Acceso usuarios
Antonio Jiménez Martín, D. Moriel Garceso, Francisco Javier Najarro Cid, Matilde Sicre González, Francisco Javier Santos Yubero, Santiago Pérez Hidalgo
Introducción y objetivos: La sutura directa en los casos de rotura del extensor pollicis longus (EPL) puede llevar asociado el fallo de la misma.
Por ello, la transferencia tendinosa del extensor indicis proprius (EPI) es una buena alternativa. Nuestro objetivo es describir nuestra experiencia con esta técnica.
Material y métodos: Estudio observacional descriptivo y retrospectivo sobre 29 casos. Variables:
Edad, sexo, mano dominante, actividad laboral, tiempo quirúrgico. Análisis de resultados obtenidos en test de Geldmacher, SEEM y EVA.
Resultados: Edad media de 48.04 ± 9.4 años.
72.4% varones, 27.6% mujeres. Brazo dominante en el 55.2%. 3.4% diabéticos y 6.9% con tratamiento corticoideo. Traumatismo directo en el 58.6% Diagnóstico ecográfico en el 89.7%. Tiempo quirúrgico: 51.8 ± 12.5 minutos. Escala Geldmacher:
15.79 ± 5.8 puntos. Escala SEEM: 70.36 ± 20.4 pun- tos. Rotura de plastia en 13.8%. Altas por mejoría en 96.6%.
Conclusiones: Las roturas de este tendón se asocian a fracturas de radio distal, tratamiento con corticoides, artritis reumatoide o tras osteosíntesis de fracturas de radio con placas volares. En nuestra experiencia, en los casos de rotura del EPL, consideramos que la trasposición del EPI es una alternativa eficaz, con un reducido número de complicaciones.
Introduction and objectives: Direct suture in cases of rupture of extensor pollicis longus (EPL) tendon has been associated to suture tear. For this reason, tendon transfer of extensor indicis proprius (EPI) tendon is a good alternative. Our objective is describe our experience with this technique.
Matherial and methods: Observational descriptive and retrospective study about 29 cases.
Variables: Age, sex, dominant hand, laboral activity, time of surgery. We analize results with Geldmacher’ scale, SEEM and VAS scores.
Results: Average age was 48.04 ± 9.4 years.
72.4% were males and 27.6% were females.
Dominant arm was affected in 55.2% of cases.
3.4% were diabetics and 6.9% received corticoid treatment. Direct trauma appeared in 58.6% of cases. Sonographic diagnosis was in 89.7% of cases. Surgical time was of 51.8 ± 12.5 minutes.
Geldmacher’ scale: 15.79 ± 5.8 points. SEEM score: 70.36 ± 20.4 points. Plastia rupture happened in 13.8% of patients. 96.6% of patients returned to their work.
Conclusions: Ruptures of this tendon have been associated with distal radius fractures, corticoid treatment, rheumathoid arthritis or after osteosynthesis with volar plates in radius fractures.
In our experience, in cases of rupture of EPL, we consider that transposition of EIP it is an effective alternative, with minimal number of complications.
