頁籤選單縮合
題 名 | Digit Transposition in Reconstruction of Asymmetric Radial Polydactyly--Report of Three Cases=手指轉位手術重建不對稱多指症--病例報告 |
---|---|
作 者 | 呂俊德; 陳伊呈; 簡文祥; 林雍球; 顏榮信; 宋定宇; 唐友文; | 書刊名 | 臺灣整形外科醫學會雜誌 |
卷 期 | 21:2 2012.06[民101.06] |
頁 次 | 頁116-126 |
分類號 | 416.615 |
關鍵詞 | 手指轉位手術; 不對稱多指症; Polydactyly; Digit transposition; |
語 文 | 英文(English) |
中文摘要 | 背景:不對稱形的多指症,在分類上常無法單純以Wassel來分類或決定手術方式。而一般常使用的重建手術,也無法同時兼顧拇指關節穩定,活動功能及外觀完整。目的及目標:提出以手指轉位的手術,重建不對稱形多指症,以期同時保存手指活動功能及外觀改善。材料及方法:3位多指症病人,手術年紀平均約3.6歲,只接受一次重建手術,皆因為複雜的不對稱多指症,須將一側發育較好的遠端指骨及組織,轉移至另一側具穩定掌指關節面之近端指骨上。結果:在1-5年的追蹤期中,3位病人都能有不錯的手指夾捏功能及外觀。結論:手指轉位手術,能充分利用多指症不對稱的部份,不僅達到拇指關節穩定,具有功能,而且兼顧外觀的改善。 |
英文摘要 | Background: Asymmetric type polydactyly usually cannot be easily classified or reconstructed. Ordinary reconstruction procedures may not satisfactorily preserve the joint stability, musculoskeletal function and thumb appearance. Aim and objectives: Here, we describe a digit transposition procedure used in three cases with unusual asymmetric polydactyly and discuss the indications and results of digit transposition.Materials and Methods:Three children (two boys and one girl) received digit transposition due to asymmetric type radial polydactyly. The mean age at reconstruction was 3.6 years (range, 3-4 years). The follow-up period ranged from one to five years. Results: All thumbs had a stable MCP joint and preserved musculoskeletal function for pinch. Besides, cosmetic outcomes were achieved. Conclusion: Digit transposition provides a stable joint, a functional thumb and cosmetic appearance for reconstruction of asymmetric radial polydactyly. |
本系統中英文摘要資訊取自各篇刊載內容。