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一组使用部分桡侧腕短伸肌和桡侧腕长伸肌腱自体移植进行上肢重建的病例系列。

A case series of upper extremity reconstructions utilizing partial ECRB and ECRL tendon autografts.

作者信息

Haddad David, Kempton Darren, Ghotmi Joey, Türker Tolga

机构信息

Department of Orthopaedic Surgery, The University of Arizona College of Medicine-Tucson, 1501 N. Campbell Ave., Floor 8, Tucson 85719, AZ, United States.

Department of Dermatology, The University of New Mexico School of Medicine, 915 Camino de Salud, NE Albuquerque, NM 87106, United States.

出版信息

J Surg Case Rep. 2024 Aug 14;2024(8):rjae278. doi: 10.1093/jscr/rjae278. eCollection 2024 Aug.

DOI:10.1093/jscr/rjae278
PMID:39144104
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11324252/
Abstract

Sources of autografts such as palmaris longus or plantaris are often limited or absent. We present our experience using a low donor-site morbidity method of harvesting strips of extensor carpi radialis brevis and longus (ECRB and ECRL) as free tendon autografts in upper extremity soft tissue reconstructions. Retrospective chart review identified five patients who received reconstructive upper extremity surgeries using ECRB and ECRL partial tendon autografts from January 2014 to October 2021 with at least a 12-month follow-up period. Mayo wrist scores were calculated to demonstrate clinical outcomes. All five patients (mean follow-up: 21 months) were able to return to regular activities while demonstrating improvements in 6- and 12-month postoperative Mayo wrist scores. There was minimal donor site morbidity and no ruptures of parent tendons following harvest. This study provides additional support for utilizing partial strips of ECRB and ECRL in repairing upper extremity tendon gap and ligament deformities.

摘要

掌长肌或跖肌等自体移植物的来源往往有限或不存在。我们介绍了我们的经验，即采用一种供区发病率低的方法，切取桡侧腕短伸肌和桡侧腕长伸肌（ECRB和ECRL）的肌腱条作为游离肌腱自体移植物，用于上肢软组织重建。回顾性病历审查确定了5例患者，他们在2014年1月至2021年10月期间接受了使用ECRB和ECRL部分肌腱自体移植物的上肢重建手术，随访期至少为12个月。计算梅奥腕关节评分以展示临床结果。所有5例患者（平均随访21个月）均能够恢复正常活动，同时术后6个月和12个月的梅奥腕关节评分有所改善。供区发病率极低，取材后母肌腱无断裂。本研究为利用ECRB和ECRL的部分肌腱条修复上肢肌腱缺损和韧带畸形提供了更多支持。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bccb/11324252/37cf21fc2f02/rjae278f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bccb/11324252/6807bed3c72b/rjae278f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bccb/11324252/339404e6b8ed/rjae278f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bccb/11324252/37cf21fc2f02/rjae278f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bccb/11324252/6807bed3c72b/rjae278f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bccb/11324252/339404e6b8ed/rjae278f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bccb/11324252/37cf21fc2f02/rjae278f3.jpg

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本文引用的文献

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Scapholunate Ligament Reconstruction With a Novel Technique for Passing Split Extensor Carpi Radialis Brevis Tendon Graft Through Bone Tunnels.
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Tech Hand Up Extrem Surg. 2020 Dec;24(4):182-186. doi: 10.1097/BTH.0000000000000286.
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[Rupture of the extensor pollicis longus secondary to distal radius fracture repaired with partial tendineous graft from the extensor carpi radialis longus with good functional result].[桡骨远端骨折继发拇长伸肌腱断裂，采用桡侧腕长伸肌部分肌腱移植修复，功能恢复良好]
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