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柔肌修复后的柔肌解剖的临床结果,区域2-3:回顾性审查

Christian Shigley¹, Annie Squires², Chelsea Boe³

¹Department of Orthopedic Surgery and Sports Medicine, University of Washington, Seattle, WA.

Journal of hand surgery global online

|February 20, 2026

概括

柔性解手术可以显著改善手指运动后肌修复当恢复摊位. 虽然一般有效,但初级修复的结果比修复案例更好.

科学领域:

整形外科手术整形外科手术
手术手术手术手术手术
重建性手术是一种重建性手术.

背景情况:

在区域2和区域3的曲肌修复后,手指的硬和粘附是常见的.
当活跃的曲恢复高原时,曲器解是一种手术选择,但结果数据有限.

研究的目的:

为了评估柔肌修复后柔肌溶解改善数字运动的有效性.
为了确定影响曲器抗解后结果的因素.

主要方法:

过去10年来,在一次性曲肌修复后,对曲肌松解的患者记录进行了回顾性审查.
评估临床结果,包括活动运动范围 (AROM),总活动运动 (TAM),疼痛和复合曲.

主要成果:

31名患者的68个数字显示,12周后TAM (146.8°至183.5°) 和PIP关节AROM (46.1°至60.0°) 显著改善.
复合曲从远距离手掌纹的2.5厘米改善到1.9厘米.
一半的数字取得了优秀/良好的结果 (修改的斯特里克兰得分);重复手术是最常见的并发症 (3%的曲肌破裂).

结论:

柔软肌溶解是有效的改善运动在区域2-3柔软肌修复后的硬的情况下.
初级修复和孤立的肌损伤与修复解,双重修复或神经损伤相比,产生更好的结果.

关键词:

曲合约曲合约曲合约柔性器张力分解 (Flexor) 是一种创伤是一个创伤.

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