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桡侧多指手的小指拇指化术

Small finger pollicization in the radial club hand.

作者信息

Wood V E

机构信息

Department of Orthopedic Surgery, Loma Linda University Medical Center, Calif. 92350.

出版信息

J Hand Surg Am. 1988 Jan;13(1):96-9. doi: 10.1016/0363-5023(88)90209-2.

DOI:10.1016/0363-5023(88)90209-2
PMID:3351237
Abstract

This article describes pollicization of the small finger. A procedure that should only be used in the rare instance of an inoperable radial club hand. Children with bilateral radial club hands and severe, fixed radial deviation of the hand at the end of the forearm, and stiff elbows that cannot be mobilized either with a tendon transfer, splinting, or triceps release can be considered candidates for this operation. The technique, as described by Dieter Buck-Gramcko for pollicization of the index finger, was modified to be used in this procedure.

摘要

本文描述了小指拇指化手术。该手术仅适用于无法手术的桡侧先天性手畸形这种罕见情况。双侧桡侧先天性手畸形且在前臂末端手部严重、固定性桡侧偏斜,以及肘部僵硬,无论采用肌腱转移、夹板固定或肱三头肌松解术都无法活动的儿童可被视为该手术的候选对象。该技术是对迪特尔·巴克 - 格拉姆科所描述的示指拇指化技术进行改良后用于此手术。

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