肌腱移位治疗桡神经不可逆损伤72例报告

Tendon transfer for radial nerve palsy

目的总结Ｒｉｏｒｄａｎ肌腱移位术治疗桡神经不可逆损伤的疗效。方法对１９６０～１９９６年间，采用Ｒｉｏｒｄａｎ肌腱移位术治疗不可逆桡神经损伤７２例进行回顾性的分析。作者制定的疗效评定标准：优：腕关节能主动背伸４５～６０度；当腕关节背伸３０度时掌指关节伸直达０度，腕关节背伸０～１０度时手指屈距远端掌纹０ｃｍ。良：腕关节能主动背伸３０度；当腕关节背伸１０度时掌指关节能伸至０度，腕关节背伸１０～２５度时手指屈距远端掌纹０ｃｍ。结果术后平均随访３个月，疗效优良者６３例，优良率达８７．５％。结论在众多晚期桡神经功能重建术中，Ｒｉｏｒｄａｎ肌腱移位术是目前最合理的术式，术后均能取得较为满意的疗效。

Objective To summarize the effectiveness of Riordan tendon transfer for repair of irreversible radial nerve injury. Methods 72 cases of irreversible radial nerve injury,which were treated with Riordan tendon transfer from 1960～1996,were retrospectively analyzed. The criteria of treatment effect were as follows: Excellent the wrist can extend voluntarily to 45°～60°; the metacarpophalangeal joints can extend completely (0 degree) when the wrist is in 30° extension, the finger tips can reach the distal metacarpal crease when the wrist is in 0°～10° extension. Good the wrist can extend voluntarily to 30°; the metacarpophalangeal joints can extend completely when the wrist is in 10° extension; the finger tips can reach the distal metacarpal crease when the wrist is in 10°～25° extension. Results After an average follow up of 3 months, 63 cases (87.5%) showed excellent or good results. Conclusion Among the reconstructive procedures for radial nerve palsy of late stage,Riordan tendon transfer is currently the most effective one.