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移植胸大肌以恢复瘫痪肢体的肘部屈曲功能。

Pectoralis major transplantation to restore elbow flexion to the paralytic limb.

作者信息

Carroll R E, Kleinman W B

出版信息

J Hand Surg Am. 1979 Nov;4(6):501-7. doi: 10.1016/s0363-5023(79)80001-5.

DOI:10.1016/s0363-5023(79)80001-5
PMID:512308
Abstract

In four patients, two with brachial plexus palsy and two with arthrogryposis, the entire pectoralis major muscle was transplanted to act as an elbow flexor, rotating it on its neurovascular pedicles and attaching the tendon to the acromion and the muscle origin to the tuberosity of the radius. Excellent motion and power was restored in three patients. One procedure failed due to fibrofatty degeneration of the transplanted muscle.

摘要

在4例患者中,2例患有臂丛神经麻痹,2例患有先天性多发性关节挛缩症,将整块胸大肌进行移植以充当屈肘肌,使其围绕神经血管蒂旋转,并将肌腱附着于肩峰,肌肉起点附着于桡骨粗隆。3例患者恢复了出色的活动度和力量。1例手术因移植肌肉发生纤维脂肪变性而失败。

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