Tonkin M A, Bulstrode N W
Department of Hand Surgery and Peripheral Nerve Surgery, University of Sydney, Royal North Shore Hospital, Sydney, Australia.
J Hand Surg Eur Vol. 2007 Dec;32(6):684-93. doi: 10.1016/J.JHSE.2007.05.021. Epub 2007 Sep 25.
Five cases of Wassel types III, IV and VII thumb duplication underwent a Bilhaut-Cloquet procedure. A stable and mobile metacarpophalangeal joint was achieved in all cases. Interphalangeal joint motion was limited but this joint was stable in all cases. The nail ridge in these thumbs was minimal. A strong, stable thumb of normal size and good appearance can result from the Bilhaut-Cloquet procedure. When one nail is 70% of normal width, a modified procedure using the whole of one nail will avoid the nail ridge, but the nail will still differ from normal.
对5例瓦塞尔Ⅲ型、Ⅳ型和Ⅶ型拇指重复畸形患者实施了比洛特-克洛凯手术。所有病例均获得了稳定且可活动的掌指关节。指间关节活动受限，但在所有病例中该关节均稳定。这些拇指的甲沟不明显。比洛特-克洛凯手术可造就一个大小正常、外观良好且稳固有力的拇指。当一侧指甲宽度为正常宽度的70%时，采用保留整片指甲的改良手术可避免甲沟出现，但指甲仍与正常指甲有所不同。
