SYNDACTYLY - A REVIEW OF THE FACTORS WHICH INFLUENCE SURGICAL-TREATMENT
SYNDACTYLY - A REVIEW OF THE FACTORS WHICH INFLUENCE SURGICAL-TREATMENT
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DOI：
10.1016/0266-7681(89)90125-3
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发表时间：
1989-05-01
期刊：
影响因子：
--
通讯作者：
SYKES, PJ
中科院分区：
文献类型：
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作者：
PERCIVAL, NJ;SYKES, PJ
回顾了100例患者的218例并指（趾）畸形，这些患者在10年内接受了手术治疗。影响手术疗效的术前因素为并指畸形的复杂性及手部其他先天性畸形的存在。手术因素，最影响的结果是类型的皮肤移植使用。42名患者需要至少一次二次手术以获得可接受的结果，其中22%发生了蹼蠕动，26%发生了显著屈曲挛缩; 5名患者同时发生了挛缩和蹼蠕动。相反，用于重建蹼底的皮瓣类型对结果的影响很小。
A review was undertaken of 100 patients with 218 surgically-treated syndactylies operated upon over a ten year period. The pre-operative factors which influenced the result of surgical treatment were the complexity of the syndactyly and the presence of other congenital abnormalities in the hand. The operative factor which most influenced outcome was the type of skin-graft used. 42 patients required at least one secondary operation to obtain an acceptable result, comprising 22% who developed web creep and 26% a significant flexion contracture; five patients developed both a contracture and web creep. In contrast, the type of flap used to reconstruct the web floor had little influence on the result.