Department of Orthopedic Surgery, University of Minnesota, Minneapolis, Minnesota.
J Bone Joint Surg Am. 2023 Oct 4;105(19):1537-1549. doi: 10.2106/JBJS.22.01323. Epub 2023 Aug 25.
➤ The Oberg-Manske-Tonkin (OMT) classification of congenital hand and upper-limb anomalies continues to be refined as our understanding of the genetic and embryonic etiology of limb anomalies improves.➤ We have conducted an evaluation of graft and graftless techniques for syndactyly reconstruction; strengths and drawbacks exist for each technique.➤ Treatment for radial longitudinal deficiency remains controversial; however, radialization has shown promise in early follow-up for severe deformities.➤ Recent emphasis on psychosocial aspects of care has demonstrated that children with congenital upper-limb differences demonstrate good peer relationships and marked adaptability.
➤ 随着我们对肢体畸形的遗传和胚胎病因的理解不断深入，奥伯格-曼斯克-东金（OMT）分类法继续得到完善。➤ 我们对并指畸形重建的植骨和非植骨技术进行了评估；每种技术都有其优缺点。➤ 桡侧纵向发育不全的治疗仍存在争议；然而，对于严重畸形，桡侧化在早期随访中显示出了良好的效果。➤ 最近对护理的社会心理方面的重视表明，患有先天性上肢差异的儿童具有良好的同伴关系和明显的适应能力。
