Kanojia R K, Sharma N, Kapoor S K
Department of Orthopaedics, Lady Hardinge Medical College, Shahid Bhagat Singh Marg, New Delhi, India.
J Hand Surg Eur Vol. 2008 Oct;33(5):622-7. doi: 10.1177/1753193408093809.
Preliminary soft tissue distraction using an external fixator before centralisation and tendon transfer of the flexor and extensor carpi ulnaris to the little finger metacarpal was used to treat Bayne's type III and IV deformities in 18 hands of 14 patients with radial club hands. Treatment with external fixator was started at a mean age of 8 (range 3-30) months. In 16 of 18 hands, the surgical treatment was completed before 10 months of age. Adequate soft tissue stretching was achieved before centralisation using fractional distraction with the external fixator in the majority of hands. After an average follow-up period of 31 months, there were seven good, eight satisfactory and one unsatisfactory result.
在将尺侧腕屈肌和伸肌向小指掌骨进行中心化和肌腱转移之前，使用外固定器进行初步软组织牵张，以治疗14例桡侧多指畸形患者18只手的贝恩III型和IV型畸形。外固定器治疗开始的平均年龄为8个月（范围3 - 30个月）。18只手中的16只，手术治疗在10个月龄之前完成。大多数手在中心化之前使用外固定器进行分次牵张，从而实现了充分的软组织拉伸。平均随访31个月后，结果为7例优、8例良和1例差。
