先天性拇指缺如时示指拇指化的主要化
Principalization of pollicization of the index finger in congenital absence of the thumb.
作者信息
Foucher Guy, Medina Jose, Lorea Patrick, Pivato Giorgio
机构信息
University of Las Palmas, Gran Canaria, Spain.
出版信息
Tech Hand Up Extrem Surg. 2005 Jun;9(2):96-104. doi: 10.1097/01.bth.0000164509.88340.b7.
After reviewing our experience with pollicization in congenital cases of thumb hypoplasia or aplasia, we found that classic techniques have several weak points concerning function and appearance. Abduction is frequently inadequate, and adduction is quite weak. Esthetically the thumb has a slender aspect, the web fold is absent, and the commissure looks more like a cleft. We tried to prioritize the issues to propose some technical modifications for improvement of function and appearance.
在回顾我们对先天性拇指发育不全或拇指缺如病例进行拇指再造术的经验后，我们发现经典技术在功能和外观方面存在几个弱点。外展功能常常不足，内收功能相当薄弱。从美学角度看，拇指显得细长，没有蹼褶，指间关节看起来更像一条裂隙。我们试图对这些问题进行优先级排序，以提出一些技术改进措施，来改善功能和外观。
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