Fernandez-Palazzi F, Bendahan J, Rivas S
Service C Orthopaedics, Hospital San Juan de Dios, Caracas, Venezuela.
Int Orthop. 1993;17(4):235-7. doi: 10.1007/BF00194186.
Between 1971 and 1987, we treated 26 patients with congenital absence of the radius which had produced a club hand; 37 hands were affected. Treatment before the age of 8 months was by gentle manipulation and serial plasters. If a functional position was not obtained, and in patients over 8 months, surgical reduction was carried out. A modified Riordan procedure was used until 1983, and thereafter a double Z-plasty. The best results were achieved in patients under 4 years of age.
1971年至1987年间，我们治疗了26例因先天性桡骨缺如导致畸形手的患者；37只手受到影响。8个月龄前的治疗采用轻柔手法和连续石膏固定。如果未获得功能位，对于8个月龄以上的患者，则进行手术复位。1983年前采用改良的里奥丹手术，此后采用双Z成形术。4岁以下患者取得了最佳效果。
