医学
滑轮
纤维接头
肌腱
外科
介绍(产科)
电流(流体)
结构工程
地质学
海洋学
工程类
作者
Jin Bo Tang,Donald H. Lalonde,Leila Harhaus,Ahmed Fathy Sadek,Koji Moriya,Zhang Jun Pan
标识
DOI:10.1177/17531934211053757
摘要
The current clinical methods of flexor tendon repair are remarkably different from those used 20 years ago. This article starts with a review of the current methods, followed by presentation of past experience and current status of six eminent hand surgery units from four continents/regions. Many units are using, or are moving toward using, the recent strong (multi-strand) core suture method together with a simpler peripheral suture. Venting of the critical pulleys over less than 2 cm length is safe and favours functional recovery. These repair and recent motion protocols lead to remarkably more reliable repairs, with over 80% good or excellent outcomes achieved rather consistently after Zone 2 repair along with infrequent need of tenolysis. Despite slight variations in repair methods, they all consider general principles and should be followed. Outcomes of Zone 2 repairs are not dissimilar to those in other zones with very low to zero incidence of rupture.
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