Tomaino M M, Plakseychuk A
University of Pittsburgh Medical Center, Department of Orthopaedic Surgery, Pennsylvania, USA.
Am J Orthop (Belle Mead NJ). 2000 Feb;29(2):122-4.
Restoration of digital extension after chronic extensor loss has not been detailed extensively in the literature. The present report details an unusual case of composite tissue loss from the dorsum of the hand after a chronic burn wound. After debridement for chronic carpal osteomyelitis and free-tissue transfer were performed, staged wrist fusion and two-stage extensor tendon reconstruction resulted in a stable, pain-free wrist and functional digital extension. The present case illustrates that two-stage extensor tendon reconstruction, when necessary, is indeed feasible.
慢性伸肌缺失后手指伸展功能的恢复在文献中尚未得到广泛详细的阐述。本报告详细介绍了一例慢性烧伤创面后手背部复合组织缺损的罕见病例。在对慢性腕骨骨髓炎进行清创和游离组织移植后，分阶段进行腕关节融合和两阶段伸肌腱重建，最终获得了稳定、无痛的腕关节以及功能性手指伸展。本病例表明，必要时两阶段伸肌腱重建确实可行。
