高位正中神经麻痹改良津下法重建拇对掌功能  

Modified Tajima technique for reconstruction of thumb opposition after median nerve palsy

作　　者：朱春雷[1] 李炳万[1] 赵世伟[1] 李光[1] 田东[2] 

机构地区：[1]北华大学附属医院手外科,吉林132011 [2]复旦大学附属华山医院手外科肌电图室,上海

出　　处：《中华手外科杂志》2012年第1期31-33,共3页Chinese Journal of Hand Surgery

摘　　要：目的介绍应用小指固有伸肌腱（改良津下法）重建拇对掌功能的方法及疗效。方法对11例高位正中神经不可逆损伤拇对掌功能丧失的患者，采用小指固有伸肌腱双束法移位重建拇对掌功能，近侧束固定于掌骨颈部拇长伸肌肌腱上，远侧束固定于近节指骨髓腔内。结果术后随访4—38个月，平均18．5个月，11例拇对掌功能全部恢复，优良率达100％。供区伸指功能无影响。结论小指固有伸肌腱改良移位术是合理且简单、疗效满意的术式，可作为拇对掌功能重建的理想方法。Objective To introduce the application of extensor digiti minimi tendon transfer（modified Tajima technique）for functional reconstruction of thumb opposition following median nerve palsy.Methods Thumb opponenplasty was done in 11 cases of high median nerve injury with irreversible palsy.Modified Tajima technique was used to transfer the extensor digiti minimi tendon.The proximal band was anchored onto the extensor pollicis longus tendon at the metacarpal neck.The distal band was inserted in the medullary cavity of the proximal phalanx.Results The patients were follow-up for 4 to 38 months with an average of 18.5 months.Thumb opposition was restored in all 11 patients with 100% success rate.The extension of the donor finger was not affected.Conclusion Modified Tajima method is a simple and reliable method to reconstruct thumb opposition function.

关 键 词：正中神经 创伤和损伤 腱转移术 拇对掌 

分 类 号：R658.2[医药卫生—外科学]