[Surgical reshaping treatment of antebrachium muscle hemangioma with flexion deformity]
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Li Xiao1, Chang-xian Dong, Yu-chun Ma
1Department of Hemangioma Surgery, Henan Provincial People's Hospital, Zhengzhou, China.
Objective:
To summarize the surgical approaches and efficacies of flexion deformity caused by antebrachium muscle hemangioma.
Methods:
Retrospective analysis was performed in 41 cases of flexion deformity caused by antebrachium muscle cavernous hemangioma. There were 16 males and 25 females with an age range of 14 - 56 years old. Twenty-nine cases were surgically treated once and 12 re-operated. Hemangioma resection and Z-shaped tendon lengthening was adopted to cure antebrachium muscle hemangioma. During the follow-ups, the operative success rate and flexible extents of forearm, wrist and finger were evaluated.
Results:
Complete resection was performed in 37 cases and partial resection in 4. All patients underwent Z-shaped tendon lengthening. The operative success rate was 90% during a follow-up period of 6 - 12 months. After treatment, the pains disappeared and bend function recovered. Four cases had little improvement in movement range.
Conclusion:
The procedure of hemangioma resection and Z-shaped tendon lengthening should be performed as early as possible for hemangioma caused by antebrachium muscle cavernous hemangioma. And physical training is helpful for function reconstruction.