果

Current repairs of flexor tendon injuries in the hand

本文介绍了手屈指肌腱的修复方法和效果。屈指肌腱修复现存问题包括修复腱的断裂、粘连形成和关节僵硬。我们提倡采用多束肌腱缝合法将部分重要的滑车结构做主动切开,并改良术后锻炼方案。本文概述了今后提高疗效的努力途径。

This article reviews repair methods and results of flexor tendon injuries in the hand. Current problems associated with the tendon injuries include rupture of repaired tendon, adhesion formation, and stiffness of finger joints. We advocate multi-strand-repair techniques, release of part of critical pulleys, and modification of postoperative motion regimes to improve clinical outcomes. Future efforts to improve the function of the hand are outlined.