Guo Yongqiang, Li Tao, Tian Xiaofei, Xiao Jun, Li Tianwu, Qiu Lin
Burns and Plastic Surgery Department, Children's Hospital of Chongqing Medical University, Chongqing, China.
Department of Pediatric Orthopaedics, Chongqing Orthopedic Hospital of Traditional Chinese Medicine, Chongqing, China.
J Hand Surg Eur Vol. 2025 Mar;50(3):381-388. doi: 10.1177/17531934241275462. Epub 2024 Sep 14.
We report our experience with correction of radially deviated Wassel type III thumb polydactyly. After comprehensive assessments from preoperative radiographs, physical examinations and intraoperative reports, we corrected the metacarpophalangeal joint in 34 cases of radially deviated Wassel type III thumb polydactyly. Opening-wedge osteotomies combining bone graft and soft tissue reconstruction were used in 28 cases and soft tissue reconstruction only in six cases. Absorbable sutures were used instead of traditional Kirschner (K)-wires to fix the bone grafts. Patients were followed up for 12-78 months (mean 47 months). According to the Tada scoring system, 25 patients achieved good results, seven fair results and two poor results. Our modified technique for correcting radially deviated Wassel type III thumb polydactyly yielded satisfactory results. Continued follow-up and further studies will contribute to a better understanding of the long-term efficacy and potential refinements of this technique. IV.
我们报告了矫正桡侧偏斜的瓦塞尔III型拇指多指畸形的经验。通过对术前X线片、体格检查和术中报告进行全面评估后，我们对34例桡侧偏斜的瓦塞尔III型拇指多指畸形患者的掌指关节进行了矫正。28例采用了结合植骨的开放楔形截骨术和软组织重建，6例仅进行了软组织重建。使用可吸收缝线代替传统克氏针固定植骨。对患者进行了12 - 78个月（平均47个月）的随访。根据多田评分系统，25例患者效果良好，7例效果尚可，2例效果较差。我们改良的矫正桡侧偏斜的瓦塞尔III型拇指多指畸形技术取得了满意的结果。持续的随访和进一步的研究将有助于更好地理解该技术的长期疗效和潜在的改进之处。四、
