Carroll R E
Clin Plast Surg. 1986 Apr;13(2):166-73.
Attention has been increasingly directed toward the correction of anomalies of the fingers, hands, and forearm that appear at the time of birth and early development. There are so many variations that it would be difficult to list each separately. However, during the last 50 years, a pattern of general principles and procedures has evolved that is directed to all problems in surgery of the hand. These give a broader application for steps needed for infants with just one problem solution. Now much more can be done. Instruction must be given to the family and child with a congenital anomaly that it is the basic growth pattern of the limb that is altered. This must be watched over a period of time to help modify changes that develop. Much has been done to improve the condition that comes with birth. No doubt, with time, we may have some insight into the factors that cause these changes.
人们越来越关注出生时及早期发育阶段出现的手指、手部和前臂异常的矫正。异常情况种类繁多，难以逐一列举。然而，在过去50年里，一套适用于手部手术所有问题的通用原则和程序已经形成。这些原则和程序为仅需解决一个问题的婴儿所需采取的步骤提供了更广泛的应用。现在可以做更多的事情了。对于患有先天性异常的家庭和儿童，必须告知他们肢体的基本生长模式已发生改变。必须在一段时间内对其进行观察，以帮助改变可能出现的变化。在改善出生时就存在的状况方面已经做了很多工作。毫无疑问，随着时间的推移，我们可能会对导致这些变化的因素有所了解。
