指浅屈肌腱部分腱束转位重建伸肌腱中央腱束

Partial flexor digitorum superficialis tendon slip dorsaI transposition for reconstruction of extensor central slip

目的报告指浅屈肌腱部分腱束转位重建伸肌腱中央腱束的方法及治疗效果。方法自2012年6月至2015年6月，我们对14例外伤导致的伸肌腱中央腱束缺损患者，采用指浅屈肌腱部分腱束转位重建伸肌腱中央腱束。术后常规应用支具固定患手于腕关节背伸位3周，并在康复师的指导下早期间断去除支具进行主动功能锻炼。结果术后所有患者均获得随访，时间为3—12个月，平均6个月，采用中华医学会手外科学会上肢部分功能评定试用标准评定：优9例，良5例。结论采用指浅屈肌腱部分腱束向背侧转位重建伸肌腱中央腱束的方法修复外伤导致的伸肌腱中央腱束缺损简单易行，固定牢固，可早期功能锻炼，疗效可靠，费用低廉。

Objective To report the application and efficacy of partial flexor digitomm superficialis tendon slip transposition to reconstruct extensor central slip. Methods From June 2012 to June 2015, 14 patients with traumatic extensor central slip defect were treated with dorsal transposition of part of the flexor digitorum superficialis tendon slip. Postoperatively the wrist was immobilized in extension for 3 weeks with a splint which was removed periodically to allow early active functional exercise. Results Patients were follow-up for 3 months to one year, with an average of 6 months. According to the upper limb functional assessment criteria issued by the Chinese Hand Surgery Society, the results were rated as excellent in 9 cases aud good in 5 cases. Conclusion Partial flexor digitomm superficialis tendon slip dorsal transposition to reconstruct extensor tendon central slip is simple and reliable. It allows early functional exercise, is an effective, reliable and cost efficient procedure.