Kotwal P P, Varshney M K, Soral A
Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India.
J Hand Surg Eur Vol. 2012 Feb;37(2):161-9. doi: 10.1177/1753193411413070. Epub 2011 Jun 27.
We compared the radiological and functional outcomes in patients with radial longitudinal deficiency treated surgically with those managed nonoperatively and correlated the ease of performance of activities with radiological and functional parameters in the two groups. A retrospective analysis was done in 446 type 3 and 4 hands (modified Bayne classification) over 20 years comparing the subjective assessment, objective and functional scores in nonoperatively managed hands (Group 1; n = 137) to hands managed with centralization or radialization (Group 2; n = 309). The subjective, objective and functional measures were significantly better in Group 2. Improved alignment, finger and wrist range of motion and grip strength were related to improvement in functional score. Surgical treatment of radial longitudinal deficiency provides improvement in cosmesis, function and ease of performance of activities when compared with nonoperatively managed hands.
我们将接受手术治疗的桡骨纵列发育不全患者的影像学和功能结果与非手术治疗的患者进行了比较，并将两组患者活动执行的难易程度与影像学和功能参数进行了关联。对446只3型和4型手（改良贝恩分类法）进行了为期20年的回顾性分析，比较了非手术治疗组（第1组；n = 137）与接受中心化或桡侧化手术治疗组（第2组；n = 309）的主观评估、客观和功能评分。第2组的主观、客观和功能指标明显更好。对线改善、手指和腕关节活动范围以及握力与功能评分的改善有关。与非手术治疗的手相比，桡骨纵列发育不全的手术治疗在美容、功能和活动执行的难易程度方面均有改善。
