CAJ | 학술논문

目的:评估应用掌长肌腱移植经骨隧道套圈法重建伸肌腱止点治疗锤状指的临床疗效.方法:应用掌长肌腱移植经骨隧道套圈法重建伸肌腱止点治疗锤状指19例(A组),抽出钢丝法重建伸肌腱止点治疗25例(B组),比较两种手术的治疗效果.结果:A组17例得到3~8个月随访,按TAM系统评定方法,优10例,良5例,可1例,差1例,优良率88.2%(15/17).B组24例得到3~8个月随访,按TAM系统评定方法,优6例,良5例,可5例,差8例,优良率45.8%(11/24).两组功能优良率差异有统计学意义(P<0.05),A组明显优于B组.结论:应用掌长肌腱移植经骨隧道套圈法重建伸肌腱止点治疗锤状指,操作简单,复发率低,并发症少,疗效满意.
목적:평고응용장장기건이식경골수도투권법중건신기건지점치료추상지적림상료효.방법:응용장장기건이식경골수도투권법중건신기건지점치료추상지19례(A조),추출강사법중건신기건지점치료25례(B조),비교량충수술적치료효과.결과:A조17례득도3~8개월수방,안TAM계통평정방법,우10례,량5례,가1례,차1례,우량솔88.2%(15/17).B조24례득도3~8개월수방,안TAM계통평정방법,우6례,량5례,가5례,차8례,우량솔45.8%(11/24).량조공능우량솔차이유통계학의의(P<0.05),A조명현우우B조.결론:응용장장기건이식경골수도투권법중건신기건지점치료추상지,조작간단,복발솔저,병발증소,료효만의.
@@@@Objective:To evaluate the clinica effects on the treatment of mallet fingers through reconstructing of extensor terminal tendon by binding the transplanted tendon palmaris longus through the bone-tunneland. Method:19 cases in Group A were treated by reconstruction of extensor terminal tendon with binding the transplanted tendon palmaris longus through the bone-tunnel. 25 cases In Group B were treated by reconstruction of extensor terminal tendon with pulling out wire.Compared curative effects of two operations.Result:17 cases in Group A took postoperative follow up ranged from 3 months to 8 months. According to TAM functional assessment system,10 cases were excellent,5 good,1 fair and 1 poor, with the choiceness rate of 88.2%(15/17). 24 cases in Group B took postoperative follow up ranged from 3 months to 8 months. According to TAM functional assessment system,6 cases were excellent,5 good,5 fair and 8 poor,with the choiceness rate was 45.8%(11/24).There were statistically differences between the 2 groups (P<0.05).The outcomes of Group A was significantly better than the Group B.Conclusion:Application of binding the transplanted tendon palmaris longus through the bone-tunnel are easy and simple to reconstruct of extensor terminal tendon in the treatment of mallet finger,as well as with fewer complications, the result is reliable.