CAJ | 학술논문

目的观察并分析手术治疗指深屈肌腱Ⅰ区闭合性断裂的临床效果.方法 2000年1月至2011年12月共收治13例指深屈肌腱Ⅰ区闭合性断裂患者,根据Leddy和Packer分型,Ⅰ型3例、Ⅱ型6例、Ⅲ型3例、Ⅳ型1例,采用了抽出钢丝法、螺钉内固定、克氏针内固定等手术方法进行治疗.结果术后10例患者获得随访,时间6个月至5年,平均32个月.远指间关节主动活动范围平均48°,其中5例患者伸直-15.～-30°,平均-18°.按Strickland和Glogovac评分标准评定:优2例,良5例,可1例,差2例.结论早期明确诊断并根据Leddy和Packer分型及时采取相应的手术方法治疗可以取得很好的疗效.
목적 관찰병분석수술치료지심굴기건Ⅰ구폐합성단렬적림상효과.방법 2000년1월지2011년12월공수치13례지심굴기건Ⅰ구폐합성단렬환자,근거Leddy화Packer분형,Ⅰ형3례、Ⅱ형6례、Ⅲ형3례、Ⅳ형1례,채용료추출강사법、라정내고정、극씨침내고정등수술방법진행치료.결과 술후10례환자획득수방,시간6개월지5년,평균32개월.원지간관절주동활동범위평균48°,기중5례환자신직-15.～-30°,평균-18°.안Strickland화Glogovac평분표준평정:우2례,량5례,가1례,차2례.결론 조기명학진단병근거Leddy화Packer분형급시채취상응적수술방법치료가이취득흔호적료효.
Objective To analyze the clinical results of surgical treatment of flexor digitorum profundus tendon closed rupture in zone Ⅰ.Methods Between January 2000 and December 2011,we treated 13 cases of avulsion of the flexor digitorum profundus tendon (zone Ⅰ rupture).There were 3 cases of type Ⅰ,6 cases of type Ⅱ,3 cases of type Ⅲ and 1 case of type Ⅳ rupture according to Leddy and Packer's classification.Pullout wires,K-wires and cortical screws were applied to reattach the ruptured tendons.Results Ten patients were follow-up for 6 months to 5 years,with an average of 32 months after the surgical treatment.The active range of motion of the DIP joint averaged 48°.DIP joint extension reached-15° to-30° in 5 patients averaging -18°.Based on Strickland's criteria and the Glogovac scoring system,the postoperative results were evaluated as excellent in 2 patients,good in 5 patients,fair in 1 patient and poor in 2 patients.Conclusion Early diagnosis of flexor digitorum profundus tendon ruptures and surgical treatment according to Leddy and Packer' s classification can lead to satisfactory clinical outcomes.