取尺骨鹰嘴处骨腱移植重建手指末节伸肌腱止点观察

Take the Ulna Olecranon Extensor Tendon Bone Tendon Graft Reconstruction Finger Small Check Point of Observation

目的：探讨取尺骨鹰嘴处骨腱移植重建手指末节无骨折的伸肌腱止点断裂治疗方法。方法：对28例手指末节指骨不伴有骨折的伸肌腱止点损伤，克氏针固定远指间关节，切取尺骨鹰嘴处合适骨腱移植，通过骨髓道缝合骨腱止点，腱性部分重叠缝合。6周后拔除克氏针进行功能练习。结果：术后随访3个月。采用Dargan功能评定法评定疗效：优20例、良6例。骨腱止点完全愈合、伸指有力。结论：采用取尺骨鹰嘴处骨腱移植能够治疗手指末节伸肌腱止点断裂。手术方法简便，费用少，疗效好。

Objective： To discuss take ulna olecranon bone tendon graft reconstruction finger extensor tendon details without fractures fracture treatment. Methods： 28 cases of finger small finger injury without fracture of the extensor tendon check point, Gram needle fixa- tion interphalangeal joints, Taking ulna olecranon suitable bone tendon transplantation, Through bone marrow tendon suture bone check point, tendinous portion of overlapping suture. The needle was pulling a functional exercises after six weeks. Results： Postoperative follow - up of 3 months. Dargan function evaluation method is used to assess the curative effect： optimal 20 patients, 6 patients with good. Bone tendon check point completely, refers to the strong. Conclusion： With ulna olecranon bone tendon transplantation can treat small finger extensor tendon check point of fracture. The surgical method is simple, less cost, good curative effect.