岳球.远指间关节背侧肌腱及皮肤缺损11例治疗体会[J].实用中西医结合临床,2016,16(10): |
远指间关节背侧肌腱及皮肤缺损11例治疗体会 |
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投稿时间:2016-08-21 修订日期:2016-09-05 |
DOI: |
中文关键词: 微型骨锚钉 掌长肌腱移植 伸肌腱止点 重建 |
英文关键词: Mini anchor The palmaris longus tendon transplantation Extensor terminal tendon Reconstruction. |
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中文摘要: |
【】 目的:探讨远指间关节背侧肌腱及皮肤缺损的治疗方法。 方法: 对11例远指间关节背侧组织缺损伴伸肌腱(及止点)缺损患者采用微型骨锚钉联合掌长肌腱移植重建伸肌腱止点加皮瓣修复术治疗。结 果:术后随访5-18个月所有患者均未发生创口感染及骨锚植入后异物反应。1例4个月后患指下垂,二期行关节融合。手功能评定标准采用 Dargan 功能评定法:优 5例,良 4 例,尚可 1 例,差 1 例,优良率达81.8%。结论:采用微型骨锚钉联合掌长肌腱移植重建伸肌腱止点加皮瓣修复术治疗远指间关节背侧肌腱及皮肤缺损,能取得良好疗效,是一种值得推广的治疗方法。 |
英文摘要: |
【】 Objectiven: To explore the method of treatingSdorsalSdistal interphalangealSjoint tendonSand skin defect. Methods In 11 cases ofSdistal interphalangealSjoint dorsalStissue defect withSextensor tendonS(andstop point)Sof defects in patients withSmini anchorSjointSpalmaris longusStendon transplantation for reconstruction ofSextensor tendonSand skin flapSrepair. Results The follow-up of 5-18 months,Sall patients had not occurredSwound infectionSand bone anchor foreign body reaction.SIn 1 casesSafter 4 monthsStodroop,Sphase twoSjoint fusion.SThe standardShand function evaluationSby using the DarganfunctionSevaluation:Sexcellent in 5 cases,Sgood in 4 cases,Sfair in 1 case,Spoor in 1 cases,the excellent and good rate was 81.8%. Conclusion Using mini anchorSjointSpalmaris longusStendon transplantation for reconstruction ofextensor tendon and skin flapSrepair in treatment ofSdistal interphalangeal jointSdorsaltendonSand skin defect,Scan achieve good effect,Sis a worthy of popularizingStreatment method. |
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