Nursing and rehabilitative treatment on pectoralis minor mucle taking along flap transplantation for functional reconstruction of thumb
10.3760/cma.j.issn.1674-2907.2012.13.023
- VernacularTitle:携带皮瓣的胸小肌移植重建拇对掌功能的护理及康复治疗
- Author:
Gui-Fen WEN
1
;
Yong-Ling GAO
;
Qiong TANG
;
Ping LI
;
Rui-Ying XIE
;
Fei GAO
;
Peng-Wei LUO
;
Lin ZENG
Author Information
1. 广东省深圳市人民医院
- Keywords:
Surgical flap;
Pectoralis minor;
Thumb;
Nursing;
Rehabilitation
- From:
Chinese Journal of Modern Nursing
2012;18(13):1555-1557
- CountryChina
- Language:Chinese
-
Abstract:
Objective To report the effect of clinical nursing and rehabilitative treatment on pectoralis minor taking along flap transplantation for the reconstruction of thumb.Methods Ten cases were selected and the new operation methods was adopted.The preoperative examination and mental counseling were implemented.Postoperative monitoring,early electrical stimulation and continuous passive motion functional exercise,especially the training in finger-to-thumb opposition activity were performed.Results Ten cases after operation were followed-up in 12-24 months and all were recovered within 6-12 months.Muscle strength of all 10 cases achieved above class 4 and the shape of thenar eminence was satisfactory.Conclusions Selecting part of the pectoralis minor taking along flap for transplantation to the thenar is a new method for thumb opposition reconstruction,which can achieve good outcome.In addition,sufficient preoperative mental counseling and effective postoperative rehabilitative treatment play crucial role in ensuring the success of operation and the recovery of thumb opposition function.
