自动屈肌腱恢复-一个简单的方法。

Muhammed Besir Ozturk, Salih Onur Basat, Turgut Kayadibi, Mehmet Karahangil, Ismail Mithat Akan
{"title":"自动屈肌腱恢复-一个简单的方法。","authors":"Muhammed Besir Ozturk,&nbsp;Salih Onur Basat,&nbsp;Turgut Kayadibi,&nbsp;Mehmet Karahangil,&nbsp;Ismail Mithat Akan","doi":"10.1186/1750-1164-7-11","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Zone 2 flexor tendon injuries still represent a challenging problem to hand surgeons despite the well developed surgical techniques and suture materials. Meticulous surgical repair with atraumatic handling of the severed tendon stumps and minimal damage to the tendon sheath are particularly important to prevent postoperative adhesions and ruptures in this area.In zone 2 flexor tendon injuries proximal to the vinculas, the cut ends of the flexor tendons retract to the palm with muscle contraction. To retrieve the severed proximal flexor tendon under tendon sheath and pulley system is very difficult without damaging these structures. Many techniques are described in the literature for the delivery of the retracted proximal tendon stump to the repair site.</p><p><strong>Methods: </strong>In this report we would like to present a simple and relatively atraumatic technique that facilitates passing of the retracted flexor tendon through the pulleys in zone 2. We sutured the proximal tendon stump at the distal palmar crease with 3-0 polypropylene suture and used a 14 gauge plastic feeding tube, acting like a conduit for the passage of straightened needle to the finger.</p><p><strong>Results: </strong>We have used this technique 21 times without any complication in our clinic. We have not seen any suture breakage during the passage or needle breakage due to the bending of the needle.</p><p><strong>Conclusions: </strong>We have found this technique is very simple and very effective in retrieving the retracted tendon stump without causing undue damage to the tendon stump or tendon sheath.</p>","PeriodicalId":87428,"journal":{"name":"Annals of surgical innovation and research","volume":"7 1","pages":"11"},"PeriodicalIF":0.0000,"publicationDate":"2013-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/1750-1164-7-11","citationCount":"1","resultStr":"{\"title\":\"Atraumatic Flexor tendon retrieval- a simple method.\",\"authors\":\"Muhammed Besir Ozturk,&nbsp;Salih Onur Basat,&nbsp;Turgut Kayadibi,&nbsp;Mehmet Karahangil,&nbsp;Ismail Mithat Akan\",\"doi\":\"10.1186/1750-1164-7-11\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Zone 2 flexor tendon injuries still represent a challenging problem to hand surgeons despite the well developed surgical techniques and suture materials. Meticulous surgical repair with atraumatic handling of the severed tendon stumps and minimal damage to the tendon sheath are particularly important to prevent postoperative adhesions and ruptures in this area.In zone 2 flexor tendon injuries proximal to the vinculas, the cut ends of the flexor tendons retract to the palm with muscle contraction. To retrieve the severed proximal flexor tendon under tendon sheath and pulley system is very difficult without damaging these structures. Many techniques are described in the literature for the delivery of the retracted proximal tendon stump to the repair site.</p><p><strong>Methods: </strong>In this report we would like to present a simple and relatively atraumatic technique that facilitates passing of the retracted flexor tendon through the pulleys in zone 2. We sutured the proximal tendon stump at the distal palmar crease with 3-0 polypropylene suture and used a 14 gauge plastic feeding tube, acting like a conduit for the passage of straightened needle to the finger.</p><p><strong>Results: </strong>We have used this technique 21 times without any complication in our clinic. We have not seen any suture breakage during the passage or needle breakage due to the bending of the needle.</p><p><strong>Conclusions: </strong>We have found this technique is very simple and very effective in retrieving the retracted tendon stump without causing undue damage to the tendon stump or tendon sheath.</p>\",\"PeriodicalId\":87428,\"journal\":{\"name\":\"Annals of surgical innovation and research\",\"volume\":\"7 1\",\"pages\":\"11\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2013-09-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1186/1750-1164-7-11\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Annals of surgical innovation and research\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1186/1750-1164-7-11\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of surgical innovation and research","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1186/1750-1164-7-11","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 1

摘要

背景:尽管手术技术和缝合材料都很发达,但2区屈肌腱损伤仍然是手外科医生面临的一个具有挑战性的问题。对断肌腱残端进行无创性的手术修复和对肌腱鞘的最小损伤对于防止该区域的术后粘连和断裂尤为重要。在靠近血管的第2区屈肌腱损伤中,屈肌腱的切端随肌肉收缩缩回到手掌。在肌腱鞘和滑轮系统下恢复断裂的近端屈肌腱是非常困难的。文献中描述了许多技术用于将收缩的近端肌腱残端运送到修复部位。方法:在本报告中,我们想提出一种简单且相对无创伤的技术,使收缩的屈肌腱通过2区滑轮。我们使用3-0聚丙烯缝线在掌端皱褶处缝合近端肌腱残端,并使用14号塑料喂养管,作为导管将拉直的针头通过手指。结果:临床应用该技术21次,无并发症发生。我们没有看到任何缝线断裂在通道中或针断裂由于针的弯曲。结论:我们发现该技术非常简单,非常有效地恢复收缩的肌腱残端,而不会对肌腱残端或肌腱鞘造成不必要的损伤。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

摘要图片

摘要图片

摘要图片

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Atraumatic Flexor tendon retrieval- a simple method.

Background: Zone 2 flexor tendon injuries still represent a challenging problem to hand surgeons despite the well developed surgical techniques and suture materials. Meticulous surgical repair with atraumatic handling of the severed tendon stumps and minimal damage to the tendon sheath are particularly important to prevent postoperative adhesions and ruptures in this area.In zone 2 flexor tendon injuries proximal to the vinculas, the cut ends of the flexor tendons retract to the palm with muscle contraction. To retrieve the severed proximal flexor tendon under tendon sheath and pulley system is very difficult without damaging these structures. Many techniques are described in the literature for the delivery of the retracted proximal tendon stump to the repair site.

Methods: In this report we would like to present a simple and relatively atraumatic technique that facilitates passing of the retracted flexor tendon through the pulleys in zone 2. We sutured the proximal tendon stump at the distal palmar crease with 3-0 polypropylene suture and used a 14 gauge plastic feeding tube, acting like a conduit for the passage of straightened needle to the finger.

Results: We have used this technique 21 times without any complication in our clinic. We have not seen any suture breakage during the passage or needle breakage due to the bending of the needle.

Conclusions: We have found this technique is very simple and very effective in retrieving the retracted tendon stump without causing undue damage to the tendon stump or tendon sheath.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
期刊最新文献
Novel treatments for complications after bariatric surgery Assessment of central venous catheterization in a simulated model using a motion-tracking device: an experimental validation study Current Outcomes of Laparoscopic Duodenal Switch Benefits of intraoperative endoscopy: case report and review of 300 sleeves gastrectomies Development of automated postoperative enteral nutrition: restricting feeding site inflow to match peristaltic outflow
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1