摘要
近年来处理晚期拇长屈肌屈腱损伤４８例，随访４０例，其中ＩＩ区、ＩＩＩ区、ＩＶ区分别为１８例、１１例、１１例，指间关节主动活动度分别为平均３８°、３６°、３１°。采用肌腱断端直接缝合８例，肌腱移植７例，指浅层肌腱转移２５例，其指间关节主动活动度分别为平均３６°、２７°、４３°。对晚期拇长屈肌腱损伤修复方法的选择．应根据不同损伤部位选用合适的手术方法。指浅层肌腱转移代拇长屈肌是重建ＩＩ、ＩＩＩ区晚期损伤屈拇功能的有效方法。
Abstract cases of delayed flexor pollicis longus tendon injury were treated recent years.The follow-up results of 40 cases are showen:In 18 cases Of zoneⅡ,11 Cases of zone Ⅲ and 11cases of zone IV injury,the active range of motion of the IP joint averaged 38, 36 and 31 degrees respectively.And in 8cases of direct suture,7 Cases of free tendon graft and 25 cases of flexor digitorum superficilis tendon transfer,the activerange of motion of the IP joint averaged 36,27and 43 degrees respectively. The method of repair should be Choosed according to different location of the lesion.Flexor digitorum superficialis tendon transfer is an effective technique in reconctruction of thumb flexion in delayed zone Ⅲinjury.
出处
《中华手外科杂志》
CSCD
1995年第1期14-15,共2页
Chinese Journal of Hand Surgery
