尺侧腕屈肌腱转位重建屈肘功能

目的报道尺侧腕屈肌腱转位重建非神经损伤性屈肘功能的I临床疗效。方法对2003年1月-2010年12月收治的7例上臂挤轧伤致肱二头肌及肱肌功能丧失的患者，应用尺侧腕屈肌腱转位重建屈肘功能。结果本组7例功能重建手术伤口均一期愈合，经18-24个月随访，均恢复屈肘功能，主动活动范围0°～135°．转位肌肉肌力恢复≥Ⅳ级，前臂旋前、旋后及屈腕功能均无明显影响，肘关节稳定，无明显疼痛，根据中华医学会手外科分会2004年制定的肘关节功能评定试用标准，评分13～16分．评定优，患者自觉满意，均能基本完成日常生活。结论对非神经损伤性的肱二头肌及肱肌功能丧失患者．选择应用尺侧腕屈肌腱转位重建屈肘功能可获得满意的效果。

The transposition of flexor carpi ulnaris tendon for reconstructing the elbow flexion function

Objective To report clinical efficiency of the transposition of flexor carpi ulnaris tendon for reconstructing elbow flexion function with non-neuronal injuries. Methods From January 2003 to December 2010, there were 7 patients with brachial biceps muscle function loss caused by crush injury were treated by transposition of flexor carpi ulnaris tendon for reconstructing elbow flexion function. Results The wound in these 7 patients had primary healing. The patients were followed up for 18-24 months, it was found that the elbow flexion function was recovered with active range of 0-135 degree. The restoration of the transposition muscle strength was more than IV level. The function of the forearm pronation, supination and wrist flexion was not affected. The elbow joint was stable and had no significant pain. According to the trial standards for elbow joint function estabhshed by the Hand Surgery Branch of the Chinese Medical Association in 2004, the function of elbow joint was assessed to be excellent with the score of 13-16 points. The patients felt satisfied and were able to complete basic daily living. Conclusion For the patients of brachial biceps muscle loss with non-neuronal function, it could obtain satisfactory result for reconstructing elbow flexion function with the transposition of flexor carpi ulnaris tendon.