BONE SUTURE ANCHORS IN HAND SURGERY

被引:47
作者
SKOFF, HD [1 ]
HECKER, AT [1 ]
HAYES, WC [1 ]
SEBELLSKLAR, R [1 ]
STRAUGHN, N [1 ]
机构
[1] HARVARD UNIV,SCH MED,DEPT ORTHOPAED SURG,BOSTON,MA
关键词
D O I
10.1016/S0266-7681(05)80062-2
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The recent development of small bone suture anchors has created potential applications in reconstructive surgery of the hand and wrist. A combined laboratory and clinical study was devised to evaluate their use. 16 paired fingers (32 in all) from eight cadaveric hands were disarticulated at the MP joint with a 10 cm tail of FDP tendon. The FDP insertion was released in all specimens. In 16 fingers reinsertion was performed with the classic Bunnell technique; in the paired 16 fingers, the repair utilized Acufex 2 mm anchors. There was no significant difference between the two groups regarding load-to-failure at approximately 40 Newtons. The mean stiffness of the anchor repairs was significantly greater than the Bunnell repairs. 19 consecutive patients were prospectively enrolled with a tendon or ligament repair of the hand or wrist using bone anchors. The average age was 41 years and the average length of follow-up was 24 months. All repairs were stable at the time of follow-up. Bone anchors were simple to insert, required less dissection and surgical time than the Bunnell technique and appeared to be reliable in both laboratory and clinical settings.
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页码:245 / 248
页数:4
相关论文
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