CAJ | 학술논문

目的：探讨无人区屈指肌腱陈旧性断裂改良手术重建治疗的疗效。方法收治屈指肌腱陈旧性断裂患者30例，一期硅胶管植入，二期取出硅胶管，植入包裹可吸收生物膜的掌长肌，采用手指总主动活动度(TAM)评价效果。结果30例患者(54指)中优30指，良20指，中4指，优良率92.6%。结论改良手术治疗可有效地防止术后肌腱粘连。
목적：탐토무인구굴지기건진구성단렬개량수술중건치료적료효。방법수치굴지기건진구성단렬환자30례，일기규효관식입，이기취출규효관，식입포과가흡수생물막적장장기，채용수지총주동활동도(TAM)평개효과。결과30례환자(54지)중우30지，량20지，중4지，우량솔92.6%。결론개량수술치료가유효지방지술후기건점련。
Objective To explore the effect of reconstruction on old rupture of finger flexor tendon. Methods There were 30 patients (54 fingers) with old rupture of finger flexor tendon. The silica gel stick was implanted at the first stage. The palmaris longus tendon wrapped in the bioabsorbable membrane replaced the silica gel stick and was implanted at the second stage. The effectiveness was assessed by total ac-tive movement (TAM). Results There were 30 fingers as excellent, 20 fingers as good among 54 fingers of 30 patients. The percent of excel-lent and good was 92.6%. Conclusion Modified reconstruction is effective to prevent from tendon adhesion.