目的總結(jié)肌腱轉(zhuǎn)移術(shù)治療前臂背側(cè)缺血性肌攣縮的療效。 方法2003年3月－2010年9月，采用壞死組織切除、肌腱神經(jīng)松解結(jié)合屈肌腱轉(zhuǎn)移術(shù)治療7例前臂背側(cè)缺血性肌攣縮。男5例，女2例；年齡6～36歲，平均18.5歲。病程6～15個(gè)月。患者伸指及伸腕功能障礙，肌力0～2級(jí)，總主動(dòng)活動(dòng)度（total active movement，TAM）為80～130°。 結(jié)果術(shù)后患者切口均Ⅰ期愈合?；颊呔@隨訪，隨訪時(shí)間1～ 4年，平均2.2年。末次隨訪時(shí)，伸指、伸腕功能明顯改善，肌力3～4級(jí)，TAM為150～260°；獲優(yōu)3例，良3例，可1例，優(yōu)良率為85.7%。 結(jié)論應(yīng)用壞死組織切除、肌腱神經(jīng)松解結(jié)合屈肌腱轉(zhuǎn)移術(shù)治療前臂背側(cè)缺血性肌攣縮效果良好。
引用本文： 程天慶,朱磊,朱小雷,王增濤,劉志波. 肌腱轉(zhuǎn)移術(shù)治療前臂背側(cè)缺血性肌攣縮. 中國(guó)修復(fù)重建外科雜志, 2012, 26(9): 1149-1150. doi: 復(fù)制
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- 1. Kalyani BS, Fisher BE, Roberts CS, et al. Compartment syndrome of the forearm: a systematic review. J Hand Surg (Am), 2011, 36(3): 535-543.
- 2. Mark LP, Elizabeth AO. Acute compartment syndrome of the upper extremity. J Am Acad Orthop Surg, 2011, 19(1): 49-58.
- 3. 顧玉東, 潘達(dá)德, 侍德, 等. 中華醫(yī)學(xué)會(huì)手外科學(xué)會(huì)上肢部分功能評(píng)定試用標(biāo)準(zhǔn). 中華手外科雜志, 2000, 16(3): 130-135.
- 4. Gülgönen A. Invited review article: surgery for Volkmann’s ischaemic contracture. J Hand Surg (Br), 2001, 26(4): 283-296.
- 5. Ultee J, Hovius SE. Functional results after treatment of Volkmann’s ischemic contracture: a long-term followup study. Clin Orthop Relat Res, 2005, (431): 42-49.