DOUBLE LOOP LOCKING SUTURE - A TECHNIQUE OF TENDON REPAIR FOR EARLY ACTIVE MOBILIZATION .2. CLINICAL-EXPERIENCE

被引:54
作者
LEE, H
机构
[1] Division of Plastic Surgery, West Virginia University, Charleston Division, Charleston, W. Va.
来源
JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1990年 / 15A卷 / 06期
关键词
D O I
10.1016/0363-5023(90)90022-J
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Tendons repaired by double loop locking sutures show sufficient strength to allow early active mobilization under protective splint. Clinical experience with 51 tendons repaired by this technique resulted in satisfactory functional recovery. Eleven flexors in zone II showed excellent results in 10 and good results in 1 by the Strickland formula. Early active mobilization of repaired tendons with double loop locking sutures seems to enhance their healing by the intrinsic mechanism and reduce extrinsic adhesion formation and stiff joints. © 1990.
引用
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页码:953 / 958
页数:6
相关论文
共 19 条
[1]  
Conway, Smith, Elliott, Stuides on the revascularization of tendons grafted by the silicone rod technique, J Plast Reconstr Surg, 46, pp. 582-587, (1970)
[2]  
Hunter, Salisbury, Flexor-tendon reconstruction in severely damaged hands, J Bone Joint Surg, 53 A, pp. 829-858, (1971)
[3]  
Whiston, Walmsely, The reaction of bone and tendon after tunnelling of bone and insertion of tendon, J Bone Joint Surg, 42 B, pp. 377-386, (1960)
[4]  
Lindsay, McDougall, Digital flexor tendons an experimental study Part III, British Journal of Plastic Surgery, 13, pp. 293-304, (1961)
[5]  
Potenza, The healing of autogenous tendon grafts within the flexor digital sheath in dogs, J Bone Joint Surg, 46 A, pp. 1462-1484, (1964)
[6]  
Duran, Houser, Controlled passive motion following flexor tendon repair in zones 2 and 3, Symposium on tendon surgery in the hand, AAOS, pp. 105-114, (1975)
[7]  
Lundborg, Myrhage, The vascularization and structure of the human digital tendon sheath as related to flexor tendon function, Scand J Plast Reconstr Surg, 11, pp. 195-203, (1977)
[8]  
Lundborg, Myrhage, Rydevik, The vascularization of human flexor tendons within the digital synovial sheath region-structural and functional aspects, J Hand Surg, 2, pp. 417-427, (1977)
[9]  
Smith, Blood supply of tendons, Am J Surg, 109, pp. 272-276, (1965)
[10]  
Hunter, The vincular system and its variations, Tendon surgery in the hand, pp. 24-25, (1987)