指伸肌腱中央束损伤新分型及治疗方法分析

A new clinical classification and therapy analysis of the central slip injury in extensor tendon

目的分析目前指伸肌腱中央束损伤的各种分型,提出新分型论点,并根据不同分型采取相应的治疗方法,分析其疗效。方法在以往分型及新材料研究的基础上提出了新的临床分型,并在术前根据不同分型确定相应的治疗措施,从2013年3月至2018年6月,共对25例纽孔畸形的患者进行治疗,其中保守治疗5例,成功2例,其余3例二期手术治疗。共23例接受手术治疗。其中钢丝固定5例,微型锚钉固定18例。结果术后随访6-38个月,按照Dargan功能评定法,其中优16例,良6例,中2例,差1例,优良率88%,疗效满意。结论根据病史及影像学资料,术前判断中央束损伤的分型,明确手术方式,临床病例证实分型具有可行性,并且取得满意效果。

Objective To evaluate different classification of the central slip injury,put forward a new classification and analyze its curative effect.Methods A new clinic classification was put forward based on the former classification and new material studies,and the corresponding treatment measures before operation were confirmed according to the different classification of the central slip injury.25 patients with boutonniere deformity were treated from March 2013 to June 2018.Conservative treatment was successful in2 patients.And other 23 patients received surgical treatment.18 of them were underwent Mitek bone anchor reattachment surgery and 5 of them were underwent traction wire surgery.Results According to the Dargan function rating method,6~38 months clinical follow up revealed that excellent in 16 patients,good in6,fair in 2,poor in 1.Excellent rate was 88%and efficacy was satisfactory.Conclusions Based on the medical history and X-ray,judging the new clinical classification of the central slip injury before operation and determining the surgical method are practicable for the central slip injury management with satisfactory outcome.