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一种用于矫正分叉拇指的关节内入路。

An intraarticular approach to correction of the bifid thumb.

作者信息

Stranc M F, Robertson G A

出版信息

Ann Plast Surg. 1979 Jul;3(1):35-8.

PMID:543631
Abstract

Surgery of the bifid thumb may leave significant residual deformity. A technique is presented in which the nondominant component is amputated, while its collateral ligament and an attached epiphyseal segment are preserved in continuity. These are relocated accurately on the dominant part. Intraarticular reshaping of the proximal bone is also performed. We report 2 cases in which this method was used, with three- and six-year follow-up. Adequate skeletal correction and stability have been achieved, no disturbance of growth has been noted, and function is satisfactory.

摘要

复拇指手术可能会留下明显的残余畸形。本文介绍了一种技术,即切除非优势侧部分,同时保留其侧副韧带和相连的骨骺段的连续性。将这些结构准确地重新定位到优势侧部分上。还对近端骨骼进行关节内重塑。我们报告了2例采用该方法的病例,并进行了3年和6年的随访。已实现了充分的骨骼矫正和稳定性,未发现生长受到干扰,功能令人满意。

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Ann Plast Surg. 1979 Jul;3(1):35-8.
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