肱三头肌转位至肱二头肌以恢复上臂丛神经损伤后的肘关节屈曲功能。
Triceps to biceps transfer for restoration of elbow flexion following upper brachial plexus injury.
作者信息
Rao Pothula Durga Prasada, Rao Rayidi Venkata Koteswara, Srikanth R
机构信息
Department of Plastic Surgery, Nizam's Institute of Medical Sciences, Hyderabad, Telangana, India.
出版信息
Indian J Plast Surg. 2017 Jan-Apr;50(1):35-42. doi: 10.4103/ijps.IJPS_225_16.
INTRODUCTION
Upper brachial plexus injury in adults causes loss of elbow fl exion; when the primary nerve surgery has failed or the patient seeks treatment after 12 months of injury and pedicled muscle transfers are required. Most commonly, the latissimus dorsi or the Steindler flexorplasty is used.
MATERIAL AND METHODS
We have transferred one of the heads of triceps muscle to restore the elbow flexion in such cases. In addition to return of elbow flexion, extension of elbow following surgery is retained. Ten patients suffering from upper brachial plexus injuries underwent transfer of one head of triceps to biceps tendon between December 2011 and August 2015.
RESULTS
The recovery of elbow flexion was Grade 5 in 1, Grade 4 in 4 and Grade 3 in 2; only three of the ten patients had no functionally useful elbow flexion. Seven of the ten patients had an adequate elbow extension following the procedure.
引言
成人上臂丛神经损伤会导致屈肘功能丧失；当初次神经手术失败或患者在受伤12个月后寻求治疗且需要进行带蒂肌肉转移时。最常用的是背阔肌或施泰德勒屈肌成形术。
材料与方法
在这类病例中，我们转移了三头肌的一个头来恢复屈肘功能。除了屈肘功能恢复外，术后肘部的伸展功能得以保留。2011年12月至2015年8月期间，10例上臂丛神经损伤患者接受了将三头肌的一个头转移至肱二头肌肌腱的手术。
结果
屈肘功能恢复中，1例为5级，4例为4级，2例为3级；10例患者中只有3例没有功能性的有效屈肘。10例患者中有7例术后肘部伸展功能良好。
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