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https://doi.org/10.13112/PC.2022.13

Staged reconstruction of radial longitudinal deficiency and thumb aplasia – case report and a review of the literature

Rok Kralj ; Klinika za dječje bolesti Zagreb
Karlo Tadić ; Medicinski fakultet Sveučilišta u Zagrebu, Šalata 3b, Zagreb
Mario Kurtanjek ; Klinika za dječje bolesti Zagreb
Daniel Max Weber ; Hand Surgery Department, Division of Pediatric surgery, University Children’s Hospital Zürich, Steinwiesstrasse 75, Zürich
Stjepan Višnjić ; Klinika za dječje bolesti Zagreb


Puni tekst: engleski pdf 1.396 Kb

str. 79-83

preuzimanja: 98

citiraj


Sažetak

Purpose: Presentation of surgical treatment of a girl with type IV radial longitudinal deficiency and type IV thumb hypoplasia as well as review of the most relevant literature published in the previous 25 years.
Methods: The treatment consisted of placement of an external fixator and subsequent distraction in the radioulnar and proximodistal axis as the initial procedure followed by radialization according to Buck-Gramcko around the 2nd birthday, 10 weeks after the primary procedure. The last step of the treatment was a pollicization of the index finger performed before the 4th birthday.
Results: The surgical treatment resulted with a very favorable outcome – a clinically stable wrist, radiologically well aligned carpus over the ulna and an index pollicised in such a manner that enables adequate opposition to the other fingers.
Conclusion: A review of literature in the last 25 years shows that radialization of the ulna with a preceding distraction offers benefits over centralization alone. Distraction of the wrist protects the distal ulnar growth plate and thus promotes growth. Soft tissue release with a bilobar flap can also provide a good outcome as wells as a microvascular joint transfer from the 2nd toe whereas the latter requires advanced microsurgical skills.

Ključne riječi

SURGICAL PROCEDURES, OPERATIVE; THUMB; ABNORMALITIES

Hrčak ID:

296401

URI

https://hrcak.srce.hr/296401

Datum izdavanja:

29.12.2022.

Podaci na drugim jezicima: hrvatski

Posjeta: 357 *