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《Chinese Journal of Hand Surgery》 2006-03
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Treatment of chronic mallet finger deformity by palmaris longus tendon graft for reconstruction of the terminal tendon

YUAN Fu-sheng, ZHANG Ju , SUN Hong-bin. Department of Hand Surgery, China-Japan Union Hospital of Jilin University, Changchun 130021 , China  
To introduce a surgical procedure for treatment of chronic mallet finger deformity with reliable results. Methods A piece of palmaris longus tendon was used to reconstruct the terminal tendon of the extensor apparatus. Great attention is paid to restoration of the anatomical construction and the biomechanical balance of terminal band. 80 cases with chronic mallet finger deformity were treated by this method in past 14 years. Their results were reviewed. Results Postoperatively the patients were followed for 1 to 11 years. According to Patel' s evaluation standard, there were 18 cases graded as excellent, 57 cases as good, 4 cases as fair, and 1 case as poor. The excellent and good rate was 93.75% . The patients were satisfied with the function and appearance of the fingers. Conclusion Restoring anatomical construction and biomechanical balance of the terminal band of the extensor apparatus by palmaris longus tendon graft is an effective surgical method to treat chronic mallet finger.
【Fund】: 吉林省科技发展计划基金资助项目(20030544-1)
【CateGory Index】: R687.3
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