摘要
目的探讨经骨隧道可吸收线逆行打结重建伸肌腱止点治疗锤状指的临床疗效。方法自2019年11月-2021年6月,应用经骨隧道可吸收线逆行打结重建伸肌腱止点治疗11例腱性锤状指患者。其中伤后7~30 d 8例,伤后30~60 d 3例。术中以克氏针支架跨远指间关节外固定,术后不限制患指其他关节活动,并于术后42~50 d拆除克氏针外固定支架。结果术后11例获得5~18个月随访,平均12个月。按Crawford锤状指功能判定法评价:优5例,良5例,可1例。结论经骨隧道可吸收线逆行打结重建伸肌腱止点技术治疗锤状指,手术操作简便,临床效果良好,值得推广应用。
Objective To investigate the clinical effect of reconstruction of extensor tendon by using knot with absorbable line through retrograde transosseous tunnel for treatment of mallet fingers.Methods From November 2019 to June 2021,11 patients with tendinous mallet fingers were treated by reconstruction of extensor tendon by using knot with absorbable line through retrograde transosseous tunnel.8 patients were performed treatment after injuried for 7-30 days and 3 patients were performed treatment after injuried for 30-60 days.During the operation,the external fixation of the distal interphalanx was performed with K-wire.The movement of other joints of the affected finger was not restricted after operation,and the external fixation bracket of the K-wire was removed after operation for 42-50 days.Results Eleven patients were followed up for 5-18 months,with an average of 12 months.According to Crawford's mallet finger function evaluation method,excellent in 5 cases,good in 5 cases and fair in 1 case.Conclusion It is simple and effective in clinical effect to treat mallet fingers using the technique of reconstruction of extensor tendon by using knot with absorbable line through retrograde transosseous tunnel.This surgery is worthy of popularization and application.
作者
王振海
宋庆辰
赵锁柱
张磊
王雷
WANG Zhenhai;SONG Qingchen;ZHAO Suozhu(Department of Orthopedics,The 967th Hospital of Joint Logistics Support Force of PLA,Dalian,Liaoning,116011,China)
出处
《实用手外科杂志》
2022年第3期368-370,共3页
Journal of Practical Hand Surgery
关键词
腱损伤
锤状指
可吸收线
止点重建
Tendon injury
Mallet finger
Resorbable line
Insertion reconstruction of finger extensor tendon
