保留尺动脉的带血管蒂肌腱重建拇长屈肌腱
Reconstruction of the Flexor Pollicis Longus Tendon with Vascularized Tendon with Ulnar Artery Preservation.
作者信息
Cavadas Pedro C, Padial Beatriz
机构信息
Clinica Cavadas, Reconstructive Surgery, Valencia, Spain.
Departamento de Cirugía, Facultad de Ciencias de la Salud, Universidad Cardenal Herrera-CEU, CEU Universities, Valencia, Spain.
出版信息
Plast Reconstr Surg Glob Open. 2023 Mar 8;11(3):e4853. doi: 10.1097/GOX.0000000000004853. eCollection 2023 Mar.
UNLABELLED
Reconstruction of the flexor pollicis longus tendon using staged grafting yields modest results. A modification of the pedicled vascularized flexor digitorum superficialis transfer, without division of the ulnar artery, was used in five patients.
METHODS
The flexor digitorum superficialis and its gliding tissue were transferred in five patients, based on a branch of the ulnar artery without division of the ulnar vessels. Functional results were evaluated using a total active range of motion and Buck-Gramko score at 10 months by an independent hand therapist.
RESULTS
The mean total active motion of the interphalangeal joint was 49 degrees, with a Buck-Gramko score of excellent in three cases and good in two. No complications were recorded.
CONCLUSION
Reconstruction of the flexor pollicis longus tendon with single-staged vascularized FDS transfer without ulnar artery division yielded good results in a small cohort of five cases.
未标注
采用分期移植重建拇长屈肌腱，效果一般。我们对5例患者采用了带蒂血管化指浅屈肌转移术的改良方法，未切断尺动脉。
方法
5例患者基于尺动脉的一个分支转移指浅屈肌及其滑动组织，未切断尺血管。由一名独立的手部治疗师在10个月时使用总主动活动范围和巴克-格拉姆科评分评估功能结果。
结果
指间关节的平均总主动活动度为49度，3例巴克-格拉姆科评分为优，2例为良。未记录到并发症。
结论
在一小群5例患者中，采用单期血管化指浅屈肌转移且不切断尺动脉重建拇长屈肌腱，取得了良好效果。
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