CAJ | 학술논문

目的介绍一种改良的桡神经损伤功能重建的方法及其临床效果.方法从2002年6月起,对12例不可逆的桡神经损伤患者,采用改良津下法进行伸腕、伸指伸拇功能重建.结果术后12例经2～48个月的随访,根据1994年陈德松等制定的桡神经损伤后肌腱移位术后疗效评定标准评定:优10例,良2例;优良率100%.良的2例中,1例为臂丛神经锐性损伤修复术后8年,移位肌腱肌力略差;另1例为前臂背侧皮肤肌肉神经部分缺损,皮瓣修复术后瘢痕粘连所致.结论改良津下法肌腱移位术是最合理且简单、疗效满意的术式,可作为桡神经损伤功能重建的理想方法.
목적 개소일충개량적뇨신경손상공능중건적방법급기림상효과.방법 종2002년6월기,대12례불가역적뇨신경손상환자,채용개량진하법진행신완、신지신무공능중건.결과 술후12례경2～48개월적수방,근거1994년진덕송등제정적뇨신경손상후기건이위술후료효평정표준평정:우10례,량2례;우량솔100%.량적2례중,1례위비총신경예성손상수복술후8년,이위기건기력략차;령1례위전비배측피부기육신경부분결손,피판수복술후반흔점련소치.결론 개량진하법기건이위술시최합리차간단、료효만의적술식,가작위뇨신경손상공능중건적이상방법.
Objective To introduce a new method of tendon transfer for treating radial nerve palsy and evaluate the clinical outcomes. Methods Twelve cases of irreversible radial nerve injuries were treated with the modified Tsuge technique to reconstruct the function of wrist, thumb and finger extension since June 2002.Results All 12 cases were follow-up for 2 to 48 months. According to Chen Desong's 1994 criteria for outcome evaluation of tendon transfers in radial nerve palsy, good results were seen in 10 cases and fair results in 2 cases.The overall satisfactory rate was 100%. One of the 2 cases that showed fair results had brachial plexus cut injury and repair 8 years earlier, which yielded weaker donor for tendon transfer. The other case was accompanied by soft tissue defect of the dorsal forearm that required flap coverage and hence postoperative scarring. Conclusion Modified Tsuge tendon transfer is the most suitable, simple and effective method for functional reconstruction in radial nerve palsy.