摘要
目的根据锤状指损伤的不同类型采用抽出钢丝、直接缝合和锚钉等不同治疗方法,并分析其疗效。方法1999—2006年,对63例锤状指的患者采用三种不同的手术方法进行治疗,其中15例行指伸肌腱直接缝合,38例行可抽出钢丝缝合,10例行锚钉固定术。结果术后全部患者均获得0.4～4.5年的随访,平均2.3年。按TAM法疗效评定:优48例,良15例,优良率为100%。结论采用手术方法治疗锤状指,操作简单,疗效确实,锚钉是一种治疗指伸肌腱撕脱的有效方法。
Objective To introduce and evaluate various procedures of treating mallet finger. With the methods of pull-out wire, suture, anchor, and so on. Study the outcome and find a optimal strategy of mallet finger. Methods From 1999 to 2006, 63 cases of mallet finger were treated with three types of procedures. Fifteen cases were treated with direct suture of the extensor tendon. Thirty-eight cases had tendon to bone reattachment with pull-out wire. Ten cases were treated with Mitek anchor fixation. Results All cases were followed-up for an average of 2.3 years （range 0.4-4.5 years）. According to the TAM criteria the results were graded as excellent in 48 cases and good in 15 cases, with 100% overall satisfactory rate. Conclusion Mallet finger can be treated effectively by surgery. Anchoring of the avulsed extensor tendon is an effective method.
出处
《中华手外科杂志》
CSCD
北大核心
2007年第2期87-88,共2页
Chinese Journal of Hand Surgery
基金
十五国家攻关计划基金(2003BA712A11-13)
关键词
腱损伤
外科手术
治疗结果
Tendon injuries
Surgical procedures, operative
Treatment outcome
