Department of Orthopaedic Surgery, Children's Hospital of Nanjing Medical University, Nanjing, 210008, China.
Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing, 210008, China.
Sci Rep. 2023 Mar 9;13(1):3927. doi: 10.1038/s41598-023-31138-1.
To investigate the outcomes of the modified radial tongue-shaped flap following stepwise surgery release for treating Benson type I camptodactyly of the 5th digit. A retrospective analysis involving patients with Benson type I camptodactyly of the 5th digit was performed. A total of 8 patients with 12 affected digits were included. Extent of surgical release depended on the degree of soft tissue contracture. Skin release, subcutaneous fascial release, and flexor digitorum superficialis tenotomy were performed in all 12 digits, sliding volar plate release in 2 digits, and intrinsic tendon transfer in 1 digit. The mean total passive motion of proximal interphalangeal joint significantly increased from 32.5° ± 16° to 86.3° ± 20.4°, while mean total active motion significantly increased from 22° ± 10.5° to 73.8° ± 27.5° (P < 0.05). Treatment outcomes were excellent in 6 patients, good in 3, moderate in 2, and poor in 1. Scar hyperplasia occurred in 1 patient. The radial tongue-shaped flap allowed for full coverage of the volar skin defect, and was considered aesthetically favorable. In addition, the stepwise surgical approach not only achieved good curative effects, but also allowed for individualization of treatment.
探讨改良桡侧舌形皮瓣分步手术松解治疗 Benson Ⅰ型第 5 指屈肌腱腱鞘炎的疗效。对 Benson Ⅰ型第 5 指屈肌腱腱鞘炎患者进行回顾性分析。共纳入 8 例 12 指患者。根据软组织挛缩程度决定手术松解范围，12 指均行皮肤松解、皮下筋膜松解和伸指肌腱浅腱膜切开术，2 指行掌板滑动松解术，1 指行内在肌腱转移术。术后近侧指间关节总被动活动度由术前的 32.5°±16°增加至 86.3°±20.4°，总主动活动度由术前的 22°±10.5°增加至 73.8°±27.5°，差异均有统计学意义（P<0.05）。6 例疗效优，3 例良，2 例可，1 例差。1 例出现瘢痕增生。改良桡侧舌形皮瓣可覆盖整个掌侧皮肤缺损，且外形美观。该术式分步进行，不仅疗效确切，而且可个体化治疗。
