肌滑移术治疗前臂缺血性肌挛缩的疗效分析

Analysis of therapeutic effects of muscle sliding operation treating volkmann ischemic contracture of forearm

目的 探讨肌滑移术治疗前臂Volkmann缺血性肌挛缩的疗效。方法 对 32例前臂Volkmann缺血性肌挛缩者分为单纯型和复合型。采用单纯肌滑移术、肌滑移术加骨性手术、肌滑移术加神经内松解术。结果 2 9例得到随访 ,优良率为 93.7%。结论 肌滑移术疗效可靠 ,对复合型病例可同时施行骨性手术或神经内松解术。

Objective To investigate therapeutic effects of muscle sliding operation treating Volkmann ischemic contracture of the forearm. Methods 32 cases Volkmann ischemic contracture were classified two types: the single type and the complex type. Three approaches were employed to treat different types which were single muscle sliding operation, muscle sliding plus skeletal operation, muscle sliding operation plus neurolysis.Results 29 cases were followed up, which excellent and good was 93.7 percent.Conclusions Muscle sliding operation was effective management for Volkmann ischemic contracture, and the skeletal operation or neurolysis could managed for the complex type in the meantime.