Reconstruction of extensor tendon by transplanting heterologous tendon in the treatment of mallet finger
- VernacularTitle:异体肌腱移植重建伸肌腱止点治疗锤状指畸形
- Author:
Jianhua HUANG
;
Jibin WU
;
Shanhua YANG
- Publication Type:Journal Article
- From:
Chinese Journal of Tissue Engineering Research
2007;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
AIM: To observe the curative effect of reconstruction of extensor tendon by transplanting heterologous tendon in the treatment of mallet finger deformity. METHODS: Fifteen cases of mallet finger deformity treated by reconstruction insertion of extensor tendon were enrolled at Department of Orthopedics, Xuzhou Hospital Affiliated to Medical College, Southeast University from January 2003 to March 2006. They all participated the observation voluntarily. Two open injury patients were treated with operation in the first emergency phase. The 13 closed injury patients were treated with operation in the first week phase. ①operation method: After brachial plexus anesthesia, an incision was conducted on the back of distal interdigital joint. A bone tunnel was made at 4 mm distance from the digital interphalangeal joint and deviation to the back of distal phalanx. A suit heterologous tendon was passed through the bone tunnel and was sutured with the lateral tendon after crossing on the back of the digital interphalangeal joint (the distal interphalangeal joint in 10?-15? extension by 1.0 mm diameter keith needle). Fixation with plaster splint, function practice of the distal phalanx could be performed when the plaster splint and the keith needle were removed after 6 weeks. Follow-up was done regularly after operation. ②function assessment: The total extension lag angle of metacarpophalangeal joint, proximal articulations interphalangeae, distal articulations interphalangeae at maximal extension position and the distance between finger tip and transverse striation at finger flexion position were measured. 0?indicated excellent flexion and finger tip was over transverse striation at finger flexion; at most -15? indicated good flexion and finger tip touched transverse striation at finger flexion. RESULTS: Totally 15 patients were involved in the result analysis, no drop-out. Postoperative follow up ranged from 2 months to 3 years, with an average of 19.5 months. The wound of all patients was good and no reject reaction. According to Dargan criteria, the overall effective rate was 93.3%. Excellent result was obtained in 12 cases (80%) and good in 2 cases (13.3%). One case was distal interphalangeal joint stiffness and flexion function was not free. CONCLUSION: Reconstruction of extensor tendon is an effective method for mallet finger deformity.
