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[不可修复性桡神经损伤的置换手术时机、技术及结果]

[Time, technic and results of replacement operations in irreparable radial nerve damage].

作者信息

Hiebler W

出版信息

Handchirurgie. 1976;8(4):195-8.

PMID:800389
Abstract

In cases with poor motor regeneration following radial nerve damage the Perthes method of tendon transfer is recommended. At the same operation a secondary nerve suture should be performed. The flexor carpi ulnaris tendons is used as the motor for the extensor digitorum communis and extensor pollicis longus, the palmaris longus tendon for the abductor pollicis longus. Attention is focused on some technical details including the mobilisation of the motor muscles, the direction of pull, the tension of the motor and the position in which fingers and wrist should be held during suture.

摘要

对于桡神经损伤后运动功能恢复不佳的病例,建议采用佩特兹肌腱转移术。在同一次手术中,应进行二期神经缝合。尺侧腕屈肌腱用作指总伸肌和拇长伸肌的动力肌,掌长肌腱用作拇长展肌的动力肌。要关注一些技术细节,包括动力肌的游离、牵拉方向、动力肌的张力以及缝合时手指和手腕应保持的位置。

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