指浅屈肌重建桡纵关节缺损儿童拇指掌指关节稳定性满意。

IF 2 2区医学 Q2 ORTHOPEDICS Journal of Hand Surgery-European Volume Pub Date : 2023-12-01 Epub Date: 2023-07-13 DOI:10.1177/17531934231187813

Ida Neergård Sletten, Jarkko Jokihaara, Anne Birgit Stavenes, Mona Irene Winge

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引用次数: 0

摘要

我们研究了20例连续的桡纵缺失儿童的23个拇指，在对指浅屈肌成形术和韧带重建后至少1年的拇指关节稳定性和患者报告的功能结果。总共有15个拇指在手指关节存在术前多向不稳定。我们重建了22根尺侧韧带和16根桡侧副韧带。随访时，所有掌指关节尺侧稳定。7例掌指关节桡骨不稳定，尽管有韧带重建，但无相关症状。我们推荐将指浅屈肌对指成形术作为一种安全可靠的治疗拇指发育不全的方法，以创造稳定性和增强拇指的力量。证据等级:四级。

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Satisfactory thumb metacarpophalangeal joint stability after ligament reconstruction with flexor digitorum superficialis in children with radial longitudinal deficiency.

We investigated thumb joint stability and patient-reported and functional outcomes a minimum of 1 year after flexor digitorum superficialis opponensplasty and ligament reconstruction in 23 thumbs of 20 consecutive children with radial longitudinal deficiency. In total, 15 thumbs had preoperative multidirectional instability in the metacarpophalangeal joint. We reconstructed 22 ulnar and 16 radial collateral ligaments. At follow-up, all the metacarpophalangeal joints were stable ulnarly. Seven metacarpophalangeal joints were unstable radially despite ligament reconstruction but had no related complaints. We recommend the flexor digitorum superficialis opponensplasty as a safe and reliable procedure in hypoplastic thumbs to create stability and augment thumb strength.Level of evidence: IV.

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来源期刊

Journal of Hand Surgery-European Volume 医学-外科

CiteScore

3.10

自引率

16.70%

发文量

190

审稿时长

4-8 weeks

期刊介绍： The Journal of Hand Surgery (European Volume) is essential reading for everyone involved in restoring the function to the hand and upper limb. Dedicated to the needs of hand, plastic, reconstructive and orthopaedic surgeons, it publishes the best selection of current papers on hand surgery. The journal regularly highlights key developments in a range of original, authoritative and highly informative articles written by distinguished experts from around the world. Rapid coverage of the latest research, techniques, trends and ideas to make sure you stay up-to-date. Subjects covered include: joint replacement fracture and joint injuries microvascular surgery congenital hand problems You will also find editorials, book reviews, conference dates, case studies, detailed coverage of new techniques and full-length reviews articles.