劈开桡侧腕屈肌重建伸拇、伸指功能的初步探讨  

Reconstruction of the extense function of thumb and digit by splitting flexor carpi radialis

作　　者：刘安堂[1] 朱 孙美庆[1] 章建林[1] 张盈帆[1] 张文俊[1] 朱晓海[1] 江华[2] 

机构地区：[1]第二军医大学长征医院整形外科,上海200003 [2]第二军医大学长征医院整形外科,200003

出　　处：《中国美容整形外科杂志》2012年第7期409-411,共3页Chinese Journal of Aesthetic and Plastic Surgery

基　　金：上海领军人才“地方队”培养计划

摘　　要：目的探讨将前臂桡侧腕屈肌劈开转位重建伸拇、伸指功能的可行性及临床效果。方法沿桡侧腕屈肌中央肌腱向近心端纵行剖开，形成尺侧部分和肱侧部分同时重建伸拇、伸指功能。术后按照桡神经损伤肌腱移位术的疗效评定标准进行功能评定。结果本组共3例患者，术后切VI均I期愈合，获随访12—36个月，疗效优者1例，良者2例，术后患者均未行肌腱松解，伸拇、伸指功能恢复良好。结论按照骨骼肌“亚部化”的原则，将桡侧腕屈肌劈开后转位，并同时重建两个功能的缺失，与传统的复杂重建术式相比，这一技术的多能性和简易性具有更大的优势。Objective To explore the feasibility and feasibility effect of splitting FCR on reconstructing the extension of thumb and digit. Methods The FCR was separated longitudinally into ulnar and humeral parts along the central tendon up to the proximal part and the reconstruction of the extense function of thumb and digit was performed at the same time. Functional evaluation was made postoperatively according to the evaluation cri- teria of curative effect of tendon transfer of radial nerve injury. Results Three cases were followed up for 12 ~ 36 months. According to the standard established by Chen De-song, one showed excellent results and two were good. The extensor strength returned to more than grade m in all cases and there were no need to have a tenolysis. Conclusion Compared with the traditional reconstruction, the technique of splitting FCR and then it is transferred to restore thumb and finger extension, according to the principle of skeletal muscle compartment, is has much more advantages because of versatility and simplicity.

关 键 词：桡侧腕屈肌 肌亚部 功能重建 肌内神经 

分 类 号：R687.2[医药卫生—骨科学]