Thirkannad Sunil M, Burgess Ronald C
Shriners Hospital for Children-Lexington, Lexington, KY, USA.
Tech Hand Up Extrem Surg. 2008 Jun;12(2):71-8. doi: 10.1097/BTH.0b013e31815a3f34.
Radial clubhand is a condition that is cosmetically unappealing and functionally challenging to the patient. Management of this condition aims to achieve a straighter alignment of the hand on the forearm while maintaining a stable wrist without compromise of growth at the distal ulnar epiphysis. We have been using a 2-stage procedure to manage type 3 and 4 radial clubhand since 1993. Centralization is initially obtained by using the Ilizarov fixator in a hinged-distraction mode. Once this is achieved, the correction is secured at a second stage by pinning the carpus to the ulna. We describe in detail the technique of constructing the Ilizarov frame for this purpose.
桡侧多指（趾）畸形手是一种在外观上不美观且给患者带来功能挑战的病症。这种病症的治疗旨在使手部在前臂上实现更笔直的对线，同时保持稳定的腕关节，且不影响尺骨远端骨骺的生长。自1993年以来，我们一直采用两阶段手术来治疗3型和4型桡侧多指（趾）畸形手。最初通过以铰链式撑开模式使用伊里扎洛夫固定器来实现中心化。一旦达到这一目标，在第二阶段通过将腕骨固定到尺骨来巩固矫正效果。我们详细描述了为此构建伊里扎洛夫框架的技术。
