Noorda R J, Hage J J
Department of Plastic and Reconstructive Surgery, Academic Hospital, Free University, Amsterdam, The Netherlands.
Arch Orthop Trauma Surg. 1994;113(6):327-9. doi: 10.1007/BF00426181.
In the period 1969-1991, 46 extensor indicis proprius tendon transfers were performed for functional loss of extensor pollicis longus. The long-term function of the thumb was reviewed in 22 patients with an average follow-up of 7 years. Based on Geldmacher's evaluation scheme for assessment of the results of extensor tendon reconstruction, we report 5 excellent (23%), 4 good (18%), 12 satisfactory (55%) and 1 poor (4%) result. The mean loss of pinch strength was 8% compared with the contralateral, non-operated thumb. Subjectively, the majority of the patients (86%) described no limitations in their daily life activities. It is recommended that the transfer be tight enough to give full thumb extension and that the hand be immobilized with the thumb in this position for 4 weeks.
在1969年至1991年期间，因拇长伸肌功能丧失而进行了46例示指固有伸肌腱转移术。对22例患者的拇指长期功能进行了评估，平均随访7年。根据盖尔德马赫评估伸肌腱重建结果的方案，我们报告了5例优（23%）、4例良（18%）、12例可（55%）和1例差（4%）的结果。与对侧未手术的拇指相比，捏力平均损失8%。主观上，大多数患者（86%）表示日常生活活动无受限。建议转移肌腱足够紧以实现拇指完全伸展，并且手部在此位置将拇指固定4周。
