Hardwicke J, Khan M A A, Richards H, Warner R M, Lester R
Children's Hand and Upper Limb Service, Department of Plastic Surgery, Birmingham Children's Hospital NHS Foundation Trust, Birmingham, UK.
J Hand Surg Eur Vol. 2013 Mar;38(3):297-303. doi: 10.1177/1753193412451232. Epub 2012 Jun 26.
We report the outcomes of 32 patients diagnosed with macrodactyly. The average age at presentation was 46 months and there was an equal distribution across the sexes, although there was a male predominance in the upper limb and female predominance in the lower limb. There were 20 cases of upper limb macrodactyly and 13 cases affecting the lower limb. Multiple digits were more commonly affected than isolated digits, with an average of 2.5 digits affected. Static disease required significantly fewer operations than progressive disease. The need for repeated procedures must be highlighted in cases of progressive macrodactyly. In the vast majority of cases the functional and cosmetic outcome is good, with good patient acceptance.
我们报告了32例诊断为巨指（趾）症的患者的治疗结果。就诊时的平均年龄为46个月，性别分布均衡，不过上肢以男性居多，下肢以女性居多。上肢巨指（趾）症有20例，下肢有13例。多个手指（趾）受累比单个手指（趾）受累更为常见，平均受累手指（趾）数为2.5个。静止型疾病所需的手术次数明显少于进展型疾病。对于进展型巨指（趾）症，必须强调重复手术的必要性。在绝大多数病例中，功能和外观效果良好，患者接受度也高。
