The Effect of Extensor Digiti Minimi Tendon (EDM) Transfer on Ulnar Deviation of the Little Finger.

IF 1 Q3 SURGERY World Journal of Plastic Surgery Pub Date : 2024-01-01 DOI:10.61186/wjps.13.3.75
Hossein Akbari, Ali Saadati, Peyman Akbari
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Abstract

Background: The little finger permanent abduction is an annoying deformity usually along with Wartenberg's sign (a consequence of ulnar nerve palsy), but there are several ways to correct this condition in rheumatoid arthritis as well. We aimed to investigate the effect of surgical intervention on patients.

Methods: The current study was a clinical trial which was done at Hazrat Fatima Hospital of Tehran, Iran from 2020-2022, where 15 patients with an age range of 21-48 years were investigated. All these patients had complications of ulna nerve damage. After the intervention (tendon transfer), the angle change of the fifth finger was compared with before the surgery.

Results: A significant improvement in reducing the angle of the fifth finger after surgery was observed in patients (P<0.05).

Conclusion: Tendon transfer is one of the best techniques for the treatment of ulnar injuries.

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小指伸肌腱(EDM)移位对小指尺偏的影响。
背景:小指永久性外展是一种令人讨厌的畸形,通常伴随着Wartenberg征(尺神经麻痹的结果),但在类风湿性关节炎中也有几种方法可以纠正这种情况。我们的目的是探讨手术干预对患者的影响。方法:本研究是一项临床试验,于2020-2022年在伊朗德黑兰哈兹拉特法蒂玛医院进行,其中15例患者年龄在21-48岁之间。所有患者均有尺神经损伤并发症。干预后(肌腱转移)与术前比较无名指角度变化。结果:术后患者的五指角度减小有明显改善(结论:肌腱转移是治疗尺侧损伤的最佳技术之一。
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