目的：探讨骨锚钉重建指伸肌腱止点的临床疗效。方法对2011年8月-2013年11月收治的11例指伸肌腱止点撕脱患者，采用克氏针将远侧指间关节固定于过伸位，然后将骨锚钉置入远节指骨基底背侧指伸肌附着处，再用锚钉尾部缝线与撕脱的指伸肌腱缝合重建止点。利用Dargan方法评定疗效。结果本组病例均获得3～9个月随访，平均5.3个月，Dargan方法评定：优8例，良3例。8周左右复查 X线片均未见骨锚松动、脱落。结论骨锚钉重建指伸肌腱止点是一种有效的手术方法，疗效可靠。%Objective To investigate curative effect of bone anchors in reconstruction of terminal extensor tendon insertion. Methods 11 patients with terminal extensor tendon avulsion who were treated by using bone Anchor. The distal interphalangeal joint was fixed in over-extension position with a Kirsclrner wire. The anchor was planted in the base of the distal phalanx where extensor attached, and then its tail sutures were woven into the terminal extensor tendon to reconstruct the insertion. the efficacy were evaluated by the Dargan method. Results All the 11 patients were followed up for 3 to 9 months with an average of 5.3 months postoperatively. According to Dargan scales, the result was excellent in 8, good in 3. X-ray showed that no loosening or defluxion was found in 8 weeks after operation. Conclusion Reconstruction insertion of extensor tendon by bone anchor is an effective method, the curative effect is reliable.
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