Lipskeir E, Weizenbluth M
Department of Hand Surgery, Kaplan Hospital, Rehovot, Israel.
J Hand Surg Am. 1993 Nov;18(6):1069-74. doi: 10.1016/0363-5023(93)90404-Q.
Ten children with supination deformity of the forearm due to obstetric paralysis were treated by pronation osteotomy of the radius and ulna. In two patients release of the interosseous membrane was added. The main achievement of the operation was an improved position of rest, which rendered a mechanical advantage for the basic function of the hand in grasping medium-sized objects. Preliminary results of three other patients who recently underwent rerouting of the biceps tendon concurrently or following the osteotomy are encouraging. One patient who had both procedures underwent rerouting of the biceps, which resulted in a gain of 135 degrees of active pronation.
10例因产瘫导致前臂旋后畸形的儿童接受了桡骨和尺骨旋前截骨术治疗。2例患者还进行了骨间膜松解。手术的主要成果是改善了休息位,这为手部抓握中等大小物体的基本功能提供了力学优势。另外3例近期在截骨术同时或之后进行肱二头肌腱改道的患者的初步结果令人鼓舞。1例接受了两种手术的患者进行了肱二头肌腱改道,主动旋前增加了135度。