通过半掌骨移植重建 3 级发育不良拇指的另一种方法。
An alternative method to reconstruct grade-3 hypoplastic thumb by hemi-metacarpal transfer.
机构信息
Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, People's Republic of China; NHC Key Laboratory of Hand Reconstruction (Fudan University), Shanghai, People's Republic of China; Shanghai Key Laboratory of Peripheral Nerve and Microsurgery, Shanghai, People's Republic of China.
Department of Pediatric Surgery, Shanghai Jiao Tong University Medical School Affiliated Ruijin Hospital, Shanghai, People's Republic of China.
出版信息
Hand Surg Rehabil. 2024 Feb;43(1):101605. doi: 10.1016/j.hansur.2023.09.372. Epub 2023 Oct 4.
We designed a new method using hemi-longitudinal second metacarpal bone to reconstruct grade-3 hypoplastic thumbs. Seven patients were treated in two stages. In the first stage, the second metacarpal was split longitudinally and transferred to reconstruct the first metacarpal. In the second stage, opponensplasty was performed by transferring the FDS tendon. Bone union was achieved in all cases. All patients could oppose to their middle finger at least. They managed to do daily activities such as writing, eating, using smartphones and so on. This is a useful procedure to preserve a 5-digit hand with good function in treating grade-3 hypoplastic thumbs, with no harm to the foot and no need for vascular anastomosis. LEVEL OF EVIDENCE: IV.
我们设计了一种新方法，使用半纵向第二掌骨重建 3 度发育不良拇指。7 名患者分两期接受治疗。在第一阶段，将第二掌骨纵向劈开并转移以重建第一掌骨。在第二阶段，通过转移 FDS 肌腱进行对掌成形术。所有病例均达到骨性愈合。所有患者至少可以与中指对指。他们能够进行日常活动，如书写、进食、使用智能手机等。对于治疗 3 度发育不良拇指，该方法可保留 5 指手且功能良好，对足部无损伤，无需血管吻合，是一种有用的方法。证据等级：IV。
Zotero 插件