A comparison of different operative managements in restoration of thumb abduetor / 中华创伤骨科杂志

ABSTRACT

Objective To statistically analyze the 128 cases of thumb abductor defects and evaluate the commonly used operative methods. Methods Statistical analysis and evaluation were done in regard to the muscle strength, injury cause, injured parts, injured nerves and tendon transfer. Results We found by following up after the operation FDS, PL, ECU were the most commonly used operative methods and their average excellent and good rate was 87.2%. Abductor digiti quinti and flexor pollicis brevis were less used but their effects were good. Conclusion When the median nerve of thenar is injured, the abductor of the thumb will be damaged. We should restore its function by tendon transfer as long as the muscle strength remains and the passive motion of the carpometacarpal joint is good.