Colonna M R, Giovannini U M, Longoni A M, Pajardi G E
Cattedra di Chirurgia Plastica, Università degli Studi di Messina.
Ann Ital Chir. 1998 Jul-Aug;69(4):465-72.
Restorative tendon transfer in upper limb palsy should be regarded as an important tool in hand surgery. An adequate planning and patient selection must be required, as well as several techniques can be used. Particularly, associated articular lesions must be detected and cured in the same time. Wrist extension palsies should be treated surgically with PT or LS transfer, whereas flexion palsies can be corrected with opportune balance in movements. Finger palsies can be treated with Zancolli's methods, including MP plasties and "lazos". Thumb palsies can be considered for extensor muscles transposition or reflexionplasties.
上肢麻痹的肌腱修复性转移应被视为手部外科手术中的一项重要手段。必须进行充分的规划和患者选择，同时可以采用多种技术。特别是，必须同时检测并治疗相关的关节病变。腕部伸展麻痹应通过旋前圆肌（PT）或尺侧腕伸肌（LS）转移进行手术治疗，而屈曲麻痹可通过适当的运动平衡来纠正。手指麻痹可采用赞科利氏方法治疗，包括掌指关节成形术和“套索”。对于拇指麻痹，可考虑进行伸肌转位或反射成形术。
