Toledo L C, Ger E
J Hand Surg Am. 1979 Nov;4(6):556-64. doi: 10.1016/s0363-5023(79)80009-x.
A review of the records of 61 patients with 176 surgically treated webs was completed to evaluate the results of the different operative techniques used to separate the fingers. The postoperative follow-up period averaged 14 years, with a range from 2 to 38 years. The patients were assessed in two groups: those with major associated anomalies and those in whom syndactyly was the principal anomaly. Recurrence of the webs and flexion and extension contractures occurred more often when split-thickness grafts were used. To obtain a satisfactory result, a second procedure was necessary in 59% of patients with major associated anomalies, and in 30% of the patients who had syndactyly as the principal abnormality. Two types of patients were found to require subsequent operations: children treated prior to 18 months of age and those with complex syndactyly.
对61例患者176处接受手术治疗的蹼状指记录进行回顾，以评估用于分离手指的不同手术技术的效果。术后随访期平均为14年，范围为2至38年。患者分为两组进行评估：伴有主要相关畸形的患者和以并指为主要畸形的患者。使用中厚皮片时，蹼状指复发以及屈伸挛缩更常发生。为获得满意结果，59%伴有主要相关畸形的患者和30%以并指为主要异常的患者需要进行二次手术。发现两类患者需要后续手术：18个月龄前接受治疗的儿童和患有复杂并指的患者。
