Russian Journal of Pediatric Surgery, Anesthesia and Intensive CareRussian Journal of Pediatric Surgery, Anesthesia and Intensive CareРоссийский вестник детской хирургии, анестезиологии и реаниматологии2219-40612587-6554Eco-Vector182310.17816/psaic1823ReviewsОбзорыReview ArticleSurgical treatment of children with tendon injuries of deep finger flexor tendons in the zone of fibrosynovial canals in pediatric patients: a reviewХирургическое лечение детей с повреждениями сухожилий глубоких сгибателей пальцев кисти в зоне фиброзно-синовиальных каналов. Обзор литературы儿童手部深屈肌腱损伤的手术治疗：纤维腱鞘区域。文献综述https://orcid.org/0000-0002-4902-79391193-7787IdrisLamiya Ya.ИдрисЛамия Яссер
Russian Federation

MD

idrislamiya@mail.ruhttps://orcid.org/0000-0002-6110-23805229-0038AlexandrovAlexander V.АлександровАлександр Владимирович
Russian Federation

MD

alexmicrosurg@mail.ruhttps://orcid.org/0000-0001-9635-891X2545-8675RybchenokVsevolod V.РыбченокВсеволод Витальевич
Russian Federation

MD, Dr. Sci. (Medicine)

доктор медицинских наук

sevasurgeon@gmail.comhttps://orcid.org/0000-0002-9560-037X6801-9875GoncharukPavel V.ГончарукПавел Викторович
Russian Federation

MD

goncharukpavel@yandex.ruFilatov Children’s City HospitalДетская городская клиническая больница им. Н.Ф. ФилатоваPirogov Russian National Research Medical UniversityРоссийский национальный исследовательский медицинский университет им. Н.И. ПироговаPirogov Russian National Research Medical UniversityРоссийский национальный исследовательский медицинский университет им. Н.И. ПироговаFilatov Children’s City HospitalДетская городская клиническая больница им. Н.Ф. Филатова280920241433914021706202409092024Copyright ©; 2024, Eco-VectorCopyright ©; 2024, Эко-ВекторCopyright ©; 2024,2024Eco-VectorЭко-Векторhttps://creativecommons.org/licenses/by-nc-nd/4.0https://rps-journal.ru/jour/article/view/1823

Almost two millennia have passed since the first description of tendon repair by Claudius Galen (130–200). Repair of damaged flexor tendons of the fingers is a complex and pressing problem worldwide, and especially in relation to tendon damage in children. This literature review describes options for restoring the flexor tendons of the fingers in children. A systematic search was conducted in the databases PubMed, Web of Science, eLibrary, Russian Science Citation Index, and Cyberleninka. Furthermore, 268 articles were analyzed, 127 were reviewed, and 60 on surgical treatment of patients with deep flexor tendon injuries in the fibrosynovial canal zone were selected. The current study presents historical data on surgical repair of flexor tendons and modern treatment methods in combination with rehabilitation protocols. The main disadvantages and advantages are highlighted. Despite significant progress in the development of hand surgery, presently, the number of unsatisfactory functional results of treatment of injuries of the flexor tendons of the fingers of the hand remains high, indicating the importance and significance of the problem of restoration of the flexor tendons in both adults and children. The most difficult problem remains to be the restoration of the flexor tendons of the fingers of the hand in the area of the fibrosynovial canals in children.

С момента первого описания восстановления поврежденного сухожилия, принадлежащего Клавдию Галену (130–200), прошло почти два тысячелетия. Восстановление поврежденных сухожилий сгибателей пальцев кисти является одной из сложных и актуальных проблем как в мире в целом, так и в отношении повреждения сухожилий у детей в особенности. В настоящем обзоре литературы описаны варианты восстановления сухожилий сгибателей пальцев кисти у детей. Систематический поиск проведен в базах данных PubMed, Web of Science, eLibrary, Cyberleninka. Анализу подвергнуты 268 источников, просмотрено 127 статей, отобрано 60 публикаций по хирургическому лечению пациентов с повреждениями сухожилий глубоких сгибателей пальцев кисти в зоне фиброзно-синовиальных каналов. В обзоре представлены исторические данные хирургического восстановления сухожилий сгибателей и современные методы лечения в комбинации с реабилитационными протоколами. Освещены основные недостатки и преимущества с точки зрения автора. Несмотря на существенный прогресс в развитии хирургии кисти, на сегодняшний день количество неудовлетворительных функциональных результатов лечения повреждений сухожилий сгибателей пальцев кисти остается высоким, что безусловно свидетельствует о важности и значимости проблемы восстановления сухожилий сгибателей как у взрослых, так и у детей. Как и прежде, наиболее сложной проблемой остается восстановление сухожилий сгибателей пальцев кисти в зоне фиброзно-синовиальных каналов у детей.

自从Claudius Galena（公元130-200年）首次描述修复损伤的肌腱以来，已经过去了近两千年。修复手部屈肌腱损伤是全球范围内以及儿童损伤特别重要的复杂问题。在本综述中，讨论了儿童手部屈肌腱修复的不同方法。系统性搜索在PubMed、Web of Science、eLibrary、RSCI和Cyberleninka数据库中进行。分析了268个来源，查看了127篇文章，选取了60篇关于手部深屈肌腱损伤的手术治疗的出版物。综述中介绍了屈肌腱手术修复的历史数据以及与康复方案结合的现代治疗方法。文章指出了主要的优缺点。尽管手外科取得了显著进展，但目前手部屈肌腱损伤的功能恢复不满意的比例仍然较高，这无疑反映了在成年人和儿童中修复屈肌腱问题的重要性和紧迫性。如往常一样，最复杂的问题仍然是儿童手指屈肌腱在纤维滑膜管区域的修复。

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