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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6.	赵颂,童致虹,梁海东,等.防止肌腱粘连的研究进展.实用手外科杂志,2013,27(1):60-63.
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12.	田万成,潘希贵,潘风雨.手外伤早期功能康复医生指导方法.实用手外科杂志,2014,28(3):245-246.
13.	郑炜,易传军,田光磊,等.北京地区急性生活性手外伤流行病学特点研究.中国修复重建外科杂志,2011,25(5):591-596.
14.	崔产明,陈雷,路来金,等.抽出钢丝悬吊法治疗指伸肌腱中央束止点撕脱伤.中华手外科杂志,2012,28(4):213-215.
15.	韦加宁.手外科手术图谱.北京:人民卫生出版社,2003:197-200.
16.	黄飞,孙军健,魏雅莉,等.手背软组织缺损皮瓣修复的临床选择.实用手外科杂志,2012,26(2):99-101.
17.	刘铭波,杨延军,赵波,等.改良抽出钢丝法治疗指伸肌腱止点损伤.中华手外科杂志,2013,29(4):237-238.
18.	侯春林.手部创面修复.中华手外科杂志,2012,28(5):257.
19.	周义波,赵永旭,李晓天.手外伤诊疗的进展.实用手外科杂志,2012,26(2):141-142.

1. 王澍寰.手外科学.2版.北京:人民卫生出版社,2002:460-461.
2. 彭永利,李启朝,顾方瑞,等.改良Mason-Allen缝合技术修复Ⅰ、Ⅱ区指伸肌腱损伤.实用手外科杂志,2010,24(3):193-194.
3. 王澍寰.手部创伤的修复.北京:北京出版社,1977:211-212.
4. 周政,杨志明,解慧琪,等.组织工程肌腱低温储存的初步研究.中国修复建外科杂志,2002,16(5):295-299.
5. 芮永军,施海峰,糜菁熠,等.外伤性掌指关节僵硬的手术治疗.中国修复重建外科杂志,2011,25(5):538-541.
6. 赵颂,童致虹,梁海东,等.防止肌腱粘连的研究进展.实用手外科杂志,2013,27(1):60-63.
7. 潘达德,顾玉东,侍德,等.中华医学会手外科学会上肢部分功能评定试用标准.中华手外科杂志,2000,16(3):130-135.
8. 姜大伟,贾全章.伸指肌腱断裂修复治疗的研究进展.中国矫形外科杂志,2009,17(12):915-917.
9. 朱伟,李玉成,胡琪,等.异体肌腱在修复陈旧性指伸肌腱帽滑脱中的临床应用.中华手外科杂志,2015,31(2):89-91.
10. 高士濂.实用解剖图谱:上肢分册.2版.上海:上海科学技术出版社,2004:268-269.
11. 张友乐,朱伟,孙燕琨,等.手指鞘管区异体滑膜肌腱与自体非滑膜肌腱移植的比较学研究.中华手外科杂志,2006,22(3):131-132.
12. 田万成,潘希贵,潘风雨.手外伤早期功能康复医生指导方法.实用手外科杂志,2014,28(3):245-246.
13. 郑炜,易传军,田光磊,等.北京地区急性生活性手外伤流行病学特点研究.中国修复重建外科杂志,2011,25(5):591-596.
14. 崔产明,陈雷,路来金,等.抽出钢丝悬吊法治疗指伸肌腱中央束止点撕脱伤.中华手外科杂志,2012,28(4):213-215.
15. 韦加宁.手外科手术图谱.北京:人民卫生出版社,2003:197-200.
16. 黄飞,孙军健,魏雅莉,等.手背软组织缺损皮瓣修复的临床选择.实用手外科杂志,2012,26(2):99-101.
17. 刘铭波,杨延军,赵波,等.改良抽出钢丝法治疗指伸肌腱止点损伤.中华手外科杂志,2013,29(4):237-238.
18. 侯春林.手部创面修复.中华手外科杂志,2012,28(5):257.
19. 周义波,赵永旭,李晓天.手外伤诊疗的进展.实用手外科杂志,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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