摘要
目的:评估应用掌长肌腱移植经骨隧道套圈法重建伸肌腱止点治疗锤状指的临床疗效。方法:应用掌长肌腱移植经骨隧道套圈法重建伸肌腱止点治疗锤状指19例(A组),抽出钢丝法重建伸肌腱止点治疗25例(B组),比较两种手术的治疗效果。结果:A组17例得到3～8个月随访,按TAM系统评定方法,优10例,良5例,可1例,差1例,优良率88.2%(15/17)。B组24例得到3～8个月随访,按TAM系统评定方法,优6例,良5例,可5例,差8例,优良率45.8%(11/24)。两组功能优良率差异有统计学意义(P<0.05),A组明显优于B组。结论:应用掌长肌腱移植经骨隧道套圈法重建伸肌腱止点治疗锤状指,操作简单,复发率低,并发症少,疗效满意。
Objective： To evaluate the clinica effects on the treatment of mallet fingers through reconstructing of extensor terminal tendon by binding the transplanted tendon palmaris longus through the bone-tunneland. Method： 19 cases in Group A were treated by reconstruction of extensor terminal tendon with binding the transplanted tendon palmaris longus through the bone-tunnel. 25 cases In Group B were treated by reconstruction of extensor terminal tendon with pulling out wire.Compared curative effects of two operations.Result： 17 cases in Group A took postoperative follow up ranged from 3 months to 8 months. According to TAM functional assessment system, 10 cases were excellent, 5 good, 1 fair and 1 poor, with the choiceness rate of 88.2% （ 15/17 ） . 24 cases in Group B took postoperative follow up ranged from 3 months to 8 months. According to TAM functional assessment system, 6 cases were excellent, 5 good, 5 fair and 8 poor, with the choiceness rate was 45.8% （11/24） .There were statistically differences between the 2 groups （ P〈0.05 ） .The outcomes of Group A was significantly better than the Group B.Conclusion： Application of binding the transplanted tendon palmaris longns through the bone-tunnel are easy and simple to reconstruct of extensor terminal tendon in the treatment of mallet finger, as well as with fewer comnlications, the result is reliable.
出处
《中国医学创新》
CAS
2013年第16期107-109,共3页
Medical Innovation of China
关键词
伸肌腱
锤状指
掌长肌腱
外科手术
Extensor tendon
Mallet finger
Tendon palmaris longus
Surgical operation
