旋前圆肌截骨术治疗产瘫患儿旋后畸形
Pronating radius osteotomy for supination deformity in children with obstetric brachial plexus palsy.
作者信息
van Kooten E Oscar, Ishaque M Asad, Winters Hay A H, Ritt Marco J P F, van der Sluijs Hans A
机构信息
Department of Plastic, Reconstructive, and Hand Surgery Vrije University Medical Center Amsterdam, The Netherlands.
出版信息
Tech Hand Up Extrem Surg. 2008 Mar;12(1):34-7. doi: 10.1097/BTH.0b013e31812f79ea.
PURPOSE
In obstetric brachial plexus lesions, muscle imbalance caused by active supinator muscles and paralyzed pronator muscles can result in a supination position of the wrist, which, apart from cosmesis, may interfere with function.
METHODS
In this retrospective study, we describe the results of a pronating radius osteotomy for supination deformity of the hand in children with an obstetric brachial plexus lesion.
RESULTS
After a mean follow-up of 23 months, all 8 patients (mean age, 9.4 years; range, 4-13 years), operated between 1998 and 2006, had improved functionally and aesthetically.
CONCLUSIONS
All patients had improved functionally and aesthetically.
目的
在产科臂丛神经损伤中，主动旋后肌和麻痹的旋前肌导致的肌肉失衡可致使腕关节处于旋后位，这除了影响美观外，还可能妨碍功能。
方法
在这项回顾性研究中，我们描述了对患有产科臂丛神经损伤的儿童手部旋后畸形进行桡骨旋前截骨术的结果。
结果
平均随访23个月后，1998年至2006年间接受手术的所有8例患者（平均年龄9.4岁；范围4 - 13岁）在功能和美观方面均有改善。
结论
所有患者在功能和美观方面均有改善。
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