PDF(Pubmed)
Abstract：
UNASSIGNED: The purpose of this study was to examine the clinical outcomes of extensor tendon repairs based on zone of injury.
UNASSIGNED: A retrospective chart review was conducted on all patients who underwent primary extensor tendon repair at our institution. Extensor tendon repairs were performed using a multiple figure-of-8 suture technique for extensor zones 1-4 and a modified Kessler suture technique for extensor zones 5-8. Inclusion criteria included a minimum of 8 weeks of follow-up, complete data available for review, and extensor tendon injury requiring primary surgical repair.
UNASSIGNED: A total of 132 digits were included for analysis: 46 digits in zones 1-4 and 86 digits in zones 5-8. The operative time for zone 1-4 injuries averaged 88.96 minutes, and the operative time for zone 5-8 injuries averaged 114.42 minutes. Final extension was found to be 2.33° for zones 1-4 and 6.66° for zones 5-8. Final flexion was found to be 141.4° for zones 1-4 and 195.3° for zones 5-8. There was 1 infection identified in zones 1-4 and 7 in zones 5-8.
UNASSIGNED: Surgically repaired extensor tendons in zones 1-4 were found to have a statistically significant worse final flexion compared with surgically repaired extensor tendons in zones 5-8. No significant differences were found in final extension, complication rates, and time to full activity. Operative times for zone 5-8 tendon repairs were found to be significantly longer than operative times for zone 1-4 repairs, possibly due to more complex injury patterns seen in the more proximal zones.
UNASSIGNED: A retrospective chart review was conducted on all patients who underwent primary extensor tendon repair at our institution. Extensor tendon repairs were performed using a multiple figure-of-8 suture technique for extensor zones 1-4 and a modified Kessler suture technique for extensor zones 5-8. Inclusion criteria included a minimum of 8 weeks of follow-up, complete data available for review, and extensor tendon injury requiring primary surgical repair.
UNASSIGNED: A total of 132 digits were included for analysis: 46 digits in zones 1-4 and 86 digits in zones 5-8. The operative time for zone 1-4 injuries averaged 88.96 minutes, and the operative time for zone 5-8 injuries averaged 114.42 minutes. Final extension was found to be 2.33° for zones 1-4 and 6.66° for zones 5-8. Final flexion was found to be 141.4° for zones 1-4 and 195.3° for zones 5-8. There was 1 infection identified in zones 1-4 and 7 in zones 5-8.
UNASSIGNED: Surgically repaired extensor tendons in zones 1-4 were found to have a statistically significant worse final flexion compared with surgically repaired extensor tendons in zones 5-8. No significant differences were found in final extension, complication rates, and time to full activity. Operative times for zone 5-8 tendon repairs were found to be significantly longer than operative times for zone 1-4 repairs, possibly due to more complex injury patterns seen in the more proximal zones.
摘要：
UNASSIGNED：本研究的目的是检查基于损伤区域的伸肌腱修复的临床结果。
UNASSIGNED：对在我们机构接受原发性伸肌腱修复的所有患者进行回顾性图表回顾。伸肌肌腱修复是使用1-4区的8字形缝合技术和5-8区的改良Kessler缝合技术进行的。纳入标准包括至少8周的随访，完整的数据可供审查，和伸肌腱损伤需要初次手术修复。
UNASSIGNED：总共包括132位数字用于分析：区域1-4中的46位数字和区域5-8中的86位数字。1-4区损伤的手术时间平均为88.96分钟,5-8区受伤的手术时间平均为114.42分钟。发现区域1-4的最终延伸为2.33°,区域5-8的最终延伸为6.66°。发现区域1-4的最终屈曲为141.4°，区域5-8的最终屈曲为195.3°。在区域1-4和区域5-8中的7中鉴定出1种感染。
UNASSIGNED：与5-8区手术修复的伸肌肌腱相比，1-4区手术修复的伸肌肌腱具有统计学上显著更差的最终屈曲。在最终扩展中没有发现显着差异，并发症发生率,和充分活动的时间。发现5-8区肌腱修复的手术时间明显长于1-4区修复的手术时间。可能是由于在更近的区域看到更复杂的损伤模式。
UNASSIGNED：对在我们机构接受原发性伸肌腱修复的所有患者进行回顾性图表回顾。伸肌肌腱修复是使用1-4区的8字形缝合技术和5-8区的改良Kessler缝合技术进行的。纳入标准包括至少8周的随访，完整的数据可供审查，和伸肌腱损伤需要初次手术修复。
UNASSIGNED：总共包括132位数字用于分析：区域1-4中的46位数字和区域5-8中的86位数字。1-4区损伤的手术时间平均为88.96分钟,5-8区受伤的手术时间平均为114.42分钟。发现区域1-4的最终延伸为2.33°,区域5-8的最终延伸为6.66°。发现区域1-4的最终屈曲为141.4°，区域5-8的最终屈曲为195.3°。在区域1-4和区域5-8中的7中鉴定出1种感染。
UNASSIGNED：与5-8区手术修复的伸肌肌腱相比，1-4区手术修复的伸肌肌腱具有统计学上显著更差的最终屈曲。在最终扩展中没有发现显着差异，并发症发生率,和充分活动的时间。发现5-8区肌腱修复的手术时间明显长于1-4区修复的手术时间。可能是由于在更近的区域看到更复杂的损伤模式。
