摘要
目的探讨重度虎口挛缩行虎口开大皮瓣修复术同时拇对掌功能重建的治疗效果。方法12例病人分别用食指近节背侧皮瓣、鼻烟窝皮瓣、前臂骨间背侧动脉逆行岛状皮瓣修复虎口,同时用环指指屈浅肌腱、尺侧伸腕肌腱+拇短伸肌腱、尺侧伸腕肌腱+掌长肌腱,行拇对掌功能重建,术后配合训练。结果12例病人皮瓣全部成活,经6～15个月随访,拇指内收得到彻底或部分矫正,对掌和抓握力获得了很好的恢复。结论重度虎口挛缩在行虎口开大皮瓣修复同时一期拇对掌功能重建,术后功能恢复好,操作技术容易,值得推广。
Objective To discuss the outcome of first wed-space enlargement and skin flap combined with tendon transfers for reconstructing function. Methods The First wed-space repaired with proximal dorsal indicator skin flaps,snuff-box and forearm interosseous dorsal artery reverse island flap,at the same time the function reconstruction were applied to transposite flexor digitorum superficialis tendon of ring finger,ulnar extensor muscle of wrist + short extensor muscle of thumb,ulnar extensor muscle of wrist + palmaris longus tendon. Extensor carpi ulnaris couple with tendon.extensor pollicis brevis,tendon,extensor carpi ulnaris couple with tendon,palmaris long. Results The flaps in all the cases survived. After 6-15 months,the pollicis adduction were completely or partially rectified,and the strength of opponens and grasp recovered greatly. Conclusion The operation to cure first wed-space contracture is worth to be popularized for its good postoperative function recovery and easy surgical procedure,of which first wed-space enlargement and skin flap repair are combined with pollicis opponens function reconstrunction.
出处
《实用手外科杂志》
2005年第1期25-26,共2页
Journal of Practical Hand Surgery
