复拇指畸形治疗中骨关节的处理  

Management of bone and joint in the treatment of thumb duplication

作　　者：姜浩力[1] 庄永青 傅小宽[1] 熊洪涛 付强 常丽鹏 

机构地区：[1]深圳市人民医院、暨南大学医学院附属第二医院手显微外科,广东518020

出　　处：《中华手外科杂志》2008年第2期101-103,共3页Chinese Journal of Hand Surgery

摘　　要：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。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 52 cases 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 repair the preserved one were conducted. Postoperatively the appearance and function of the thumb were evaluated at follow-up. Results 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 joint is critical in the treatment of thumb duplication. Improper operations could lead to secondary deformity.

关 键 词：外科手术 外科皮瓣 复拇指畸形 

分 类 号：R686[医药卫生—骨科学]