Schneider L H, Wehbe M A
Department of Orthopaedic Surgery, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Penn.
J Hand Surg Am. 1988 Mar;13(2):227-30. doi: 10.1016/s0363-5023(88)80054-6.
Transfer of a flexor superficialis tendon was done in an attempt to restore flexor profundus function, as a secondary procedure, in the palm (zone 3) in 16 hands. These were cases in which direct repair was not possible. Eight patients achieved a total active motion (TAM) above 200 degrees and two more were above 180. Of those eight with TAM above 200 degrees four required a secondary tenolysis to improve to that level. Transfers in six patients were regarded as failures. Failures were associated with a poor tendon bed and noncompliant patients. This is a procedure that has limited indication in a cooperative patient with a good tendon bed who reports late with both flexor tendons cut in zone 3.
作为二期手术，对16只手在手掌（3区）进行了浅屈肌腱转移，试图恢复深屈肌功能。这些病例无法进行直接修复。8例患者的总主动活动度（TAM）超过200度，另有2例超过180度。在TAM超过200度的8例患者中，有4例需要进行二期肌腱松解术才能达到该水平。6例患者的转移手术被视为失败。失败与肌腱床状况不佳和患者不配合有关。对于肌腱床良好、3区屈肌腱均被切断且就诊较晚的合作患者，该手术的适应证有限。
