中华小儿外科杂志
中華小兒外科雜誌
중화소인외과잡지
CHINESE JOURNAL OF PEDIATRIC SURGERY
2012年
11期
846-849
,共4页
拇指,畸形%外科手术
拇指,畸形%外科手術
무지,기형%외과수술
Thumb,abnormalities%Surgical procedures,operative
目的 WasselⅣ-4型复拇畸形,畸形复杂,治疗困难.本文介绍用改良的Bilhaut软组织合并矫形术治疗该型复拇畸形.方法 2005年8月至2011年1月治疗21例WasselⅣ-4型复拇畸形,男13例(61.9％),女8例(38.1％),平均年龄1.2岁.手术采用改良的Bilhaut软组织合并术,桡侧拇指切除,尺侧拇指重建.包括肌腱转移、韧带重建、关节囊修补,皮瓣成形,软组织合并.结果 19例术后平均随访25个月,对治疗结果用改良的Tada评分评估,优10拇(52.6％),良7拇(36.8％),中2拇(10.5％).结论 改良的Bilhaut软组织合并术治疗复杂型WasselⅣ-4型复拇畸形,重建拇指功能良好,外观优良.
目的 WasselⅣ-4型複拇畸形,畸形複雜,治療睏難.本文介紹用改良的Bilhaut軟組織閤併矯形術治療該型複拇畸形.方法 2005年8月至2011年1月治療21例WasselⅣ-4型複拇畸形,男13例(61.9％),女8例(38.1％),平均年齡1.2歲.手術採用改良的Bilhaut軟組織閤併術,橈側拇指切除,呎側拇指重建.包括肌腱轉移、韌帶重建、關節囊脩補,皮瓣成形,軟組織閤併.結果 19例術後平均隨訪25箇月,對治療結果用改良的Tada評分評估,優10拇(52.6％),良7拇(36.8％),中2拇(10.5％).結論 改良的Bilhaut軟組織閤併術治療複雜型WasselⅣ-4型複拇畸形,重建拇指功能良好,外觀優良.
목적 WasselⅣ-4형복무기형,기형복잡,치료곤난.본문개소용개량적Bilhaut연조직합병교형술치료해형복무기형.방법 2005년8월지2011년1월치료21례WasselⅣ-4형복무기형,남13례(61.9％),녀8례(38.1％),평균년령1.2세.수술채용개량적Bilhaut연조직합병술,뇨측무지절제,척측무지중건.포괄기건전이、인대중건、관절낭수보,피판성형,연조직합병.결과 19례술후평균수방25개월,대치료결과용개량적Tada평분평고,우10무(52.6％),량7무(36.8％),중2무(10.5％).결론 개량적Bilhaut연조직합병술치료복잡형WasselⅣ-4형복무기형,중건무지공능량호,외관우량.
Objective Wassel type Ⅳ-4 thumb duplication is difficult to treat because of the severe deformity,This report is on the modified Bilhaut procedure-soft tissue merged surgery for this type of deformity.Methods From August 2005 to January 2011,21 cases with Wassel type Ⅳ-4 thumb duplication,of which there were 13 males(61.9％)and 8 females(38.1％),with an average age of 1.2 years underwent modified Bilhaut procedure(soft tissue merged surgery,excising the radial thumb and reconstruct the ulnar thumb.Including tendon transfers,ligament reconstruction,joint capsule repair,forming flaps,soft tissue merge).Results 19 cases were followed up for an average of 25 months.A modified Tada scoring system was used to evaluate the results of the treatment.These were excellent in 10 cases(52.6％),good in 7cases(36.8％),fair in 2 cases(10.5％).Conclusions Our technique can provide a satisfactory thumb appearance,and functionality of thumb with Wassel type Ⅳ-4 thumb duplication.
