自体阔筋膜移植结合早期功能锻炼治疗陈旧性肱二头肌腱远端断裂  

Repair of chronic distal biceps brachii tendon rupture using autogenous fascia lata graft and early functional exercise

作　　者：张峰[1] 王江泽[1] 丁真奇[1] 陈长青[1] 

机构地区：[1]解放军第175医院骨科,福建漳州363000

出　　处：《中国现代医生》2013年第3期140-141,143,共3页China Modern Doctor

摘　　要：目的总结采用自体阔筋膜移植结合早期功能锻炼治疗陈旧性肱二头肌腱远端断裂的疗效。方法对16例陈旧性肱二头肌腱远端断裂患者行自体阔筋膜移植修复治疗,并术后早期功能锻练。结果全部病例经12～36个月的随访,术后无肌腱再断裂、神经损伤及切口感染,X线检查未见异位骨化及尺桡骨骨性愈合。按Mayo肘关节功能评分标准判定,优12例,良3例,中1例,临床优良率达93.8%。结论自体阔筋膜移植结合早期功能锻练治疗陈旧性肱二头肌腱远端断裂是一种效果较好的方法。Objective To sum up the clinical effects of treating chronic distal biceps brachii tendon rupture with autogenous fascia lata graft and early functional exercise. Methods 16 patients of chronic distal biceps brachii tendon rupture were repaired with autogenous fascia lata graft, and all cases accepted early functional exercise postoperatively. Results All cases were followed up for 12-36 months,there were no tendon rerupture,nerve injury or wound infection,and no heterotopic ossification or proximal radioulnar synostosis in X-rays examination.According to the Mayo Elbow Performance score,the results were excellent in 12 cases,good in 3 ,and fair in 1 ,with the excellent and good rate of clinical results being 93.8%. Conclusion Using autogenous fascia lata graft and early functional exercise is one of the best methods to treat chronic distal biceps brachii tendon rupture.

关 键 词：阔筋膜移植 陈旧性肱二头肌腱远端断裂 手术治疗 

分 类 号：R687.2[医药卫生—骨科学]