上肢痉挛肌腱转位术的技术要点
Technical Pearls of Tendon Transfers for Upper Extremity Spasticity.
作者信息
Trehan Samir K, Little Kevin J
机构信息
Pediatric Hand and Upper Extremity Center, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, ML 2017, Cincinnati, OH 45229, USA.
Pediatric Hand and Upper Extremity Center, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, ML 2017, Cincinnati, OH 45229, USA; University of Cincinnati School of Medicine, 3230 Eden Avenue, Cincinnati, OH 45267, USA.
出版信息
Hand Clin. 2018 Nov;34(4):529-536. doi: 10.1016/j.hcl.2018.06.009.
Tendon transfers are an important surgical option when treating patients with muscular imbalance due to upper extremity spasticity. A successful surgical outcome requires a thorough preoperative clinical evaluation, an understanding of tendon transfer biomechanics, appropriate donor and recipient muscle selection, technical execution, and postoperative rehabilitation. This article reviews the principles, biomechanics, and techniques for commonly performed tendon transfers in patients with upper extremity spasticity.
当治疗因上肢痉挛导致肌肉失衡的患者时，肌腱转移术是一种重要的手术选择。成功的手术结果需要进行全面的术前临床评估、了解肌腱转移的生物力学、选择合适的供体和受体肌肉、技术操作以及术后康复。本文综述了上肢痉挛患者常用肌腱转移术的原则、生物力学和技术。
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