CAJ | 학술논문

目的手指末节闭合性损伤晚期并发Ⅰ区指伸肌腱损伤的致病因素及其防治方法.方法 2008年5月至2010年5月收治手指末节闭合性损伤患者中晚期并发Ⅰ区指伸肌腱损伤19例,均采取手术治疗.结果术后19例获得随访,时间为6个月,参照手指总的主动活动度(TAM)评定标准:本组优6例,良8例,中3例,差2例；优良率为73.7％.结论手指末节闭合性损伤致Ⅰ区指伸肌腱的血供破坏是晚期并发Ⅰ区指伸肌腱损伤可能的致病原因,伤后患指制动固定是有效的防治方法.
목적 수지말절폐합성손상만기병발Ⅰ구지신기건손상적치병인소급기방치방법.방법 2008년5월지2010년5월수치수지말절폐합성손상환자중만기병발Ⅰ구지신기건손상19례,균채취수술치료.결과 술후19례획득수방,시간위6개월,삼조수지총적주동활동도(TAM)평정표준:본조우6례,량8례,중3례,차2례；우량솔위73.7％.결론 수지말절폐합성손상치Ⅰ구지신기건적혈공파배시만기병발Ⅰ구지신기건손상가능적치병원인,상후환지제동고정시유효적방치방법.
Objective To explore the pathogenic factors of secondary injury of zone Ⅰ extensor tendon in closed injury of distal fingers and provide methods of prevention. Methods A retrospective study of 116 cases with closed injuries of the distal part of fingers between May 2008 and May 2010 was conducted.Secondary injury of extensor tendon at zone Ⅰ was identified in 19 cases which all underwent surgical treatment. Results All 19 cases were follow-up for 6 months.According to total active motion (TAM) scoring,the results were excellent in 6 cases,good in 8 cases,fair in 3 cases,and poor in 2 cases,with the excellent and good rate being 73.7％.Conclusion As a possible pathogenic factor,damage to the blood supply of the extensor tendon due to dosed injury of the distal finger may play an important role in secondary injury of zone Ⅰ extensor tendon.Immobilization of the injured finger is an effective method for prevention.