文章简介

出版社:Injury

作   者:B. Battiston, P.F. Triolo, A. Bernardi, S. Artiaco, P. Tos

编   号:doi: 10.1016/j.injury.2013.01.023.

年   份:2013    点击量:539

文章摘要

Tendon adhesions or even secondary ruptures causing severe hand functional impairment still represent a frequent complication after repair of flexor tendon injuries. Secondary treatment of these problems includes tenolysis, one or two stages flexor tendons reconstruction by grafts or even the use of tendon prosthesis. The mechanism and severity of injury, the status of the surrounding tissues and injured finger, the presence of associated lesions, the age of the patient, post-operative management, patient motivation and the surgeon^ skill, may all have implications in the final outcome of the tendon reconstruction. A correct evaluation of the problem by means of classifications such as the one described by Boyes, may help the surgeon in choosing the appropriate technique.

肌腱粘连甚至二次肌腱断裂引起严重的手部功能障碍,是屈肌腱损伤修复后常见的并发症。这些病症的二次治疗方法包括:肌腱松解术、采用移植物或肌腱假体的一级或二级屈肌腱重建术。损伤机制和严重程度、周围组织和指损伤的状况、相关病变的存在、患者年龄、术后管理、患者活动以及外科医生手术技能都会影响屈肌腱重建的最终疗效。采取诸如博伊斯描述的分类方法,正确评估该难题也许有助于外科医生选择合适的手术。

 

 

由MediCool医库软件 医学编辑 余晓倩 编译

原文来自:Injury