老年患者的游离肌腱移植，一名89岁女性采用掌长肌游离移植修复拇长屈肌腱的病例报告。

Free tendon grafts in elder patients, a case report of repair of flexor pollicis longus tendon with a free palmaris longus graft in an 89-year-old woman.

作者信息

de Panafieu E, Upex P, Doursounian L, Robert N

机构信息

Service de chirurgie orthopédique, traumatologique et réparatrice, SOS Main, hôpital Saint-Antoine, 184, rue du Faubourg-Saint-Antoine, 75012 Paris, France.

出版信息

Ann Chir Plast Esthet. 2016 Feb;61(1):76-9. doi: 10.1016/j.anplas.2014.09.009. Epub 2014 Oct 22.

DOI:10.1016/j.anplas.2014.09.009

PMID:25447212

Abstract

Flexor tendon rupture is a potential complication after volar plating of distal radius fracture. Palliative procedures such as tenodesis and arthrodesis are usually employed in elder patients with imperfect results. We report a case of delayed flexor pollicis longus rupture seven years after volar plating of a distal radius fracture occurring in an 89-year-old woman. The repair with a free tendon graft of palmaris longus was successful in terms of strength and range of motion. Free tendon grafts should not be limited to younger patients and could be used in elder patients after careful selection.

摘要

屈肌腱断裂是桡骨远端骨折掌侧钢板固定术后的一种潜在并发症。对于老年患者，通常采用诸如肌腱固定术和关节融合术等姑息性手术，但效果并不理想。我们报告一例89岁女性患者，在桡骨远端骨折掌侧钢板固定术后7年发生迟发性拇长屈肌腱断裂。采用掌长肌游离肌腱移植修复，在力量和活动范围方面取得了成功。游离肌腱移植不应局限于年轻患者，经过仔细筛选后可用于老年患者。