IMA Sante Atlantique, Boulevard Charles Gautier, BP 40419, 44819 Saint Herblain, France.
IMA Sante Atlantique, Boulevard Charles Gautier, BP 40419, 44819 Saint Herblain, France.
Hand Surg Rehabil. 2022 Feb;41S:S105-S111. doi: 10.1016/j.hansur.2020.10.024. Epub 2021 Sep 16.
The authors review the therapeutic principles that must be applied when restoring the thumb opposition surgically. Among the many surgical techniques, five are featured: transfer of the flexor digitorum superficialis of the third or fourth finger, transfer of the extensor indicis proprius, transfer of the palmaris longus, translocation of the flexor palmaris longus tendon, transfer of the extensor pollicis longus. After summarizing the procedures, they emphasize the practical points that must be respected. This surgery, which cannot restore sensitivity, requires a precise assessment of the patient's wishes and information on what can be really expected.
作者回顾了在手术中恢复拇指对掌功能时必须遵循的治疗原则。在众多的手术技术中，有五项技术值得关注：第三或第四指的屈指浅肌转移术、示指固有伸肌转移术、掌长肌转移术、掌长肌腱移位术、拇长展肌转移术。在总结了这些手术程序之后，作者强调了必须遵守的实际要点。这种手术无法恢复感觉，因此需要对患者的意愿进行精确评估，并告知其实际预期。
