掌长肌游离移植治疗8例陈旧性sterner病疗效分析

Analysis of curative effects of free tendon graft using palmaris longus for 8 cases of old stener

[背景]回顾性分析掌长肌游离移植治疗陈旧性stener病患者的临床效果.[病例报告]自2000年7月至2007年7月间给不能直接缝合的8例拇指掌指关节尺侧副韧带陈旧性损伤患者行掌长肌游离移植修复尺侧副韧带,观察患者术后日常生活受限程度、疼痛、稳定性、握力及关节活动范围等情况.6例患者日常生活无受限,2例当举重物时存在不适感,术后无疼痛病例.7例患者术后掌指关节稳定,1例出现轻度的关节松弛;握力较健侧下降15%以下者为5例,15%～30%者为3例.所有患者关节活动范围较健侧均减少20°.[讨论]掌长肌游离移植修复术是治疗拇指掌指关节尺侧副韧带陈旧性损伤的有效方法.

BACKGROUD To analyze retrospectively the clinical effects of free tendon graft using palmaris longus for treatment of old stener lesion. CASE REPORTS From July, 2000 to July, 2007, 8 cases of old stener were treated by free tendon graft using palmaris longus, and it was observed that the limited degree of po the d stoperative daily life, pain, stability, key aily life, 2 patients had some discomfort at pine lifti The postoperative metacarpophalangeal joint in h and range of joint motion. 6 patients had no limited ng 7 heavy materials, and no one had postoperative pain. patients was stable and in 1 patient had mild arthrochalasis. The grip power on operated side of 5 patients was lost 〈15% and 3 patients 15-30%, and the rage of joint movement on the operated side in patients was reduced 20 degree. DISCUSSION The free tendon graft using palmaris longus is effective technique in treatment of the old stener lesion.