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摘要
Objectives: The aim of the study is to introduce a new minimally invasive technique for ulnar nerve release and transposition. Methods: From January 2010 to May 2011, 51 patients with cubital tunnel syndrome were treated through a 1.5 to 2cm incision. Limb functional recovery, scar esthetics, sensitivity of scar, numbness of the operating area, and patient satisfaction were assessed. Results: No wound hematoma nor infection was observed in the group. The time of operation was 36 +/- 17.2 minutes. At the final follow-up of 63 +/- 7.3 months, 2-point discrimination of the small finger was improved from 6.3 +/- 2.2 mm to 5.2 +/- 2.4 mm. Grip and pinch strength of the hand were improved from 14.2 +/- 7.7 kg and 3.7 +/- 2.4 kg to 35.2 +/- 12.7 kg and 4.1 +/- 2.8 kg, respectively. The motor nerve conduction velocity was improved from 36.5 +/- 11.2 to 44.6 +/- 6.7 (m/sec). The Disabilities of the Shoulder, Arm, and Hand questionnaire score was improved from 37.2 +/- 23.8 to 10.5 +/- 9.6. No patients reported scar pain, sensitivity of scar, or numbness of the operating area. No revision surgery was needed. Michigan Hand Outcome score for aesthetics was 94.6% +/- 5.1 and satisfaction was 92 +/- 8, respectively. We obtained 33 excellent, 12 good, 5 fair, and 1 poor result. Conclusion: Ulnar nerve decompression with anterior transposition can be safely and effectively accomplished through the small incision. It can be an alternative technique producing good appearance.
- 出版日期2017
- 单位河北医科大学
