埋没导引技术重建伸肌腱止点治疗槌状指十例  

Reconstruction of stretch tendon insertion for treating mallet finger with burying guidance technology on 10 cases

作　　者：常兴华[1] 李仕国[1] 王志军[1] 

机构地区：[1]大连大学附属新华医院手足显微外科,辽宁大连116021

出　　处：《中国美容整形外科杂志》2013年第1期19-21,共3页Chinese Journal of Aesthetic and Plastic Surgery

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.

关 键 词：槌状指 埋没导引 指伸肌腱 

分 类 号：R658.2[医药卫生—外科学]