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带血管蒂的掌长肌腱移植治疗复合性手指屈肌腱损伤

TRANSPLANTATION OF THE PALMARIS LONGUS TENDON WITH A VASCULAR PEDICLE FOR THE COMPLEX INJURY OF THE DIGITAL FLEXOR TENDON

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【作者】 陈秉礼陈文直黄朝梁赵大渝姜均本余勇

【Author】 Chen Bingli, Chen Wenzhi, Huang Chaoliang, et al. Department of Orthopaedic Surgery, Second Teaching Hospital, Chongqing University of Medical Sciences. Chongqing, 630010

【机构】 重庆医科大学附属第二医院骨科重庆医科大学解剖教研室重庆医科大学解剖教研室 630010630010630010

【摘要】 为了寻求一种治疗严重复合性手指屈肌腱损伤的新方法,进行了30个尸体的掌长肌腱血供来源的研究。为3例严重复合性手指屈肌腱损伤患者进行了带尺血管蒂或静脉动脉化血管蒂的掌长肌腱移植,效果满意。其主要优点为:①所移植的肌腱有血供,不需再血管比且成活,从而可减少粘连。②除可修复肌腱缺损外,同时能修复软组织和皮肤缺损。

【Abstract】 In order to seek a good method to treat the severe, complex damage of the digital flexor tendon, an anatomical study based on 30 cadavers was done, and the result showed that the source of the blood supply to the palmaris longus tendon was from the radial and ulnar arteries. Three cases of severe complex digital flexor tendon injuries were satisfactory. Its main advantages were: (1) The tendon transplant had its own blood supply and had no need to the revascularization, therefore the adhesion formed between the tendon and ad- jacent tissues might be less; (2)Besides reparing the tendon defect, it can simultaneously solve the problem of the defect of the soft tissues and the skin.

  • 【文献出处】 中国修复重建外科杂志 ,Chinese Journal of Reparative and Reconstructive Surgery , 编辑部邮箱 ,1993年02期
  • 【被引频次】1
  • 【下载频次】8
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