Department of Orthopaedic Surgery, Yamagata University Faculty of Medicine, Yamagata, Japan.
Congenit Anom (Kyoto). 2024 Jul;64(4):172-176. doi: 10.1111/cga.12570. Epub 2024 Apr 25.
We experienced an atypical case of radial longitudinal deficiency that did not fit into any classifications, including Blauth. The patient had a bilateral hypoplastic thumb, in which the index and middle fingers were missing in the right hand. We performed surgeries in four stages: centralization of the right hand, opponensplasty of the right thumb, opponensplasty of the left thumb, and distraction lengthening of the right ulnar. Twenty-five years after the initial treatment, the patient was satisfied with the treatment and had no significant difficulty with activities of daily living.
我们遇到了一例不典型的桡侧纵向发育不全病例，该病例不符合任何分类，包括 Blauth 分类。患者右手存在双侧拇指发育不全，右手食指和中指缺失。我们分四期进行手术：右手中心化，右手拇指对掌重建，左手拇指对掌重建，以及右手尺侧骨延长。初次治疗后 25 年，患者对治疗结果满意，日常生活活动无明显困难。
