改良式伸肌腱止点重建治疗锤状指畸形 |
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引用本文: | 杨秋生.改良式伸肌腱止点重建治疗锤状指畸形[J].现代保健,2014(20):137-139. |
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作者姓名: | 杨秋生 |
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作者单位: | 广东省佛山市南海区第四人民医院,广东佛山528211 |
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摘 要: | 目的:探讨一种指伸肌腱止点重建的改良固定方法。方法:对2012年12月-2013年12月在本院治疗的20例锤状指患者,术中采用直径1.0mm克氏针将远指间关节固定于过伸位10°-15°,远端预留约2cm并向掌侧弯曲成一钩状.用细钢丝横穿伸肌腱止点经指腹抽出固定于折弯的克氏针上,6周后拔除克氏针及钢丝进行远指间关节屈伸功能锻炼。结果:20例用改良后的方法行伸肌腱止点重建,术后没有发生局部组织坏死和肌踺再断裂,术后随访3-6个月,按Dargan功能评定法:优17例,良2例,尚可1例,差0例,优良率95%。结论:改良后的指伸肌腱止点重建技术有效避免了局部组织坏死,重建效果可靠,值得临床推广。
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关 键 词: | 锤状指 伸肌腱止点重建 改良 固定方法 |
Treatment of Mallet Fingers by Reconstruction Insertion of Modified Extensor Tendon |
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Authors: | YANG Qiu-sheng |
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Institution: | YANG Qiu-sheng |
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Abstract: | Objective: To explore a modified fixation method of reconstruction of extensor tendon insertion point. Method : 20 cases of mallet finger patients were treated from December 2012 to December 2013 in our hospital, the distal interphalangeal joint hyperextension position 10-15 degree by I mm diameter Kirschner wire fixation in operation.The distal remoted about 2. cm and to palmar bent into a hook, with a fine wire acrossed the extensor tendon of finger pulpped extract Kirschner wire fixation in heading,Result: 20 cases with modified method by extensor tendon reconstruction, postoperative no localized tissue necrosis and tendon ruptures, patients were followed up for 3-6 months, according to Dargan function evaluation; excellent in 17 cases, goad in 2 cases, acceptable outcome in 1 cases, poor in 0 cases, the excellent and good rate was 95%,Conclusion: The modified extensor tendon reconstruction technique can effectively avoid the local tissue necrosis, reconstruction and reliable effect, it is worth the clinical promotion. |
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Keywords: | Mallet finger Extensor tendon reconstruction Improvement Fixation method |
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