Matev I
Institute of Orthopaedics and Traumatology, Sofia, Bulgaria.
J Hand Surg Br. 1991 May;16(2):127-32. doi: 10.1016/0266-7681(91)90160-p.
A twenty-year experience with a surgical procedure, previously described, for dynamic correction of spastic thumb-in-palm deformity in cerebral palsy is reported. The procedure includes lengthening of the long flexor of the thumb, proximal thumb intrinsic release and augmentation of abduction-extension of the thumb. Bone-stabilising operations are not performed. 56 patients have been followed up for an average period of 4 years and 11 months after the treatment (range 2 to 15 years). Correction of the deformity is recorded in 82% of the patients.
本文报告了一种外科手术的二十年经验，该手术曾被描述用于动态矫正脑瘫患者的拇指内收畸形。该手术包括延长拇指长屈肌、近端拇指固有肌松解以及增强拇指的外展-伸展。不进行骨稳定手术。56例患者在治疗后平均随访了4年11个月（范围为2至15年）。82%的患者畸形得到矫正。
