腹直肌—阔筋膜张肌—髂胫束联合转移替代股四头肌术及术后康复治疗(附36例临床分析)

Musculi rectus abdominis-musculi tensor fasciae lataeiliotibial tract transfer to replace quadriceps and postoperative rehabilitation treatment

本文报导应用腹直肌、阔筋膜张肌、髂胫束联合转移以及腹直肌、髂胫束联合转移代股四头肌36例,总优良率达70％。前者优良率较后者高,它的原始动力增加为腹直肌和阔筋膜张肌肌力的几何和。前一术式将髂胫束远端止点移至髌骨骨槽内固定,使之更符合股四头肌作用力线要求。两种术式术后康复治疗均从仰卧起坐开始,逐渐过度到下地活动,前一术式尚需附加其它锻炼。该二术式是治疗伴腘绳肌及其它下肢肌瘫的股四头肌瘫痪病例的较好方法。

Musculi rectus abdominis-musculi tensor fasciae lataeiliotibial tract transfer and musculi rectus abdomin-isiliotibial tract transfer were used to treat quadrieeps paralysis c mpany with biceps femoris, semitendinous paralysis. Their effect is satisfact ry. The satisfactory rate is 70％. At two point, the previous method is better than later method. The first point is that previous method has two musculi power: The second point is that the distal endpoint of iliotibial tract has been moved into patella tunnel and firmed, it is more reasonable than the later. The restoration treatment was emphasized in the article.