改善四肢瘫痪患者手部功能的外科手术：20 年间患者的满意度和效果

IF 2 2区医学 Q2 ORTHOPEDICS

Journal of Hand Surgery-European Volume Pub Date : 2024-04-20 DOI:10.1177/17531934241246459

Stevens Cyriëlle, Vanden Berghe Alex, Hollevoet Nadine

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引用次数: 0

摘要

本研究旨在报告我们在四肢瘫痪患者上肢重建手术策略的演变和患者满意度方面的经验。1997年至2017年间，共有72名患者（114个上肢）接受了手术。自2003年4月起，由于伸指肌腱腱鞘切除术限制了腕关节的屈曲，因此不再进行该手术，恢复主动抓握能力的两阶段手术也被一阶段手术所取代。共有 34 名患者（58 个上肢）在首次手术后平均 14 年（4-24 年不等）的随访中填写了有关功能和满意度的调查问卷；26 人表示满意，30 人表示将再次接受手术，31 人从手术中获益。从长远来看，肌腱转移、关节固定和腱鞘切除等外科手术对大多数患者的功能和满意度有积极影响：证据等级：IV

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Surgical procedures to improve hand function in tetraplegic patients: patient satisfaction and outcomes over a 20-year period

The aim of the present study was to report our experience in the evolution in surgical strategy and patient satisfaction after upper limb reconstruction in tetraplegic patients. A total of 72 patients (114 upper limbs) underwent surgery between 1997 and 2017. Since April 2003, tenodesis of the extensor digitorum communis tendons was no longer performed because it limited wrist flexion, and two-stage operations to restore active grasp were replaced by one-stage procedures. In total, 34 patients (58 upper limbs) completed questionnaires about function and satisfaction at a mean follow-up of 14 years (range 4–24) since their first operation; 26 were satisfied, 30 would have the operation again and 31 benefitted from the surgery. Surgical procedures, such as tendon transfers, arthrodesis and tenodesis, can have a positive effect on patient-perceived function and satisfaction in the long term in most of these patients.Level of evidence: IV

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来源期刊

Journal of Hand Surgery-European Volume 医学-外科

CiteScore

3.10

自引率

16.70%

发文量

190

审稿时长

4-8 weeks

期刊介绍： The Journal of Hand Surgery (European Volume) is essential reading for everyone involved in restoring the function to the hand and upper limb. Dedicated to the needs of hand, plastic, reconstructive and orthopaedic surgeons, it publishes the best selection of current papers on hand surgery. The journal regularly highlights key developments in a range of original, authoritative and highly informative articles written by distinguished experts from around the world. Rapid coverage of the latest research, techniques, trends and ideas to make sure you stay up-to-date. Subjects covered include: joint replacement fracture and joint injuries microvascular surgery congenital hand problems You will also find editorials, book reviews, conference dates, case studies, detailed coverage of new techniques and full-length reviews articles.