摘要
【摘要】目的介绍应用埋没导引技术重建伸肌腱止点治疗槌状指的方法和临床效果。方法对10例腱部新鲜断裂（发病2周以内），远端肌腱〈2mm或肌腱断端撕裂较重，不平整，以及撕脱骨块细小或碎裂者，应用埋没导引技术将断裂的伸肌腱终腱近端用3-0尼龙线，Kessler法固定于末节指骨的生理止点上；术后均用7号注射针头固定远侧指间关节（DIP）于过伸位6周。结果术后平均随访4．8个月，TAM法评估远侧指间关节活动度的优良率达80％。结论埋没导引技术应用于槌状指止点重建术中，可取代骨锚置入法，疗效满意。
Abstract： Objective To introduce the application and effect of burying guidance technology on recon- structing stretch tendon insertion for treatment of mallet finger. Methods Ten cases of mallet finger （ tendon rupture within 2 weeks）, distal tendon less than 2 mm or tendon broken end tearing heavier, uneven, and avulsed with small or shatter bone block were restored by burying guidance technology to fix the extensor tendon end, using kessler method with 3-0 nylon line, after that NO. 7 needle fixed distal interphalangeal joint （DIP） in hyperextension over 6 weeks. Results The average follow-up was 4.8 months. TAM method evaluation dis- tal interphalangeal activity was： 80% were fineness and all fractures healed. Conclusion Burying guidance technique is applied to hammer finger insertion reconstruction. It can replace bone anchor placement method and the results were satisfactory.
出处
《中国美容整形外科杂志》
CAS
2013年第1期19-21,共3页
Chinese Journal of Aesthetic and Plastic Surgery
关键词
槌状指
埋没导引
指伸肌腱
Mallet finger
Bury guidance
Extensor tendon of finger
