Endress Ryan D, Hentz Vincent R
Department of Surgery, Division of Plastic Surgery, Stanford University Hospital and Clinics, Stanford, CA, USA.
J Hand Surg Am. 2011 Apr;36(4):716-21. doi: 10.1016/j.jhsa.2011.01.028.
Lack of voluntary active elbow extension inhibits many important functions in persons with tetraplegia. Biceps-to-triceps transfer can restore this function in selected patients. This article outlines the basic problem, indications and contraindications, surgical technique, and postoperative rehabilitation protocol for biceps-to-triceps transfer using the medial routing technique with suture anchoring of the biceps muscle tendon unit into the triceps aponeurosis and olecranon.
主动肘伸展功能缺失会抑制四肢瘫痪患者的许多重要功能。肱二头肌至肱三头肌转位术可使部分患者恢复该功能。本文概述了采用内侧入路技术将肱二头肌肌腱单元缝合固定于肱三头肌腱膜和尺骨鹰嘴的肱二头肌至肱三头肌转位术的基本问题、适应证和禁忌证、手术技术及术后康复方案。
