一种治疗拇指残余之字形畸形的微创技术。

IF 1.1 4区 医学 Q3 ORTHOPEDICS Acta orthopaedica et traumatologica turcica Pub Date : 2023-03-01 DOI:10.5152/j.aott.2023.22144
Wenyu Feng, Kun Jiang, Dong Liu, Guoyong Fu, Bufeng Zheng, Xu Zhang
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引用次数: 0

摘要

目的:本研究旨在介绍一种微创技术,在早期治疗拇指重复畸形后用骨水泥框架固定后矫正残余之字形畸形。方法:19例患者(男14例,女5例;平均年龄12岁;2017 - 2019年对年龄8-14岁的残余之字形拇指畸形患者进行微创手术治疗。使用日本手部外科学会评估拇指的功能和外观。结果:第一次手术与第二次手术的平均时间为35个月(范围12 ~ 84个月)。剩余的Wassel III型(n=4)、IV型(n=13)、V型(n=2)拇指之字形畸形。术前指间关节和掌指关节的平均对中畸形分别为23°(12-42°)和18°(11-33°)。拇指功能和美观平均12点(范围8 ~ 14点)。得分一般的有1分,差的有18分。末次随访时(平均28个月;范围24-33个月),指间关节和掌指关节的平均对齐畸形分别为1°(0-4°)和18°(0-4°)。大拇指功能和美观平均18分(范围16 ~ 20分)。优秀者5名,优秀者13名,一般者1名。结论:采用微创技术可成功矫正残余之字形拇指畸形,具有良好的功能和美观效果。该技术可在选定的情况下作为一种替代方法。证据等级:IV级,治疗性研究。
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A minimally invasive technique for residual zigzag deformities of the thumb.

Objective: This study aimed to introduce a minimally invasive technique in correcting residual zigzag deformities after early treatment of thumb duplication followed by fixation with a cemented frame.

Methods: Nineteen patients (14 males, 5 females; mean age, 12 years; age range, 8-14 years) with residual zigzag thumb deformities were treated with the minimally invasive technique from 2017 to 2019. The function and cosmesis of the thumbs were assessed using the Japanese Society for Surgery of the Hand.

Results: The mean period between the first and the second operations was 35 months (range, 12-84 months). There were Wassel types III (n=4), IV (n=13), and V (n=2) residual zigzag thumb deformities. Preoperatively, the mean alignment deformities of the interphalangeal and metacarpophalangeal joints were 23° (12-42°) and 18° (11-33°), respectively. The mean function and cosmesis of the thumbs were 12 points (range, 8-14 points). There were 1 fair and 18 poor scores. At the final follow-up (mean, 28 months; range, 24-33 months), the mean alignment deformities of the interphalangeal and metacarpophalangeal joints were 1° (0-4°) and 18° (0-4°), respectively. The mean function and cosmesis of the thumbs were 18 points (range, 16-20 points). There were 5 excellent results, 13 good results, and 1 fair result.

Conclusion: Residual zigzag thumb deformities can be successfully corrected with the minimally invasive technique, resulting in good functional and cosmetic outcomes. The technique can be used as an alternative in selected cases.

Level of evidence: Level IV, Therapeutic Study.

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来源期刊
CiteScore
2.00
自引率
0.00%
发文量
66
审稿时长
>12 weeks
期刊介绍: Acta Orthopaedica et Traumatologica Turcica (AOTT) is an international, scientific, open access periodical published in accordance with independent, unbiased, and double-blinded peer-review principles. The journal is the official publication of the Turkish Association of Orthopaedics and Traumatology, and Turkish Society of Orthopaedics and Traumatology. It is published bimonthly in January, March, May, July, September, and November. The publication language of the journal is English. The aim of the journal is to publish original studies of the highest scientific and clinical value in orthopedics, traumatology, and related disciplines. The scope of the journal includes but not limited to diagnostic, treatment, and prevention methods related to orthopedics and traumatology. Acta Orthopaedica et Traumatologica Turcica publishes clinical and basic research articles, case reports, personal clinical and technical notes, systematic reviews and meta-analyses and letters to the Editor. Proceedings of scientific meetings are also considered for publication. The target audience of the journal includes healthcare professionals, physicians, and researchers who are interested or working in orthopedics and traumatology field, and related disciplines.
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