CAJ | 학술논문

目的报告复拇指畸形治疗中骨关节的处理疗效.方法对52例65指复拇指畸形的患者,针对不同类型,采用截骨关节矫形、侧副韧带肌腱修复重建和指套状瓣修复存留指等方法进行治疗,术后随访观察拇指关节外形和功能恢复情况.结果术后随访到38例47指,随访时间为5个月至9年,其中4例4指术后出现不同程度的畸形,经过2次手术后,得到良好矫正.其余43指,术后拇指外形和功能均得到了明显改善,优良率为91.5%.结论复拇指畸形治疗中,关节的处理是矫形手术的关键,如处理不当会导致术后继发性畸形.
목적 보고복무지기형치료중골관절적처리료효.방법 대52례65지복무지기형적환자,침대불동류형,채용절골관절교형、측부인대기건수복중건화지투상판수복존류지등방법진행치료,술후수방관찰무지관절외형화공능회복정황.결과 술후수방도38례47지,수방시간위5개월지9년,기중4례4지술후출현불동정도적기형,경과2차수술후,득도량호교정.기여43지,술후무지외형화공능균득도료명현개선,우량솔위91.5%.결론 복무지기형치료중,관절적처리시교형수술적관건,여처리불당회도치술후계발성기형.
Objective To report the methods of managing bone and joint in the treatment of thumb duplication deformities and its clinical outcome. Methods Sixty-five thumb duplication deformities in 52cases were involved in this study.According to the phenotypes of the deformities corrective osteotomy.arthroplasty,collateral ligament reconstruction and wrap-around flap from the resected thumb to repmr the preserved one were conducted.Postoperatively the appearance and funetion of the thumb were evaluated at follow-up.Resuits Forty-seven thumbs of 38 cases had sufficient follow-up.Follow-up period ranged from 5 months to 9 years.Various degrees of deformity was seen in 4 cases that required secondary surgery.Remarkable improvement of the appearance and function was observed in the rest 43 thumbs.The overall satisfactory rate was 91.5%. Conclusions Appropriate management of the bone and ioint is critical in the treatment of thumb duplication.Improper operations could lead to secondary deformity.