Breen T F, Jupiter J B
Department of Orthopedics, University of Massachusetts School of Medicine, Worcester 01655.
J Hand Surg Am. 1989 Jul;14(4):612-7. doi: 10.1016/0363-5023(89)90176-7.
A procedure for stabilizing the distal ulna using the extensor carpi ulnaris and flexor carpi ulnaris is described. Seven patients who had sustained posttraumatic distal ulnar dorsal instability and articular degeneration and one patient with instability caused by rheumatoid arthritis were operated on. All eight obtained stable ulnae with mean motion of 62 degrees of supination and 86 degrees of pronation (mean increase of 32 degrees of supination and 43 degrees of pronation). Follow-up averaged 28 months (range, 18 to 63 months). The tenodesis, using a weave of a distally-based slip of flexor carpi ulnaris and a proximally-based slip of extensor carpi ulnaris combined with a Darrach procedure, is a reliable, reproducible salvage procedure for stabilizing the degenerated distal radioulnar joint and for salvaging the symptomatic unstable ulna after excessive distal ulna resection.
描述了一种使用尺侧腕伸肌和尺侧腕屈肌稳定尺骨远端的手术方法。对7例创伤后尺骨远端背侧不稳定和关节退变的患者以及1例类风湿性关节炎导致不稳定的患者进行了手术。所有8例患者的尺骨均获得稳定，平均旋后运动62度，旋前运动86度（平均旋后增加32度，旋前增加43度）。随访平均28个月（范围18至63个月）。采用尺侧腕屈肌远端蒂束条与尺侧腕伸肌近端蒂束条编织并结合Darrach手术的腱固定术，是一种可靠、可重复的挽救手术，用于稳定退变的桡尺远侧关节以及在尺骨远端过度切除后挽救有症状的不稳定尺骨。
