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拇内收畸形矫正方法的探讨

A STUDY ON THE OPERATIVE TREATMENT OF ADDUCTION CONTRACTURES OF THUMB

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【作者】 任林森; 俞宝梁; 何仕蓉;

【Author】 Ren Linsen;Yu Baoliang;He Shirong Department of Surgery

【机构】 华西医科大学外科学教研室; 华西医科大学外科学教研室;

【摘要】 作者对10年来96只拇内收畸形手治疗的回顾和58只手随访疗效的评定时,发现在创面覆盖的六种方法中,以第二掌骨背皮瓣移位术的疗效尤为显著,用此法的20只手中,随访15例,14例疗效满意(93.3%)。作者着重介绍了此法的临床应用。

【Abstract】 Since 1973, 77 patients (96 hands)withadduction contracture of the thumb havebeen operated upon.Split skin grafting wasapplied in 56 hands,Z-plasty 6,forearmisland fiap 6,free flap 4,abdominal tubeflap 4 and dorsal flap of the secondmetacarpal 20. Since 1981, 15 of 20 patients treatedwith the dorsal flap of the second meta-carpal have been followed up for half tothree years. The results were satisfactoryin 14 cases.The authors emphasized theadvantages on the use of the dorsal flapof the second metacarpal for repairingadduction contracture of the thumb.

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