Vossmann H, Zellner P R
Handchirurgie. 1981;13(1-2):52-5.
For restoring the opposition of the thumb in lesions of the median nerve, numerous surgical procedures have been reported. In severe injuries with considerable scarring in the palmar wrist area the motor muscles of the forearm are useless and if the ulnar nerve is equally involved, opposition cannot be restored even with the Huber-Nicolaysen-Littler technique. In such cases we have recently come to carry out opponensplasties using the tendon of the extensor indicis with good success. The method is described and results are demonstrated.
为恢复正中神经损伤时拇指的对掌功能,已有众多外科手术方法被报道。在手掌腕部区域有大量瘢痕形成的严重损伤中,前臂的运动肌肉已无用武之地,并且如果尺神经也受到同样影响,即使采用胡伯 - 尼古拉森 - 利特勒技术,对掌功能也无法恢复。在这种情况下,我们最近开始使用示指伸肌腱进行对掌肌成形术,并取得了良好的效果。本文描述了该方法并展示了结果。