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손상에 의한 영구적 수부 장애에서의 건 이전술

Other Titles
 Tendon Transfer on the Impaired Hand by Injuries 
Authors
 한수봉  ;  최완섭  ;  강응식  ;  강호정 
Citation
 Journal of the Korean Society for Surgery of the Hand (대한수부외과학회지), Vol.2(2) : 304-313, 1997 
Journal Title
 Journal of the Korean Society for Surgery of the Hand (대한수부외과학회지) 
ISSN
 1598-3889 
Issue Date
1997
Keywords
Hand, Impaired function, Nerve injury, Musculotendinous defect, Tendon transfer
Abstract
Impairment of hand function results from irreversible damage to the central nervous system, failure of repair to peripheral nerve injuries, and long-tam defects of muscles or tendons due to traumatic, congenital, infectious, or vascular causes. Thirty-six patients with impaired hands were treated surgically with tendon transfas and, if necessary, supplemer operations, The follow-up period after surgery was mean 2.1 years (range, 1.0-6.2 years). The causes of hand impairment were: musculotendinous defects, 13 cases; radial nerve injuries, 13; brachial plexus injury, 1; median nerve injuries, 3; ulnar nerve injury, 1; combined nerve injuries, 2; extensive burn, 1; and Volkmans ischemic conttactures, 2. Results of tendon transfer were: excellent, 13 cases; good, 16; fair 5; and poor, 2. Unstisfactory results derived from 2 extensive musculatendinous defects, 2 blockages of excursion of tendon due to adhesion, 1 uncorrected flexion contractures of digits, 1 multiple severe nerve injuries, 1 inadequate tension of tendon, 1 overcorrection of deformity, 1 infection, and 1 psychologic problem. Tendon transfer was considered to be effective and useful for functional mconstruction of impaired hands in selected patients. The supplementary operations extended indications of tendon transfer and were helpful in producing satisfactary results.
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Ho Jung(강호정) ORCID logo https://orcid.org/0000-0003-0273-1264
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/177704
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