用于II型和IIIA型拇指发育不全的指浅屈肌对掌成形术的结果
Outcome of flexor digitorum superficialis opponensplasty for Type II and IIIA thumb hypoplasia.
作者信息
de Kraker M, Selles R W, Zuidam J M, Molenaar H M, Stam H J, Hovius S E
机构信息
Department of Plastic and Reconstructive Surgery, Erasmus Medical Center, Rotterdam, The Netherlands Department of Rehabilitation Medicine, Erasmus Medical Center, Rotterdam, The Netherlands
Department of Plastic and Reconstructive Surgery, Erasmus Medical Center, Rotterdam, The Netherlands Department of Rehabilitation Medicine, Erasmus Medical Center, Rotterdam, The Netherlands.
出版信息
J Hand Surg Eur Vol. 2016 Mar;41(3):258-64. doi: 10.1177/1753193415600663. Epub 2015 Aug 28.
UNLABELLED
This study reports on outcomes of the flexor digitorum superficialis tendon transfer from the ring finger in Type II and IIIA hypoplastic thumbs. We included 22 patients with 27 involved hands: 16 Type II thumbs and five Type IIIA treated by transfer and six non-operated Type II thumbs. The outcomes were assessed by range of motion, strength, sensibility, joint stability and patient/parent satisfaction. Compared with normative data, the range of motion was diminished in all patient groups. Opposition strength in operated Type II thumbs was significantly better than in non-operated thumbs. Grip strength, pinch strength, tripod strength and key pinch strength were approximately 50% of normal in Type II thumbs and 35% in Type IIIA thumbs. Metacarpophalangeal joint stability was restored in all operated Type II thumbs and in 40% of Type IIIA thumbs. We conclude that the flexor digitorum superficialis tendon transfer of the ring finger is a good functioning opponensplasty in both Type II and IIIA thumbs. The transfer provides excellent stability of the metacarpophalangeal joint in Type II thumbs.
LEVEL OF EVIDENCE
Level IV.
未标注
本研究报告了在II型和IIIA型发育不全拇指中，将示指浅屈肌腱从环指转移的结果。我们纳入了22例患者的27只患手：16例II型拇指和5例接受转移治疗的IIIA型拇指，以及6例未手术的II型拇指。通过活动范围、力量、感觉、关节稳定性和患者/家长满意度对结果进行评估。与标准数据相比，所有患者组的活动范围均减小。接受手术的II型拇指的对掌力量明显优于未手术的拇指。II型拇指的握力、捏力、三点捏力和钥匙捏力约为正常的50%，IIIA型拇指为35%。所有接受手术的II型拇指和40%的IIIA型拇指恢复了掌指关节稳定性。我们得出结论，环指浅屈肌腱转移在II型和IIIA型拇指中都是一种功能良好的对掌成形术。该转移术在II型拇指中提供了极佳的掌指关节稳定性。
证据水平
IV级。
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