EFFECTIVENESS ANALYSIS OF OLD EXTENSOR TENDON INJURY IN ZONE II_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

 ZHUWei , LIYucheng , SHENCheng , HUQi , ZHUJin , YANGChen

Department of Hand Surgery, Beijing Jishuitan Hospital, Beijing, 100035, P. R. China;

Corresponding?author：

ZHUWei, Email: 13651365523@139.com

Keywords：

Old injury; Extensor tendon in zone II; Effectiveness

DOI：

10.7507/1002-1892.20150177

Video：

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Objective To discuss the effectiveness of operative treatments for different kinds of old injury of extensor tendon in zone II so as to choose the best surgical approach based on the classification of injury. Methods Between May 2006 and May 2014, 68 cases of old injury of extensor tendon in zone II were treated. Among them, there were 50 males and 18 females with an average age of 36 years (range, 18-52 years). The causes included contusion injury in 50 cases, avulsion injury in 11 cases, and burn injury in 7 cases. The left side was involved in 21 cases and the right side in 47 cases. The injured finger involved the index finger in 18 cases, the middle finger in 21 cases, the ring finger in 24 cases, and the little finger in 5 cases. The disease duration was 1.5 months to 1 year (mean, 6.75 months). The central slip of extensor was repaired directly in 32 patients who had normal passive motion. Side cross stitch (8 cases) or Littler-Eaton (10 cases) method was used in 18 patients who can not extend actively and passively. Tendon graft was performed in 11 patients with tendon defect. Joint release was given in 7 patients with contracture after burn injury. Results Primary healing of incision was obtained in all cases. Sixty-eight cases were followed up 3-12 months (mean, 6.9 months). Three cases had tendon adhesion in varying degrees and suffered from pain, which was treated conservatively by functional exercise. Recurrence was observed in 2 cases, and extensor tendon was repaired again. According to total active motion (TAM) function assessment, the results were excellent in 52 cases, good in 11 cases, fair in 3 cases, and poor in 2 cases with an excellent and good rate of 92.6%. Conclusion Adaptive operation method for old injury of extensor tendon in zone II should be selected based on the type of injury. The results will be satisfactory if correct method is chosen.

Citation： ZHUWei, LIYucheng, SHENCheng, HUQi, ZHUJin, YANGChen. EFFECTIVENESS ANALYSIS OF OLD EXTENSOR TENDON INJURY IN ZONE II. Chinese Journal of Reparative and Reconstructive Surgery, 2015, 29(7): 818-821. doi: 10.7507/1002-1892.20150177 Copy

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5.	芮永軍,施海峰,糜菁熠,等.外傷性掌指關節僵硬的手術治療.中國修復重建外科雜志,2011,25(5):538-541.
6.	趙頌,童致虹,梁海東,等.防止肌腱粘連的研究進展.實用手外科雜志,2013,27(1):60-63.
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11.	張友樂,朱偉,孫燕琨,等.手指鞘管區異體滑膜肌腱與自體非滑膜肌腱移植的比較學研究.中華手外科雜志,2006,22(3):131-132.
12.	田萬成,潘希貴,潘風雨.手外傷早期功能康復醫生指導方法.實用手外科雜志,2014,28(3):245-246.
13.	鄭煒,易傳軍,田光磊,等.北京地區急性生活性手外傷流行病學特點研究.中國修復重建外科雜志,2011,25(5):591-596.
14.	崔產明,陳雷,路來金,等.抽出鋼絲懸吊法治療指伸肌腱中央束止點撕脫傷.中華手外科雜志,2012,28(4):213-215.
15.	韋加寧.手外科手術圖譜.北京:人民衛生出版社,2003:197-200.
16.	黃飛,孫軍健,魏雅莉,等.手背軟組織缺損皮瓣修復的臨床選擇.實用手外科雜志,2012,26(2):99-101.
17.	劉銘波,楊延軍,趙波,等.改良抽出鋼絲法治療指伸肌腱止點損傷.中華手外科雜志,2013,29(4):237-238.
18.	侯春林.手部創面修復.中華手外科雜志,2012,28(5):257.
19.	周義波,趙永旭,李曉天.手外傷診療的進展.實用手外科雜志,2012,26(2):141-142.

1. 王澍寰.手外科學.2版.北京:人民衛生出版社,2002:460-461.
2. 彭永利,李啟朝,顧方瑞,等.改良Mason-Allen縫合技術修復Ⅰ、Ⅱ區指伸肌腱損傷.實用手外科雜志,2010,24(3):193-194.
3. 王澍寰.手部創傷的修復.北京:北京出版社,1977:211-212.
4. 周政,楊志明,解慧琪,等.組織工程肌腱低溫儲存的初步研究.中國修復建外科雜志,2002,16(5):295-299.
5. 芮永軍,施海峰,糜菁熠,等.外傷性掌指關節僵硬的手術治療.中國修復重建外科雜志,2011,25(5):538-541.
6. 趙頌,童致虹,梁海東,等.防止肌腱粘連的研究進展.實用手外科雜志,2013,27(1):60-63.
7. 潘達德,顧玉東,侍德,等.中華醫學會手外科學會上肢部分功能評定試用標準.中華手外科雜志,2000,16(3):130-135.
8. 姜大偉,賈全章.伸指肌腱斷裂修復治療的研究進展.中國矯形外科雜志,2009,17(12):915-917.
9. 朱偉,李玉成,胡琪,等.異體肌腱在修復陳舊性指伸肌腱帽滑脫中的臨床應用.中華手外科雜志,2015,31(2):89-91.
10. 高士濂.實用解剖圖譜:上肢分冊.2版.上海:上海科學技術出版社,2004:268-269.
11. 張友樂,朱偉,孫燕琨,等.手指鞘管區異體滑膜肌腱與自體非滑膜肌腱移植的比較學研究.中華手外科雜志,2006,22(3):131-132.
12. 田萬成,潘希貴,潘風雨.手外傷早期功能康復醫生指導方法.實用手外科雜志,2014,28(3):245-246.
13. 鄭煒,易傳軍,田光磊,等.北京地區急性生活性手外傷流行病學特點研究.中國修復重建外科雜志,2011,25(5):591-596.
14. 崔產明,陳雷,路來金,等.抽出鋼絲懸吊法治療指伸肌腱中央束止點撕脫傷.中華手外科雜志,2012,28(4):213-215.
15. 韋加寧.手外科手術圖譜.北京:人民衛生出版社,2003:197-200.
16. 黃飛,孫軍健,魏雅莉,等.手背軟組織缺損皮瓣修復的臨床選擇.實用手外科雜志,2012,26(2):99-101.
17. 劉銘波,楊延軍,趙波,等.改良抽出鋼絲法治療指伸肌腱止點損傷.中華手外科雜志,2013,29(4):237-238.
18. 侯春林.手部創面修復.中華手外科雜志,2012,28(5):257.
19. 周義波,趙永旭,李曉天.手外傷診療的進展.實用手外科雜志,2012,26(2):141-142.

Chinese Journal of Reparative and Reconstructive Surgery

EFFECTIVENESS ANALYSIS OF OLD EXTENSOR TENDON INJURY IN ZONE II

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