Table1_Current clinical opinion on surgical approaches and rehabilitation of hand flexor tendon injury—a questionnaire study.docx

The management of flexor tendon injury has seen many iterations over the years, but more substantial innovations in practice have been sadly lacking. The aim of this study was to investigate the current practice of flexor tendon injury management, and variation in practice from the previous reports, most troublesome complications, and whether there was a clinical interest in potential innovative tendon repair technologies. An online survey was distributed via the British Society for Surgery of the Hand (BSSH) and a total of 132 responses were collected anonymously. Results showed that although most surgeons followed the current medical recommendation based on the literature, a significant number of surgeons still employed more conventional treatments in clinic, such as general anesthesia, ineffective tendon retrieval techniques, and passive rehabilitation. Complications including adhesion formation and re-rupture remained persistent. The interest in new approaches such as use of minimally invasive instruments, biodegradable materials and additive manufactured devices was not strong, however the surgeons were potentially open to more effective and economic solutions.

多年来，屈肌腱损伤的临床管理方案历经多次迭代更新，但遗憾的是，临床实践中始终缺乏真正具有实质意义的创新方案。本研究旨在调研屈肌腱损伤临床管理的当前实践现状，对比既往文献报道的实践差异，明确最棘手的并发症类型，并探究临床界对潜在新型肌腱修复技术的关注意愿。本研究通过英国手外科学会（British Society for Surgery of the Hand, BSSH）发放在线调查问卷，最终匿名回收132份有效回复。结果显示，尽管多数外科医师遵循基于循证医学的现行临床推荐方案，但仍有相当比例的医师在临床中采用较为传统的治疗手段，包括全身麻醉、效果欠佳的肌腱获取技术以及被动康复方案。粘连形成与肌腱再断裂等并发症仍持续存在。尽管学界对微创器械、生物可降解材料及增材制造设备等新型治疗方案的关注度尚不高，但外科医师对更具有效性与经济性的解决方案仍持开放接纳态度。