桡侧多指畸形手术治疗的10年经验
A 10-year experience with the surgical treatment of radial polydactyly.
作者信息
Siqueira Marcelo Araujo, Sterodimas Aris, Boriani Filippo, Pitanguy Ivo
机构信息
Plastic Surgery Department, The Ivo Pitanguy Institute, Pontifical Catholic University of Rio de Janeiro, Rio de Janeiro, Brazil.
出版信息
Ann Ital Chir. 2008 Nov-Dec;79(6):441-4.
PURPOSE
Authors' clinical and surgical experience in correction of the radial polydactyly in its various degrees of severity is presented.
MATERIAL AND METHODS
Nineteen patients were operated due to thumb duplication in a 10-year period from 1996 to 2006. The cases were classified according to Wassel 7-type classification. The surgical techniques adopted were the Bilhaut-Cloquet and the method of exclusion of the more hypoplasic thumb with preservation of the more functional and aesthetic one.
RESULTS
In 95% of the cases, the performed procedures meant to sacrifice the finger that was more hypoplastic and to preserve the more functional and aesthetic finger. The Bilhaut-Cloquet procedure was utilized only in one case.
DISCUSSION
A correct preoperative evaluation has to be performed in order to assess the osseo-muscular, articular and neurovascular properties of the duplicated fingers. The type of the deformity, type of the selected treatment procedure, and the surgical experience of the surgeon are factors contributing to the high satisfaction rate after surgery.
目的
介绍作者在矫正不同严重程度桡侧多指畸形方面的临床和手术经验。
材料与方法
1996年至2006年的10年间，19例患者因拇指重复畸形接受手术。病例根据瓦塞尔7型分类法进行分类。采用的手术技术为比尔奥-克洛凯术式以及切除发育较差的拇指、保留功能和美观性更佳拇指的方法。
结果
95%的病例中，手术操作旨在牺牲发育较差的手指，保留功能和美观性更佳的手指。仅1例使用了比尔奥-克洛凯术式。
讨论
必须进行准确的术前评估，以评估重复手指的骨肌、关节和神经血管特性。畸形类型、所选治疗方法的类型以及外科医生的手术经验是术后满意度高的影响因素。
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