Preoperative angulation as a predictor for operations of Wassel type IV polydactyly

医学 多指 软组织 拇指 截骨术 畸形 掌指关节 射线照相术 解剖 外科 口腔正畸科
作者
Pobe Luangjarmekorn,Natthawat Virojanawat,Podsawee Pongpacharaamphon,Pravit Kitidumrongsook
出处
期刊:Journal of Pediatric Orthopaedics B [Wolters Kluwer]
卷期号:30 (6): 605-610 被引量:8
标识
DOI:10.1097/bpb.0000000000000806
摘要

The aim of this study was to find the degree of preoperative metacarpophalangeal (MCP) joint angulation that determines the need for corrective osteotomy and to compare the result for Wassel type IV thumb polydactyly operated by soft tissue reconstruction alone or with corrective osteotomy. The surgical options for correction of the angular deformity of the MCP joint in Wassel type IV thumb polydactyly were retrospectively reviewed. The preoperative angular deformity of the MCP joint and the last postoperative residual deformity at MCP joint were measured from the radiograph of thumb posteroanterior view. The cut-off point of the preoperative MCP angulation that provided less residual deformity in patients who were treated by soft tissue procedures alone was identified from receiver operating characteristic curve. A total of 45 patients with 46 thumb polydactyly (Wassel type IV) were studied. Mean pre and postoperative MCP angulation were 24.01 (range 0–68°) and 14.65 (range 0–39°), respectively. Thirty-four thumbs from 33 patients (73.91%) were operated on by soft tissue procedures alone and 12 thumbs (26.09%) needed corrective osteotomy. The best cut-off point of preoperative MCP angulation that showed less significant residual deformity when treated by soft tissue procedure alone was 30° (96.43% sensitivity and 100% specificity). In MCP angulation ≤30°, soft tissue reconstruction alone was an effective method for correction of angular deformity with predictable outcome of no significant residual deformity (0/27 thumbs). In MCP angulation >30°, corrective osteotomy is recommended over soft tissue procedure alone due to achieve proper thumb position and adequate soft tissue balance. There is also a statistical decrease in significant residual deformity [from 85.71% (6/7 cases, treated by soft tissue procedure alone) to 30% (3/10 cases, treated by corrective osteotomy), P < 0.05]. This study proposes the use of preoperative MCP joint angular deformity as a guide to the type of surgical intervention in Wassel type IV thumb polydactyly.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
清脆不斜完成签到,获得积分10
1秒前
1秒前
哪吒发布了新的文献求助20
3秒前
3秒前
酷波er应助bububusbu采纳,获得30
3秒前
4秒前
4秒前
传奇3应助wwww采纳,获得10
5秒前
妍小猪发布了新的文献求助30
5秒前
5秒前
合适的晓亦完成签到,获得积分10
6秒前
6秒前
赘婿应助科研通管家采纳,获得10
7秒前
小马甲应助科研通管家采纳,获得10
7秒前
CipherSage应助科研通管家采纳,获得10
7秒前
彭于彦祖应助科研通管家采纳,获得20
7秒前
脑洞疼应助科研通管家采纳,获得10
7秒前
Ava应助qianqian采纳,获得10
7秒前
烟花应助科研通管家采纳,获得10
7秒前
SYLH应助科研通管家采纳,获得10
7秒前
共享精神应助科研通管家采纳,获得10
7秒前
科研通AI2S应助科研通管家采纳,获得10
8秒前
SYLH应助科研通管家采纳,获得10
8秒前
8秒前
情怀应助科研通管家采纳,获得10
8秒前
思源应助科研通管家采纳,获得10
8秒前
FashionBoy应助科研通管家采纳,获得20
8秒前
科研通AI5应助科研通管家采纳,获得10
8秒前
乐乐应助科研通管家采纳,获得10
8秒前
隐形曼青应助科研通管家采纳,获得10
8秒前
Akim应助科研通管家采纳,获得10
8秒前
桐桐应助科研通管家采纳,获得10
8秒前
我是老大应助科研通管家采纳,获得10
9秒前
9秒前
9秒前
科研通AI5应助科研通管家采纳,获得10
9秒前
9秒前
9秒前
SYLH应助科研通管家采纳,获得10
9秒前
9秒前
高分求助中
Mass producing individuality 600
Разработка метода ускоренного контроля качества электрохромных устройств 500
Chinesen in Europa – Europäer in China: Journalisten, Spione, Studenten 500
Arthur Ewert: A Life for the Comintern 500
China's Relations With Japan 1945-83: The Role of Liao Chengzhi // Kurt Werner Radtke 500
Two Years in Peking 1965-1966: Book 1: Living and Teaching in Mao's China // Reginald Hunt 500
A Combined Chronic Toxicity and Carcinogenicity Study of ε-Polylysine in the Rat 400
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 物理 生物化学 纳米技术 计算机科学 化学工程 内科学 复合材料 物理化学 电极 遗传学 量子力学 基因 冶金 催化作用
热门帖子
关注 科研通微信公众号,转发送积分 3824207
求助须知:如何正确求助?哪些是违规求助? 3366533
关于积分的说明 10441059
捐赠科研通 3085772
什么是DOI,文献DOI怎么找? 1697543
邀请新用户注册赠送积分活动 816398
科研通“疑难数据库(出版商)”最低求助积分说明 769611