Lahoti O, Bell M J
Sheffield Children's Hospital, Western Bank, Sheffield S10 2TH, UK.
J Bone Joint Surg Br. 2005 Jun;87(6):858-60. doi: 10.1302/0301-620X.87B6.15506.
We present the long-term results of pectoralis major transfer to restore elbow flexion in seven patients (ten procedures). The early results in all the patients were encouraging but with longer follow-up a gradual and progressive flexion deformity was observed with a decrease in the arc of flexion in eight elbows, reaching > or = 90 degrees in all cases. The results of pectoralis major transfer deteriorate with time due to the development of a recalcitrant flexion deformity of the elbow. With bilateral involvement we now recommend that the procedure be undertaken on one side only to allow the hand to reach the mouth for feeding, while the opposite side remains in extension for perineal toilet.
我们展示了7例患者（共进行了10次手术）采用胸大肌转移术恢复肘关节屈曲功能的长期结果。所有患者的早期结果令人鼓舞，但随着随访时间延长，8个肘关节出现了逐渐进展的屈曲畸形，屈曲弧度减小，所有病例最终屈曲均达到或超过90度。由于顽固性肘关节屈曲畸形的出现，胸大肌转移术的效果会随时间恶化。对于双侧受累的情况，我们现在建议仅对一侧进行该手术，以便手能触及口部进行进食，而另一侧保持伸直用于会阴部清洁。
