Free tendon graft for the old isolated flexor digitorum profundus injury |
Poong Taek Kim,Ik Dong Kim,Hak Soo Kim,Hee Soo Kyung |
수지의 진구성 심지굴건 단독손상시 시행한 건이식술 |
김풍택,김익동,김학수,경희수 |
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Abstract |
Twenty patients were admitted to the Department of Orthopedic Surgery, Kyungpook National University Hospital with isolated flexor digitorum profundus injury of the fingers from January 1993 to December 1996. Age range is from 8 to 40 years. Only those demonstrating strong motivation, full passive motion, and abscence of bone or severe skin injuries were considered candidates. Tendon graft donor site was palmaris longus in all cases. All grafts were placed around the superficialis tendon decussation. Measurement of passive tendon excursion were considered critical in the selection of a motor for the tendon graft. All graft motors could be passively extended to 30mm. The result of long term follow-up of these patients are as follows. 1. Average active distal interphalangeal joint was 65 degrees following surgery. 2. Analysis of results according to finger( index, long, ring, small ) demonstrates that motion issimilar in all fingers. 3. According to Stark,s criteria, 19 of the 20 patients had a satisfactory result. 4. The interval from tendon injury to tendon graft did not influence the operational result. 5. We suggest that, in properly motivated patients, tendon graft replacement of isolated profundus tendon injuries can give satisfactory results independent of age. |
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