THUMB DUPLICATION, 66 YEARS EXPERIENCE - A REVIEW OF SURGICAL COMPLICATIONS

被引:44
作者
TOWNSEND, DJ [1 ]
LIPP, EB [1 ]
CHUN, K [1 ]
REINKER, K [1 ]
TUCH, B [1 ]
机构
[1] UNIV HAWAII,JOHN A BURNS SCH MED,DEPT SURG,DIV ORTHOPAED,HONOLULU,HI 96822
来源
JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1994年 / 19A卷 / 06期
关键词
D O I
10.1016/0363-5023(94)90099-X
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
Fifty-four supernumerary thumbs excisions were followed for an average of 9 years for results of their surgical management, which consisted of simple excision (16 patients), reconstructive procedures (33 patients), or central wedge resections (5 patients). Half of all simple excisions and reconstructive procedures gave unacceptable results, most were salvaged. These were primarily joint deviations, joint instabilities, and bony prominences. All of our central wedge resections gave unacceptable results that were not salvageable-short, stiff, fat thumbs with nail deformities. We feel this procedure should probably be reserved for cases where both digits of the supernumerary thumbs are severely hypoplastic.
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页码:973 / 976
页数:4
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