指浅屈肌腱束修复指间关节侧副韧带断裂

目的 介绍应用指浅屈肌腱束加强修复近节指间关节侧副韧带断裂的方法及疗效。方法 自１９８７年以来，对２３例２３指近节指间关节侧副韧带断裂，采用部分指浅屈肌腱显微技术加强修复。用细克氏针在侧副韧带起点外向健侧钻两个相距２～３ｍｍ骨孔穿过钢丝，切开屈肌腱鞘，从指浅屈肌腱一侧近端切取所需长度肌腱束，此肌腱束穿过钢丝孔，保持肌腱束的合适张力，用５／０～７／０无创线缝合于浅腱止点，应用８／０针结将肌腱束缝合于

REPAIR OF COLLATERAL LIGAMENT RUPTURE IN THE INTERPHALANGEAL JOINT USING SUPERFICIAL FLEXOR TENDON OF FINGER

Objective To introduce the surgical procedure and clinical result of microsurgical repair on collateral ligament rupture in the interphalangeal joint using superficial flexor tendon of finger. Methods\ From 1987, 23 cases with collateral ligament rupture in the interphalangeal joint were repaired by part of superficial flexor tendon of finger. The initial point of collateral ligament was drilled two holes, 2 to 3 mm in distance, and crossed by steel wire. Then the superficial flexor tendon of finger was crossed under the steel wire and sutured to the terminal point of superficial flexor tendon of finger by 5/0 to 7/0 nontraumatic suture thread to maintain suitable tension, and sutured to collateral ligament by 8/0 nontraumatic suture thread. Extension splint fixation was performed 4 to 6 weeks postoperatively. Results\ Followed up 3 to 6 months, 15 cases were excellent, 6 cases were better, 2 cases were moderate, and the excellent rate was 91.34% according to Saetta standard. Conclusion Microsurgical repair on collateral ligament rupture in the interphalangeal joint using superficial flexor tendon of finger is a convenient and effective surgical method.