应用显微技术修复手指1区滑车及肌腱损伤

Repair of Finger Pulley and Flexor Tendon Injury in Zone 1 with Microsurgery Technique

目的：探讨１区滑车及肌腱损伤的修复方法．方法：自１９９８年以来，应用显微外科技术修复１区滑车及肌腱损伤６６例．用３－０和５－０针线缝合滑车单纯断裂，用肌腱条修补滑车部分缺损．用钢丝钮扣法对合肌腱断端后，用５－０针线Ｋｅｓｓｌｅｒ’法缝合肌腱，７－０针线连续缝合断端．结果：４９例经过４月～１１月随访。根据ＴＡＭ标准，本组优良率８７．７６％。讨论：此方法修复的滑车功能良好，对肌腱血远影响小，缝合后肌腱断端牢固，术后可早期功能锻炼，减少了粘连的发生。

Objective: To discuss the repair of finger pulley and flexor tendon injury in zone 1. Methods: Finger pulley and flexor tendon injuries of 46 cases were repaired by microsurgery. Pulley break was sutured with 5-0 nylon and 7-0 nylon. Pulley defect was restored by tendon strip. Flexor tendon was sutured by steel wire and button technique, and then Kessler technique with 5-0 nylon and continuing suture with 7-0 nylon. Results: The excellent and good rare was 87.76% according to TAM standard. Conclusions: Satisfactory result could be achieved after microsurgery repair of pulley and flexor tendon in zone 1. This method showed pulley function satisfactorily, suture tendon firmly, influenced blood circulation of tendon slightly and tamed postoperative digital extension movement early.