Zusammenfassung
Die Pollizisation des Zeigefingers ist eine allgemein anerkannte Operationsmethode bei manchen Fällen von Daumenhypoplasie. Wir überprüften unsere Erfahrungen mit 27 „normalen“ Zeigefingerpollizisationen (mittlere Nachuntersuchungszeit sieben Jahre), wobei Fälle mit höhergradiger Radiushypoplasie und abnormen Fingern ausgeschlossen wurden.
Selbst in einer solch „idealen“ Situation waren sowohl die Kraft als auch die häufig schlanke Erscheinung des neuen Daumens mit ausgedehnten dorsalen Narben und „Spaltbildung“ der ersten Zwischenfingerfalte enttäuschend.
In einer prospektiven Serie von 32 Fällen versuchten wir sowohl die Funktion als auch die Erscheinung des Daumens durch Modifikation der klassischen Schnittführung und der Transposition der Muskeln und Sehnen zu verbessern.
Abstract
Pollicization of the index finger is a well established procedure for some cases of thumb hypoplasia. We reviewed our experience of 27 “normal” index-finger pollicizations with a mean follow-up of seven years, excluding those cases with more extensive radial hypoplasia and abnormal fingers. Even in such an “ideal” situation, strength was deceptive and the frequently slender aspect of the new thumb with quite extensive dorsal scar formation and the “cleft” appearance of the first web disappointing. In a prospective series of 32 cases, we tried to improve both the function and appearance of the thumb by modifying the classical incision as well as the transferred muscles and tendons.
Schlüsselwörter
Pollizisationstechnik - modifizierte Inzision
Key words
Pollicization technique - modified incision
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