Atypical Cleft Hand: Surgical Technique for Grasping Improvement

IF 0.2 Q4 ORTHOPEDICS Techniques in Orthopaedics Pub Date : 2023-10-09 DOI:10.1097/bto.0000000000000646
Edgard de Novaes França Bisneto, Laura Filippini Lorimier Fernandes, Emygdio José Leomil de Paula, Rames Mattar Júnior
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Abstract

Introduction: We present 6 cases of children with atypical cleft hand and discuss a surgical technique. Clinically, participants presented with a lack of pulp-to-pulp pinch due to metacarpophalangeal ligament insufficiency and difficulty grasping large objects because of the narrowed first web. Materials and Methods: Second metacarpal resection and Z-plasty, creating a wide first web. The second extensor digitorum communis tendon was transferred to improve the thumb metacarpophalangeal joint stability. Conclusions: The surgical technique presented in this paper did improve function in oligodactyly or type-IIA atypical cleft hand.
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非典型手裂:改善抓握的外科技术
我们报告了6例儿童非典型手裂的手术治疗方法。临床上,由于掌指骨韧带功能不全,以及由于第一蹼狭窄而难以抓取大物体,参与者表现为缺乏髓间夹紧。材料和方法:第二次掌骨切除术和z形成形术,创造一个宽的第一网。转移第二伸肌腱以改善拇指掌指关节的稳定性。结论:本文所提出的手术方法确实改善了缺指或iia型非典型性唇腭裂的功能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
0.60
自引率
0.00%
发文量
31
期刊介绍: The purpose of Techniques in Orthopaedics is to provide information on the latest orthopaedic procedure as they are devised and used by top orthopaedic surgeons. The approach is technique-oriented, covering operations, manipulations, and instruments being developed and applied in such as arthroscopy, arthroplasty, and trauma. Each issue is guest-edited by an expert in the field and devoted to a single topic.
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