《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (10): 981-983.

• 论文 • 上一篇    下一篇

手部无人区屈指肌腱陈旧性断裂的改良重建治疗

庄文杰，唐学锋，龙千里，杨忠奎，陈实   

  1. 贵阳医学院第二附属医院外三科，贵州凯里市556000。
  • 收稿日期:2012-09-27 修回日期:2012-10-28 出版日期:2013-10-25 发布日期:2013-10-25
  • 通讯作者: 龙千里

Modified Reconstruction of Old Rupture of Finger Flexor Tendon

ZHUANG Wen-jie, TANG Xue-feng, LONG Qian-li, et al.   

  1. The Department of Orthopedics of the Second Subsidiary Hospital of Guiyang Medical College, Kaili 556000, Guizhou, China
  • Received:2012-09-27 Revised:2012-10-28 Published:2013-10-25 Online:2013-10-25

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摘要： 目的探讨无人区屈指肌腱陈旧性断裂改良手术重建治疗的疗效。方法收治屈指肌腱陈旧性断裂患者30 例，一期硅胶管植入，二期取出硅胶管，植入包裹可吸收生物膜的掌长肌，采用手指总主动活动度(TAM)评价效果。结果30 例患者(54指)中优30 指，良20 指，中4指，优良率92.6%。结论改良手术治疗可有效地防止术后肌腱粘连。

关键词: 屈肌腱, 陈旧性损伤, 肌腱粘连, 生物可吸收膜

Abstract: Objective To explore the effect of reconstruction on old rupture of finger flexor tendon. Methods There were 30 patients (54 fingers) with old rupture of finger flexor tendon. The silica gel stick was implanted at the first stage. The palmaris longus tendon wrapped in the bioabsorbable membrane replaced the silica gel stick and was implanted at the second stage. The effectiveness was assessed by total active movement (TAM). Results There were 30 fingers as excellent, 20 fingers as good among 54 fingers of 30 patients. The percent of excellent and good was 92.6%. Conclusion Modified reconstruction is effective to prevent from tendon adhesion.

Key words: flexor tendon, chronic injury, tendon adhesion, bioabsorbable membrane