摘要
目的探讨钮孔畸形矫正术后远指间关节（Distal Interphalangeal Joint，DIPJ）制动的必要性。方法随访2010年8月-2013年2月收治并手术矫正的30例（指）伸肌腱中央腱柬损伤患者。手术均采用切断指伸肌腱中央束远、近断端瘢痕并重叠缝合的术式。按术后夹板固定DIPJ与否随机分为两组，采用关节总活动度（TAM）方法评定两组患者的手指功能。结果本组30例平均随访2．7个月，钮孔畸形均得到矫正，无钮孔畸形复发病例。术后未制动组出现DIPl继发类锤状指畸形3例，制动组未出现类似并发症。两组患者手指功能评分情况无显著性差异。结论钮孔畸形术后制动DIPT可有效预访该关节类锤状指并发症的发生，对患指术后功能恢复无显著影响，建议钮孔畸形术后常规予以DIPJ制动。
Objectiv operative treatment （30 fingers） received e To discuss the necessity of a splint to hold DIP joint in full extension a after of Chronic Buttonhole Deformity. Methods From 2010.8 to 2013.2. Total 30 cases the procedure： incised the stretched scarring ends of the central slip, then foldde the ends of them and sutured together, the PIP joint （Proximal Interphalangeal Joint） was fixed with a 1.2 mm Kirschner wire.15 cases received a splint to hold DIP joint in full extension, another 15 cases didn＇t use the DIP joint splint, allowing active DIP flexion. At 6th week, the Kirschner wire was removed, passive flexion was allowed. Results 30 patients with an average follow-up of 2-3 months, No recurrence. 3 cases had the complication of mallet finger deformity in the 15 cases who didn＇t receive external fixation of DIP joint. And the 15 cases whO received a splint to hold DIP joint in extension did not have this complication. Of these patients klmost all had good to excellent outcome in terms of total active movement （TAM）. There was no significant difference in the two groups. Conclusion Our findings indicate a necessity to apply a splint to hold DIP joint in extension after surgical correction of Chronic Buttonhole Deformity.
出处
《实用手外科杂志》
2015年第4期398-400,共3页
Journal of Practical Hand Surgery
关键词
伸肌肌腱
术后并发症
钮扣状畸形
锤状指
Extensor tendon
Postoperative complications
Chronic buttonhole deformity
Mallet finger deformity
