新式缝合法重建指伸肌腱终腱止点的临床研究

doi:10.13418/j.issn.1001-165x.2014.04.029

Abstract

Abstract:

Objective　To introduce a new method for reattachment of the terminal part of the tendons of digital extensors.　Method　The distal interphalangeal joint was fixed in the straight position by Kirschner wire with a diameter of 1.0 mm; a transverse bone tunnel in the base of the distal phalanx was drilled by Kirschner with 1.0 mm in diameter, through which 3/0 double-strand nylon lines were passed through; And the terminal part of the tendons of digital extensors were reattached to the distal phalanx by using the nylon lines. The fingers were maintained in a straight position for 4 to 6 weeks.　Results Postoperative following-up 3 months to 2 years was carried out, no case of tendon rupture again was found. Finger total active movement (TAM) evaluation: Excellent in 20 cases, Good in 6 cases, Excellent rate was 100%.　Conclusion　The suture in reconstruction of terminal extensor tendon insertion is simple in operation, reliable at curative effect.

Key words: Extensor tendons, Bone tunnel, Mallet finger

CLC Number:

R615

YANG Shuai-Zhi, CHEN Lu, LIU Hua-Gui. Clinical studies of novel suture method for re-attaching terminal part of tendons of digital extensors[J]. Chinese Journal of Clinical Anatomy, 2014, 32(4): 491-493.

References

[1] 韦加宁. 韦加宁手外科手术图谱
[M]. 北京：人民卫生出版社，2003:184.

[2] 顾玉东，王澍寰，侍德.手外科手术学
[M].第2版.上海：复旦大学出版社，2010:616.

[3] 梅锦荣，李雄峰，罗斌. 锤状指手术治疗的临床研究
[J]. 中华手外科杂志，2006，22(3 ) :172-173.

[4] 王澍寰. 手外科学
[M]. 第3版. 北京：人民卫生出版社，2011:430-433，436.

[5] 李宝克，马建民，张新正. 弹性外固定治疗锤状指
[J]. 中华手外科杂志，2002，18(1 ) :45.

[6] 李春江，李刚，李文宏，等.治疗锤状指的外固定架的研制及使用
[J].中国骨与关节损伤杂志，2011，26(9 )：862.

[7] 熊革, 中村蓼吾. 石黑法治疗伴撕脱骨折的锤状指
[J]. 中国修复重建外科杂志, 2004, 18(2): 138-141.

[8] 王扬剑，魏鹏，王欣，等. 石黑法治疗伴撕脱骨折锤状指的疗效
[J].现代实用医学，2009,21（10）：1132.

[9] Hallock GG. The Mitek Mini Gill anchor introduced for tendon reinsertion in the hand
[J]. Ann Plastic Surg, 1994, 33: 211-213.

[10] 王欣，陈宏, 王晓峰, 等. 应用微型骨锚重建指伸肌腿终腿止点—附6例报告
[J]. 中华手外科杂志, 2005，21(6)：360-361.

[11] 周平, 李学明. 微型骨锚加克氏针固定治疗外伤性锤状指
[J]. 临床骨科杂志, 2011,14（1）：107.

[12] 杨大平，徐学武，鲁世荣，等. 微型骨锚重建指指伸肌腱中央束止点的生物力学研究和临床应用
[J]. 中华手外科杂志,2001,17（3）：142-144.

[13] Kronlage SC, Faust D. Open reduction and screw fixation of mallet fractures
[J]. J Hand Surg (Br), 2004, 29(1): 135-138.

[14] 丁兴洋，梁好，李凤景，等. 微型螺钉加克氏针固定指伸肌腱止点撕脱骨折24例
[J].实用医学杂志，2011,28（2）:136.

[15] Theivendran K, Mahon A, Rajaratnam V. A novel hook plate fixation technique for the treatment of mallet fractures
[J]. Ann Plast Surg, 2007, 58(1): 112-115.

[16] Teoh LC, Lee JY. Mallet fractures: a novel approach to internal fixation using a hook plate
[J]. J Hand Surg Eur, 2007, 32(1): 24-30.

[17] 刘育凤, 黄金龙, 章庆国. 肌腱与指骨的加强固定治疗I区指伸肌腱损伤
[J]. 中华手外科杂志, 2004, 20(1): 32-33.

[18] 李春江,王斌,高顺红，等. 双套圈经隧道交叉加压缝合法用于指指伸肌腱止点重建
[J]. 中华手外科杂志, 2008, 24（6）：375-376.

[19] 胡洪涌，赵小伟，窦庆寅，等. 指伸肌腱止点形态特点与损伤分型及治疗方法
[J]. 中国临床解剖学杂志，2011, 29(4)：458-460.

[20] 梅锦荣, 李雄峰, 罗斌. 锤状指手术治疗的临床研究
[J]. 中华手外科杂志, 2006, 22(3): 172-173.

[21] 曹松华. 可吸收线编织环扎法治疗锤状指的临床研究
[J]. 中外医学，2011, 27(1):7-8.

Clinical studies of novel suture method for re-attaching terminal part of tendons of digital extensors

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 9

Metrics

Comments

Recommended 0

[1]	Zhang Lei, Wang Rui-han, Tang Zi-hui, Yi Gang, Zhou Xin. Application of digital optimization design in coracoclavicular ligament reconstruction for precise positioning of the bone tunnel [J]. Chinese Journal of Clinical Anatomy, 2023, 41(4): 385-389.
[2]	Zhang Yujun, Ju Jihui, Zhao Qiang, Wang Benyuan, Cheng Heyun, Ju Wen. Anatomical study on the treatment of osseous mallet finger by simple wire compression fixation. [J]. Chinese Journal of Clinical Anatomy, 2023, 41(2): 128-131.
[3]	Wang Gaofei, Zhang Zhufeng, Wei Zhuang. Biomechanical study on V-Y extending terminal tendon of extensor tendon for distal attachment inhuman cadaver hands [J]. Chinese Journal of Clinical Anatomy, 2021, 39(3): 330-335.
[4]	Zhao Wentao, Zhao Min. Applied anatomy study of zoneⅠ extensor terminal tendon insertion and its adjacent tissues [J]. Chinese Journal of Clinical Anatomy, 2021, 39(2): 126-129.
[5]	TAN Zhou-yong, FU Xiao-kuan, TAN Liang, LIU Ying-nan, WEI Rui-hong, FANG Xi-chi, ZHUANG Yong-qing . Anatomical Study of fixing distal interphalangeal joint on treating bony mallet finger by absorption suture tying avulsion fracture fragment [J]. Chinese Journal of Clinical Anatomy, 2020, 38(4): 376-380.
[6]	TAN Zhou-yong, TAN Liang, FU Xiao-kuan, LIU Ying-nan, WEI Rui-hong, FANG Xi-chi, ZHUANG Yong-qing . Clinical anatomical study of skin incision on treating bony mallet finger by absorption suture tying avulsion fracture fragment [J]. Chinese Journal of Clinical Anatomy, 2020, 38(3): 250-253.
[7]	XU Cong1, CHEN Yong-liang, DAI Hai-feng, LI Jia, CAO Xiang-yu, WANG Yong-wei, LiuWen-tao, LU Yong-ming. The study of the tibial tunnel enlargement andmedium-term clinical effects after anatomical single bundle anterior cruciate ligament reconstruction [J]. Chinese Journal Of Clinical Anatomy, 2016, 34(5): 572-576.
[8]	LIU Song-bo, HUANGD Dong, WEI Bao-fu,HUANG Yong-jun, LIU Xiao-chun. Anatomic study on the reconstruction of ligaments between the first cuneiform and second metatarsal base [J]. Chinese Journal Of Clinical Anatomy, 2016, 34(2): 126-129.
[9]	DU Dong, PENG Yong-Jing, FU Xiao-Kuan, FU Jiang, FANG Ti-Che. A new clinical classification and the corresponding treatment of Mallet finger [J]. Chinese Journal of Clinical Anatomy, 2014, 32(4): 494-496.