Rosas Samuel, Mesa Carolina, Mesa Felipe
Department of Orthopedic Surgery, University of Miami, Miami, FL; Universidad CES, Antioquia, Colombia.
Universidad CES, Antioquia, Colombia.
J Hand Surg Am. 2017 Mar;42(3):e205-e208. doi: 10.1016/j.jhsa.2016.12.006. Epub 2017 Jan 11.
Initial treatment of damaged tendons after soft tissue trauma of the hand can be performed with primary tendon reconstruction or with tendon grafts if indicated. The most frequently used tendons are from the palmaris longus and plantaris muscles. Nonetheless, these muscles may not be present or their anatomic characteristics might not suitable for reconstructive procedures. Here, we present an alternative surgical technique for tendon reconstruction of the hand using abductor pollicis longus accessory tendons as grafts. The abductor pollicis longus can be considered an excellent choice of graft for tendon reconstruction of the hand because of its multiple bellies, ease of extraction, and limited donor site morbidity and the frequent absence of the palmaris longus tendon.
手部软组织创伤后受损肌腱的初始治疗，如有指征，可采用一期肌腱重建或肌腱移植。最常用的肌腱来自掌长肌和跖肌。然而，这些肌肉可能不存在，或者其解剖特征可能不适合重建手术。在此，我们介绍一种替代手术技术，即使用拇长展肌副腱作为移植物进行手部肌腱重建。由于拇长展肌有多个肌腹、易于取材、供区并发症有限且掌长肌腱常缺如，因此可认为它是手部肌腱重建移植物的极佳选择。
