Long-term follow-up of surgical treatment for thumb duplication

被引:36
作者
Larsen, M [1 ]
Nicolai, JPA [1 ]
机构
[1] Univ Groningen Hosp, Dept Plast Surg, NL-9800 RB Groningen, Netherlands
关键词
polydactyly; thumb; duplication; surgery; follow-up; strength;
D O I
10.1016/j.jhsb.2004.12.011
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
There are few long-term follow-up reports concerning the treatment of thumb duplication. We reviewed the treatment of 19 of 74 patients treated at our institution between 1956 and 2002. The average follow-up was 22 (range, 7 years to 35 years) years. Satisfactory function was achieved in 18 thumbs and cosmesis in 12 thumbs. Six thumbs were cold-intolerant at this late follow-up. Pinch strength was similar to the contralateral normal thumbs. Collateral ligament repair did not significantly contribute to joint stability. An objective method of postoperative evaluation showed good results in five, fair results in 12 and poor results in two thumbs.
引用
收藏
页码:276 / 281
页数:6
相关论文
共 11 条
[1]   DUPLICATE THUMBS - A SURVEY OF RESULTS IN 20 PATIENTS [J].
ANDREW, JG ;
SYKES, PJ .
JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME, 1988, 13B (01) :50-53
[2]  
Bilhaut M., 1890, Congr. Fr. Chir, V4, P576
[3]   POLYDACTYLY OF THE THUMB - A SURGICAL PLAN BASED ON 95 CASES [J].
CHENG, JCY ;
CHAN, KM ;
MA, GFY ;
LEUNG, PC .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1984, 9A (02) :155-164
[4]   RADIAL POLYDACTYLY - AN OUTCOME STUDY [J].
GANLEY, TJ ;
LUBAHN, JD .
ANNALS OF PLASTIC SURGERY, 1995, 35 (01) :86-89
[5]   POLYDACTYLY - BIFID THUMB [J].
HUFFSTADT, AJC .
HAND, 1981, 13 (01) :81-84
[6]  
Marks T W, 1978, J Hand Surg Am, V3, P107
[7]  
Mih AD, 1998, HAND CLIN, V14, P143
[8]   Long-term results of surgical treatment of thumb polydactyly [J].
Ogino, T ;
Ishii, S ;
Takahata, S ;
Kato, H .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1996, 21A (03) :478-486
[9]   DUPLICATION OF THE THUMB - A RETROSPECTIVE REVIEW OF 237 CASES [J].
TADA, K ;
YONENOBU, K ;
TSUYUGUCHI, Y ;
KAWAI, H ;
EGAWA, T .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1983, 65 (05) :584-598
[10]   THUMB DUPLICATION, 66 YEARS EXPERIENCE - A REVIEW OF SURGICAL COMPLICATIONS [J].
TOWNSEND, DJ ;
LIPP, EB ;
CHUN, K ;
REINKER, K ;
TUCH, B .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1994, 19A (06) :973-976