Leca J-B, Auquit Auckbur I, Bachy B, Milliez P-Y
Clinique chirurgicale infantile, hôpital Charles-Nicolle, 1, rue de Germont, 76031 Rouen cedex, France.
Ann Chir Plast Esthet. 2008 Dec;53(6):513-6. doi: 10.1016/j.anplas.2007.11.007. Epub 2008 Mar 24.
Symbrachydactyly is a rare congenital malformation of the hand and its treatment is controversial. Non vascularized toe phalangeal transfers have been used for management of short digits for three children. Six phalanges have been harvested complete with their periosteum. No joint reconstruction has been performed and all children have undergone surgery at a young age. Four of six digits involved have an active range of motion (range 30 to 105 degrees ). All authors who have reported active range of motion of toe phalangeal transfers have performed joint reconstruction. Here, we report obtaining active range of motion of phalangeal transfers without necessity of joint reconstruction.
短指畸形是一种罕见的手部先天性畸形，其治疗存在争议。非血管化趾骨移植已用于治疗三名儿童的短指。已采集了六个带有骨膜的完整趾骨。未进行关节重建，所有儿童均在幼年时接受了手术。六个受累手指中有四个具有主动活动范围（范围为30至105度）。所有报道过趾骨移植主动活动范围的作者都进行了关节重建。在此，我们报告在无需关节重建的情况下获得了趾骨移植的主动活动范围。
