Clinical efficacy of central tendon insertion reconstruction by manipulation of the superficial flexor tendon of finger through bone tunnel in the treatment of chronic boutonniere deformity

ZHANG Yujun; JU Jihui; XU Lei; JIN Qianheng; ZHAO Qiang; CHENG Heyun; WANG Benyuan

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Clinical efficacy of central tendon insertion reconstruction by manipulation of the superficial flexor tendon of finger through bone tunnel in the treatment of chronic boutonniere deformity

更新时间：2022-06-24

- Clinical efficacy of central tendon insertion reconstruction by manipulation of the superficial flexor tendon of finger through bone tunnel in the treatment of chronic boutonniere deformity
- null Issue 8, Pages: 657(2021)
- 作者机构：
  
  苏州大学附属瑞华医院手外科,江苏,苏州,215104
- 作者简介：
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ZHANG Yujun, JU Jihui, XU Lei, et al. Clinical efficacy of central tendon insertion reconstruction by manipulation of the superficial flexor tendon of finger through bone tunnel in the treatment of chronic boutonniere deformity. [J]. null (8):657(2021)
DOI：

ZHANG Yujun, JU Jihui, XU Lei, et al. Clinical efficacy of central tendon insertion reconstruction by manipulation of the superficial flexor tendon of finger through bone tunnel in the treatment of chronic boutonniere deformity. [J]. null (8):657(2021) DOI：

摘要

目的探讨应用指浅屈肌腱束经骨隧道重建中央腱止点治疗陈旧性钮孔畸形的临床疗效。方法选取我院应用指浅屈肌腱束经骨隧道重建中央腱止点的中央腱陈旧性损伤患者11例（11指），观察其术后近指间关节（PIP）的稳定性、PIP及远指间关节（DIP）主动屈伸改善情况、手指钮孔畸形纠正情况、外形满意度等指标，根据Caroli功能评定法评价其临床疗效。结果术后11例患者（11指）伤口均一期愈合，均无感染及延迟愈合。术后随访3～26个月，平均7个月，PIP均稳定无松动。术后PIP和DIP屈伸活动度优于术前，差异具有统计学意义（P<0.05）。患者手指钮孔畸形基本得到纠正，外形满意率为91.0%。按照Caroli功能评定法进行评价，优良率为81.8％。结论应用指浅屈肌腱束经骨隧道重建中央腱止点治疗陈旧性钮孔畸形临床效果满意，患者手指外形和功能均可获得较好恢复。

Abstract

关键词

腱损伤止点中央腱钮孔畸形

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