Kamoi Fumiki, Kondo Makoto, Hayashi Masanori, Uchiyama Shigeharu, Kato Hiroyuki
Department of Orthopaedic Surgery, Shinshu University School of Medicine, Japan.
Department of Orthopaedic Surgery, Hokkaido Orthopaedic Memorial Hospital, Japan.
J Hand Surg Eur Vol. 2019 Oct;44(8):790-794. doi: 10.1177/1753193419845281. Epub 2019 May 2.
We present an original technique for determining the tension of the extensor pollicis longus tendon after reconstruction. We treated 20 patients using this technique for an extensor pollicis longus tendon graft or extensor indicis tendon transfer and reviewed the results. The tension of the reconstructed extensor pollicis longus was adjusted so that the centre of the distal edge of the thumbnail was elevated 2 cm above the operation table. The mean retropositional distance of the treated thumbs was 1.2 cm less than the contralateral thumbs. The mean total active motion of the thumb was 90%. This technique resulted in satisfactory thumb function. IV.
我们提出了一种用于重建后确定拇长伸肌腱张力的原创技术。我们使用该技术对20例患者进行拇长伸肌腱移植或示指伸肌腱转位治疗，并对结果进行了回顾。调整重建的拇长伸肌腱的张力，使拇指甲远端边缘的中心高于手术台2厘米。治疗侧拇指的平均后移距离比健侧拇指少1.2厘米。拇指的平均总主动活动度为90%。该技术产生了令人满意的拇指功能。 四、
