Forearm flexor origin dissection

Forearm flexor origin debridement is used for the treatment of flexion and contracture deformity of the elbow and wrist. Cerebral palpebral elbow flexion contracture deformity is not obvious, common elbow flexion deformity, mostly biceps contracture, can cut or prolong the biceps tendon contracted by the elbow. Wrist and finger flexion contracture is more common, which seriously affects the function of the hand. This deformity should be corrected early, often using the forearm flexor origin peeling. After clinical observation, this operation can not only correct the flexion contracture of the wrist and fingers. It also helps to relieve elbow flexion and forearm pronation. Treatment of diseases: congenital multiple joint contracture Indication Forearm flexor origin debridement is suitable for wrist flexion contracture deformity or accompanied by elbow flexion contracture deformity. Contraindications Associated with bone structural deformities. Surgical procedure Incision Starting from the upper 5 cm above the humerus, the ulna is extended 10-15 cm downwards, and the distal end is slightly cut forward. Incision of the skin, subcutaneous tissue and deep fascia, in the posterior ulnar sulcus of the humerus, the ulnar nerve is freed and pulled to the posterior side, free to enter the ulnar wrist flexor and the deep flexor two nerve branches In order to shift to the far side. 2. Flexor tendon stripping Cut the biceps tendon, protect the median nerve, reveal the starting point of the supraorbital flexor of the humerus, and use the knife in the humerus to start the pronator, palmar, ulnar and flexor Cut at the upper palate, peel them off under the periosteum, and push them down to make them naturally retract, so that the contracture is relieved. Cut other fibrous tissue that affects the joint's straightness, allowing the elbows and wrists and fingers to reach their normal position. Move the ulnar nerve to the front of the humerus. 3. Suture incision Relax the tourniquet, stop the bleeding completely, wash the wound with isotonic saline, and suture it at the level.