在高中枢神经麻中,重建指和指针曲,使用单个辐射手腕延伸器移动肌
Lahin M Amlani1, Nicholas Calotta2, Sami Tuffaha2
1Department of Orthopedic Surgery, The Johns Hopkins Hospital, Baltimore, MD.
The Journal of hand surgery
|November 28, 2025
概括
这项研究表明,延伸器 carpi radialis brevis/长管转移有效地恢复指和食指后的曲. 患者恢复了显著的力量和运动范围,提供了可行的手术选择.
科学领域:
- 整形外科手术 整形外科手术
- 手术手术手术手术手术
- 重建性手术是一种重建性手术.
背景情况:
- 长期的柔长 (FPL) 和指数柔数字深 (FDP) 呈现出一个重要的功能挑战.
- 目前的治疗方法包括为FPL进行手臂半径转移,并为指数FDP进行侧对侧接.
研究的目的:
- 评估将延伸体carpi radialis brevis (ECRB) 或长节 (ECRL) 转移到FPL和索引FDP的临床结果.
- 评估这种新移动技术在恢复功能方面的有效性.
主要方法:
- 对9名接受ECRB/L肌转移到FPL和索引FDP的患者进行了审查.
- 手术后的评估包括医学研究委员会 (MRC) 的尺度强度分级,运动范围和关键的强度.
- 随访时间从4个月到58个月不等.
主要成果:
- 所有9名患者都获得了MRC 4级强度的全指运动范围.
- 七名患者恢复了整个食指的运动范围;所有人都在远端间关节有MRC 4级强度.
- 关键的平均压力达到了3.4公斤,约占对侧手的40%.
结论:
- 肌转移ECRB/L到FPL和索引FDP都是一个可行的外科选择.
- 这种手术有效地恢复了患者的指和食指的曲.
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