One-stage thumb opponensplasty and polygonal flap in congenital spade hand reconstruction

To explore the effectiveness of one-stage metacarpal osteotomy, thumb opponensplasty and polygonal flap reconstruction in the treatment of congenital spade hand deformity. Eight cases of congenital spade hand were treated between January 2013 and March 2017. There were 5 males and 3 females, with an...

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Bibliographic Details
Published in:Zhongguo xiu fu chong jian wai ke za zhi 2019-02, Vol.33 (2), p.199
Main Authors: Shen, Xiaofang, Yin, Fei, Xue, Mingyu, Yu, Jiong, Lin, Weifeng, Rui, Yongjun
Format: Article
Language:Chinese
Subjects:
Child, Preschool
Female
Hand Deformities - surgery
Humans
Infant
Male
Plastic Surgery Procedures
Skin Transplantation
Surgical Flaps
Thumb - surgery
Treatment Outcome
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Summary:To explore the effectiveness of one-stage metacarpal osteotomy, thumb opponensplasty and polygonal flap reconstruction in the treatment of congenital spade hand deformity. Eight cases of congenital spade hand were treated between January 2013 and March 2017. There were 5 males and 3 females, with an average age of 17.5 months (range, 13-35 months). The clinical manifestations of all the children were congenital spade hand and the affected hand was shorter than the healthy side. The contralateral hand was normal and there was no chest, skull, or facial deformity. The operation was performed with metacarpal osteotomy and thumb opponensplasty, and through the dorsal metacarpal rectangular flap to reconstruct the first web and through rotation of polygonal skin flap to reconstruct thumb web and lateral fold of thumb index nail. The dorsal ulnar and proximal radial segment of thumb were repaired by skin grafting. A vernier caliper was used to measure the first web space and the thumb function was evaluated by modi
ISSN:1002-1892
DOI:10.7507/1002-1892.201804111