Ueba Y
J Hand Surg Am. 1981 Nov;6(6):557-60. doi: 10.1016/s0363-5023(81)80131-1.
A new procedure is described for cleft hands with absence of the middle finger associated with a palmar cleft. Three skin flaps are made within the cleft. The index ray is transferred ulnarward--not merely shifted ulnarly, but supinated--to prevent overlapping of the fingers when they flex. Length of the finger ray can be adjusted by shortening or lengthening the second metacarpal. The common extensor tendons to the index and ring fingers are interconnected with a free tendon graft to prevent the fingers from excessive spreading. The appearance is improved without disturbing the function of the hand.
本文描述了一种针对伴有掌侧裂且中指缺如的裂手的新手术方法。在裂隙内制作三个皮瓣。示指射线向尺侧转移——不仅是尺侧移位，而且是旋后——以防止手指屈曲时重叠。手指射线的长度可通过缩短或延长第二掌骨来调整。示指和环指的指总伸肌腱用游离肌腱移植相互连接，以防止手指过度分开。在不影响手部功能的情况下改善了外观。
