CAJ | 학술논문

改良小指固有伸肌腱移位重建拇对掌功能是治疗陈旧性正中神经损伤致拇对掌功能障碍的很多方法之一,为了解该治疗方法的远期效果是否优良,实验回顾性分析了2003-01/2007-12北华大学附属医院手外科接受过利用改良小指固有伸肌腱移位重建拇对掌功能患者97例,进行随访21例.应用<手功能评定标准的改定>的标准进行术后拇对掌功能的功能评定,测量患手拇指的长度T、拇指对掌活动中向掌心移动(mo)与离掌心移动(Mo):即手掌及4指在冠状面处于伸直位,拇指向掌侧尽量外展并与示指处于同一个矢状面内,测量拇指掌侧指间横纹中点(简称E点)至中指掌指关节掌侧横纹中点(简称F点)之间的的连线距离(简称该距离为Mo).拇指对掌功能重建后,测量患手拇指的长度及向掌心活动、离掌心活动拇指掌侧指间横纹中点至中指掌指关节掌侧横纹中点的距离,并分别计算它们间的比值.本组病例随访时间为1～14年,平均7.5年,可见利用改良小指固有伸肌腱移位术是重建拇对掌功能的良好治疗方法.
개량소지고유신기건이위중건무대장공능시치료진구성정중신경손상치무대장공능장애적흔다방법지일,위료해해치료방법적원기효과시부우량,실험회고성분석료2003-01/2007-12북화대학부속의원수외과접수과이용개량소지고유신기건이위중건무대장공능환자97례,진행수방21례.응용<수공능평정표준적개정>적표준진행술후무대장공능적공능평정,측량환수무지적장도T、무지대장활동중향장심이동(mo)여리장심이동(Mo):즉수장급4지재관상면처우신직위,무지향장측진량외전병여시지처우동일개시상면내,측량무지장측지간횡문중점(간칭E점)지중지장지관절장측횡문중점(간칭F점)지간적적련선거리(간칭해거리위Mo).무지대장공능중건후,측량환수무지적장도급향장심활동、리장심활동무지장측지간횡문중점지중지장지관절장측횡문중점적거리,병분별계산타문간적비치.본조병례수방시간위1～14년,평균7.5년,가견이용개량소지고유신기건이위술시중건무대장공능적량호치료방법.
Reconstructing thumb opposition function using modified transfer of proper extensor tendon of the fifth digit is one of the methods to treat old median nerve injury-induced thumb opposition dysfunction. To explore the long-term effect of this method, 97 patients undergoing modified transfer of proper extensor tendon of the fifth digit to reconstruct thumb opposition function in Department of Hand Surgery, Affiliated Hospital of Beihua University between January 2003 and December 2007 were retrospectively analyzed, and 21 were followed up. The thumb opposition function postoperatively was evaluated using Changing of Hand Function Evaluation Standard. After reconstructing thumb opposition function, length of thumb (T), distance moving to (mo) and moving away from (Mo) centre of palm in opposition, i.e. during closing and leaving centre of palm distance between middle point of thumb interdigit transverse striation and middle point of middle finger MP joint transverse striation. In addition, their ratios were calculated. The patients were followed-up for 7.5 years (ranging 1-14 years). It is a good therapy to reconstruct thumb opposition function using modified transfer of proper extensor tendon of the fifth digit.