Ismiarto Yoyos D, Setiadi Christian, Fachri D, Arum I P
Department of Orthopaedics and Traumatology, Faculty of medicine Universitas Padjadjaran, Hasan Sadikin General Hospital, Bandung, Indonesia.
Department of Orthopaedics and Traumatology, Faculty of medicine Universitas Padjadjaran, Hasan Sadikin General Hospital, Bandung, Indonesia.
Int J Surg Case Rep. 2025 Feb;127:110819. doi: 10.1016/j.ijscr.2025.110819. Epub 2025 Jan 7.
Cleft hand is a rare congenital deformity which may impair the aesthetic appearance and psychosocial of a child. The operative technique of cleft hand is rarely reported. We aimed to describe the surgical management of cleft hand.
A 5-year-old girl was presented to our department with the right hands split in half, forming a V-shaped cleft. The child also had finger and feet deformities. We performed a complex surgical procedure, consisting of first web correction, cleft closure, close wedge osteotomy at carpometacarpal joint, internal fixation with k-wire for base metacarpal, and ablation for accessory finger at radial side of index finger. The surgery was uneventful and the parents were satisfied with the result.
Several surgical approaches had been proposed to manage cleft hand. A surgical approach of first web correction, cleft closure, close wedge osteotomy at carpometacarpal joint, internal fixation with k-wire for base metacarpal, and ablation of accessory finger was a reasonable approach to improve hand cosmetic and function.
Surgical treatment of cleft hand is important to improve hand cosmetic and function. Each patient may present with different deformities and the surgical approach must be individualized.
裂手是一种罕见的先天性畸形，可能会损害儿童的美观和心理社会状况。裂手的手术技术鲜有报道。我们旨在描述裂手的手术治疗方法。
一名5岁女孩因右手裂为两半，呈V形裂隙而前来我科就诊。该患儿还伴有手指和足部畸形。我们进行了一项复杂的外科手术，包括第一蹼矫正、裂隙闭合、腕掌关节闭合楔形截骨、用克氏针固定掌骨基部以及切除示指桡侧的多指。手术过程顺利，家长对结果满意。
已经提出了几种治疗裂手的手术方法。第一蹼矫正、裂隙闭合、腕掌关节闭合楔形截骨、用克氏针固定掌骨基部以及切除多指的手术方法是改善手部美观和功能的合理方法。
裂手的手术治疗对于改善手部美观和功能很重要。每个患者可能呈现不同的畸形，手术方法必须个体化。
