Tendon Reconstruction for the Rheumatoid Hand

被引:8
|
作者
Schindele, Stephan F. [1 ]
Herren, Daniel B. [1 ]
Simmen, Beat R. [1 ]
机构
[1] Schulthess Clin, Dept Upper Extrem & Handsurg, CH-8008 Zurich, Switzerland
关键词
Rheumatoid arthritis; Tendon rupture; Tendon reconstruction; Tendon graft; Tendon transfer; EXTENSOR TENDONS; FLEXOR TENDONS; ARTHRITIS; RUPTURES; REPAIR; WRIST;
D O I
10.1016/j.hcl.2010.10.004
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
Tendon involvement in rheumatoid arthritis is frequent and might even be the first sign of the disease. In long-standing untreated conditions, especially in combination with bony erosions, tenosynovitis may lead to tendon fraying and finally tendon rupture. Tendon reconstruction includes tendon grafting and tendon transfer. Direct repair is almost never possible in patients with rheumatoid arthritis, because the inflammatory process produces extensive tendon damage over a long distance. In patients with significant impaired joint function, additional joint treatment should be planned at the same time as tendon reconstruction.
引用
收藏
页码:105 / +
页数:10
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