Tada K
Int Orthop. 1984;8(3):229-33. doi: 10.1007/BF00269920.
Fifty nine hands were studied in 42 patients with central ray deficiency. Thirty one of the hands were treated surgically and this enabled analysis of the soft tissue abnormalities that were not constant throughout the group, requiring a sub-division of the usual classification. Four major surgical procedures and two minor procedures are described and the importance of creating a substitute for the deficient transverse intermetacarpal ligament and correction of any intrinsic muscle imbalance is emphasized. Of the 31 hands treated all but three gained useful grip and all but two gained useful pinch grip and a satisfactory range of motion. From the cosmetic standpoint all were satisfactory except for one case with a hypertrophic scar and six cases with overlapping of the fingers when grasping.
对42例中节指骨缺如患者的59只手进行了研究。其中31只手接受了手术治疗，这使得能够分析软组织异常情况，这些异常在整个组中并不恒定，需要对常规分类进行细分。描述了四种主要手术方法和两种次要手术方法，并强调了创建替代缺失的掌骨间横韧带以及纠正任何内在肌肉失衡的重要性。在接受治疗的31只手中，除3只外其余均获得了有效的抓握功能，除2只外其余均获得了有效的捏握功能和满意的活动范围。从美容角度来看，除1例有肥厚性瘢痕和6例抓握时手指重叠外，其余均令人满意。
