Mende Konrad, Watson Anna, Stewart David A
Department of Hand Surgery and Peripheral Nerve Surgery, Royal North Shore Hospital, The Children's Hospital at Westmead, Sydney Medical School (University of Sydney), Sydney, Australia.
J Hand Surg Asian Pac Vol. 2020 Mar;25(1):1-12. doi: 10.1142/S2424835520300017.
Different techniques are used to release simple and complex congenital syndactyly in order to create an adequate web space, and to separate the fingers to allow independent function. This article is a systematic review of the literature, aiming to evaluate the evidence for the different techniques and outcome measures utilised. The studies consisted mainly of retrospective, non-controlled descriptive series and a few retrospective cohort studies. The level of evidence is predominantly poor. Although recommendations in favour of any particular surgical technique cannot be given based on evidence, a number of conclusions can be drawn out of the existing literature with regards to the design of the incisions for finger separation, use of pulp flaps and grafts.
为了创造足够的指蹼间隙并分开手指以实现独立功能，人们采用了不同的技术来松解单纯性和复杂性先天性并指。本文是一篇文献系统综述，旨在评估所采用的不同技术及结果测量的证据。这些研究主要包括回顾性、非对照描述性系列研究以及少数回顾性队列研究。证据水平主要较差。虽然无法基于证据给出支持任何特定手术技术的建议，但从现有文献中可以得出一些关于手指分离切口设计、指腹皮瓣和移植物使用的结论。
