Ejeskär Arvid
Department of Hand Surgery, Sahlgrenska University Hospital, SE-413 45 Göteborg, Sweden.
Hand Clin. 2002 Aug;18(3):449-59. doi: 10.1016/s0749-0712(02)00083-5.
Reconstruction of elbow extension is an established treatment with a high degree of patient satisfaction. The D-T transfer is the most common method and has the advantage of inducing no serious complications; however, it necessitates a long period of healing and recovery. The Bi-T transfer is used much less frequently and, in the author's opinion, has few advantages compared with the D-T transfer. It is somewhat less time consuming to perform, and the rehabilitation period is a few weeks shorter. This method, however, has several drawbacks, including difficulties in learning to use the muscle as an extensor and a reduction of elbow flexion strength, which might result in a subjective functional loss. What is the best treatment for patients with a posterior deltoid that has a strength grade of 2 or 3: a D-T or Bi-T transfer or functional electrical stimulation? Today, this question is impossible to answer. The author is convinced that the optimal postoperative regimen for a reconstructed elbow extension has not been found yet.
肘关节伸展重建是一种成熟的治疗方法，患者满意度较高。背阔肌转移术（D-T转移）是最常用的方法，其优点是不会引发严重并发症；然而，它需要较长的愈合和恢复时间。双股薄肌转移术（Bi-T转移）的使用频率要低得多，在作者看来，与D-T转移相比，它几乎没有优势。它的操作时间稍短，康复期也短几周。然而，这种方法有几个缺点，包括学会将该肌肉用作伸肌存在困难以及肘关节屈曲力量减弱，这可能导致主观功能丧失。对于后三角肌力量等级为2级或3级的患者，最佳治疗方法是什么：D-T转移、Bi-T转移还是功能性电刺激？如今，这个问题无法回答。作者坚信，尚未找到重建肘关节伸展的最佳术后方案。
