Department of Orthopaedic Surgery, Gifu University Graduate School of Medicine, Gifu, Japan.
Department of Orthopaedic Surgery, Gifu University Graduate School of Medicine, Gifu, Japan.
J Hand Surg Am. 2021 Nov;46(11):1033.e1-1033.e7. doi: 10.1016/j.jhsa.2021.04.007. Epub 2021 May 24.
In patients with severe carpal tunnel syndrome (CTS), restoring thumb opposition is critical because this function is essential for proper pinching, grasping, and other complex hand movements. Opponensplasty is an effective procedure to preserve thumb function, with several methods reported. Camitz opponensplasty, using the palmaris longus (PL), is an option for patients with severe CTS. Recently, several modified Camitz procedures have been proposed to overcome the shortcomings of the original description. This article describes the surgical technique of the opponensplasty using the PL tendon to the rerouted extensor pollicis brevis transfer. The procedure provides satisfactory outcomes for early functional recovery of the hand in patients with severe CTS.
在严重腕管综合征（CTS）患者中，恢复拇指对掌功能至关重要，因为这对于正确的捏合、抓握和其他复杂手部运动至关重要。对掌成形术是一种有效的保留拇指功能的手术方法，有多种方法报道。使用掌长肌（PL）的 Camitz 对掌成形术是严重 CTS 患者的一种选择。最近，已经提出了几种改良的 Camitz 手术来克服原始描述的缺点。本文描述了使用 PL 肌腱至再转移的伸拇指短肌转位术进行对掌成形术的手术技术。该手术为严重 CTS 患者手部的早期功能恢复提供了满意的结果。
