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拇指多指畸形的评估与处理

Evaluation and Management of Preaxial Polydactyly.

作者信息

Rogers Benjamin H, Schmieg Sandra L, Pehnke Meagan E, Shah Apurva S

机构信息

Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Sidney Kimmel Medical Collage at Thomas Jefferson University, Philadelphia, PA, USA.

出版信息

Curr Rev Musculoskelet Med. 2020 Aug;13(4):545-551. doi: 10.1007/s12178-020-09644-w.

Abstract

PURPOSE OF REVIEW

To provide a current review of the embryology, classification, evaluation, surgical management, and clinical outcomes related to preaxial polydactyly.

RECENT FINDINGS

Recent studies include a proposed embryologic link between preaxial polydactyly and other congenital abnormalities, an evaluation of long-term postsurgical outcomes, and an examination of important predictors for postsurgical outcomes. Preaxial polydactyly, while relatively uncommon, is a complex congenital hand abnormality that requires careful preoperative classification and proper surgical intervention timing to yield optimal outcomes.

摘要

综述目的

对与轴前多指畸形相关的胚胎学、分类、评估、手术治疗及临床结果进行最新综述。

最新发现

近期研究包括提出轴前多指畸形与其他先天性异常之间的胚胎学联系、对手术长期结果的评估以及对手术结果重要预测因素的研究。轴前多指畸形虽相对少见,但却是一种复杂的先天性手部异常,需要仔细的术前分类和恰当的手术干预时机以获得最佳结果。

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本文引用的文献

1
2
Clinical Genetics of Polydactyly: An Updated Review.多指畸形的临床遗传学:最新综述
Front Genet. 2018 Nov 6;9:447. doi: 10.3389/fgene.2018.00447. eCollection 2018.
3
A Modified Bilhaut-Cloquet Procedure for Zigzag Thumb Polydactyly Types III and IV.用于III型和IV型拇指多指畸形的改良Bilhaut-Cloquet手术
Plast Reconstr Surg Glob Open. 2017 Dec 28;5(12):e1589. doi: 10.1097/GOX.0000000000001589. eCollection 2017 Dec.
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Polydactyly of the Hand.多指(畸形)
J Am Acad Orthop Surg. 2018 Feb 1;26(3):75-82. doi: 10.5435/JAAOS-D-16-00139.
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On-top and side-to-side plasties for thumb polydactyly.拇指多指畸形的顶部和侧方整形手术
Int J Surg Case Rep. 2017;39:88-92. doi: 10.1016/j.ijscr.2017.07.060. Epub 2017 Aug 8.
8
"On-Top Plasty" for Radial Polydactyly Reconstruction.用于桡侧多指畸形重建的“原位整形术”
J Hand Surg Am. 2017 Sep;42(9):753.e1-753.e6. doi: 10.1016/j.jhsa.2017.05.029. Epub 2017 Jun 29.

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