FLEXOR TENDON REPAIR IN ZONE-II WITH A NEW SUTURE TECHNIQUE AND AN EARLY MOBILIZATION PROGRAM COMBINING PASSIVE AND ACTIVE FLEXION

被引：159

作者：

SILFVERSKIOLD, KL

MAY, EJ

机构：

[1] Division of Hand Surgery, Department of Orthopedic Surgery, Sahlgren Hospital, Gothenburg

来源：

JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1994年 / 19A卷 / 01期

关键词：

D O I：

10.1016/0363-5023(94)90224-0

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：

A new epitendinal suture technique (cross-stitch) was used for flexor tendon repair in zone II in 46 consecutive patients with 55 injured digits. For the first 4 weeks after the operation, the digits were mobilized with a combination of active extension and passive and active flexion. Postoperative tendon excursions and gap formation were measured with intraoperatively placed metal markers. There were two ruptures. In the remaining digits, the mean active distal interphalangeal and proximal interphalangeal range of motion 6 weeks postoperatively was 50 degrees and 83 degrees, respectively. Six months postoperatively the corresponding figures were 63 degrees and 94 degrees. Three weeks postoperatively the mean tendon excursions per 10 degrees of joint motion varied from 82% (distal interphalangeal joint motion) to 88% (proximal interphalangeal joint motion) of the maximum possible. The results indicate that the cross-stitch is a reliable suture technique that, when used in combination with a program incorporating early active and passive flexion, can produce very good results after flexor tendon repair in zone II.

引用

页码：53 / 60

页数：8

共 24 条

[1]

Silfverskiold, Anderson, Two new methods of tendon repair: An in vitro evaluation of tensile strength and gap formation, The Journal of Hand Surgery, 18 A, pp. 58-65, (1993)

[2]

Silfverskiold, May, Tornvall, Flexor digitorum profundus tendon excursions during controlled motion after flexor tendon repair in zone II: A prospective clinical study, The Journal of Hand Surgery, 17 A, pp. 122-131, (1992)

[3]

Cannon, Strickland, Therapy following flexor tendon surgery, Hand Clin, 1, pp. 147-165, (1985)

[4]

Silfverskiold, May, Tornvall, Gap formation during controlled motion after flexor tendon repair in zone II: A prospective clinical study, The Journal of Hand Surgery, 17 A, pp. 539-546, (1992)

[5]

Strickland, Glogovac, Digital function following flexor tendon repair in zone II: a comparison of immobilization and controlled passive motion techniques, J Hand Surg, 5, pp. 537-543, (1980)

[6]

Silfverskiold, May, Tornvall, Tendon excursions after flexor tendon repair in zone II: Results with a new controlled-motion program, The Journal of Hand Surgery, 18 A, pp. 403-410, (1993)

[7]

Silfverskiold, May, Gap formation after flexor tendon repair in zone II. Results with a new controlled motion programme., Scand J Plast Reconstr Surg Hand Surg, 27, pp. 263-268, (1993)

[8]

Cullen, Tolhurst, Lang, Page, Flexor tendon repair in zone II followed by controlled active mobilization, J Hand Surg, 14 B, pp. 392-395, (1989)

[9]

Small, Brenne, Colville, Early active mobilisation following flexor tendon repair in zone 2, J Hand Surg, 14 B, pp. 383-391, (1989)

[10]

Becker, Orak, Duponselle, Early active motion following a bevelled technique of flexor tendon repair: report on fifty cases, J Hand Surg, 4, pp. 454-460, (1979)

← 1 2 3 →