One-Stage Extension Shortening Osteotomy for Syndromic Camptodactyly
| Autor: | Hoon Park, Hyun Woo Kim, Kee-Bum Hong, Kun-Bo Park, Min Jung Park, Byoung Kyu Park |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment lcsh:Medicine 030230 surgery Osteotomy camptodactyly Article 03 medical and health sciences Camptodactyly 0302 clinical medicine finger children medicine Shortening osteotomy Flexion contracture 030222 orthopedics Arthrogryposis multiplex congenita Flexor tendon business.industry lcsh:R One stage General Medicine Tendon Surgery body regions medicine.anatomical_structure medicine.symptom business osteotomy |
| Zdroj: | Journal of Clinical Medicine, Vol 9, Iss 3731, p 3731 (2020) Journal of Clinical Medicine Volume 9 Issue 11 |
| ISSN: | 2077-0383 |
| Popis: | Syndromic camptodactyly often affects multiple fingers, and severe deformities are common compared to idiopathic camptodactyly. This study aimed to evaluate the use of a one-stage extension shortening osteotomy of the proximal phalanx for patients with syndromic camptodactyly without tendon surgery. Forty-nine cases of syndromic camptodactyly were included. Forty fingers (81.6%) were associated with arthrogryposis multiplex congenita, and nine (18.4%) with other syndromes. Six fingers presented with a moderate form (30° to 60° ) of camptodactyly, whereas 43 fingers manifested the severe form (> 60° ). The mean age at the time of surgery was 8.5 years, and the patients were followed for a mean of 3.9 years. The mean length of the shortening of the proximal phalanx was 4.9 mm, which averaged 17.8% of the proximal phalanx&rsquo s original preoperative length. The mean operative time was 25.8 min, and the PIP joint was fixed using Kirschner wires with an average flexion position of 7.6° The mean flexion contracture improved from 76° preoperatively to 41° postoperatively. The mean preoperative active arc of motion was 23° which improved to 49° postoperatively. A one-stage extension shortening osteotomy is a straightforward and effective technique for the improvement of finger function through the indirect lengthening of volar structures without the flexor tendon lengthening. The osteotomy could simultaneously correct bony abnormalities. This simple procedure is especially suitable for surgery on multiple fingers in patients with syndromic camptodactyly. |
| Databáze: | OpenAIRE |
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