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首页> 外文期刊>The Journal of hand surgery, European volume >Re-repair of ruptured primary flexor tendon repairs in Zones I and II of the fingers in children
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Re-repair of ruptured primary flexor tendon repairs in Zones I and II of the fingers in children

机译：对儿童手指的I区和II区断裂的主屈肌腱修复进行修复

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摘要

The aetiology, management, and results of acute rupture of primary flexor tendon repairs in Zones I and II of the fingers in children have not been previously investigated. The author reports on a personal series of 10 children treated over a period of 13 years. The aetiology is different when compared with adults: children less than 5 years of age usually rupture their primary repairs whilst the hand is completely immobilized in a cast; whereas teenagers usually rupture their tendons when falling down while playing. In the current series, direct re-repair was performed without lengthening at the musculo-tendinous junction, and no free tendon grafts were used. The results were worse than other paediatric series of primary flexor tendon repairs. Using the Strickland-Glogovac criteria, there was only one excellent outcome, the remaining nine being either a good (n = 5) or fair (n = 4) outcome.
机译：先前尚未对儿童手指的I区和II区的原发性屈肌腱修复的病因，治疗方法和急性断裂结果进行过调查。作者报告了在13年内接受治疗的10名儿童的个人系列。与成人相比，其病因学有所不同：5岁以下的儿童通常在将手完全固定在石膏模型中时会破坏主要的修复;青少年通常在比赛中摔倒时会断裂肌腱。在当前的系列中，进行了直接修复而不在肌腱连接处加长，并且没有使用游离的肌腱移植物。结果比其他小儿系列原发性屈肌腱修复术差。使用Strickland-Glogovac标准时，只有一个出色的结果，其余九个是好结果（n = 5）或中等结果（n = 4）。

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