环指指浅屈肌腱移位重建拇对掌功能的长期随访观察

Superficial flexor tendon of ring transfer to reconstruct thumb opponensplasty： a long-term following up

目的对环指指浅屈肌腱移位重建拇对掌功能术后的远期效果进行系统功能评定。方法对2008年9月至2010年12月期间吉林大学中日联谊医院手外科收治的利用环指指浅屈肌腱移位重建拇指对掌功能的11例患者进行回顾性分析，术后分别通过主、客观功能评定标准进行效果评价。 结果11例患者术前DASH评分为（34.0±2.0）分，术后经过67（64-71）个月的随访，DASH评分为（19.7±1.9）分（P〈0.05）；术后拇指对掌功能评定优8例，良3例。结论通过67个月的随访评估，证实环指指浅屈肌腱移位重建拇对掌功能效果确切，是一种可靠的重建拇指对掌功能的手术方法。

ObjectiveTo evaluate the long term results of tendon transfer using superficial flexor tendon of ring to reconstruct thumb opponensplasty.MethodsEleven patients were treated by using superficial flexor tendon of ring to reconstruct thumb opponensplasty in hand surgery department of China-Japan Union Hospital of Jilin University from September, 2008 to December, 2010. The effect of thumb opponensplasty after operation by subjective and objective evaluation, and the data were analyzed retrospectively.ResultsThe preoperative DASH score of 11 patients was 34.0±2.0, and postoperative DASH score was 19.7±1.9（P〈0.05） after 67（64-71） months; the functional grade of thumb opponensplasty was excellent in 8 cases, good in 3 cases.ConclusionThrough 67 months of follow-up evaluation, that the superficial flexor tendon of ring transferring to reconstruct of thumb opponensplasty is an accurate and reliable surgical method is confirmed.