摘要
目的总结掌指骨延长的研究进展,探讨存在的问题及进一步研究方向。方法查阅近年国内外关于掌指骨延长的文献,并进行总结分析。结果目前有多种方法治疗手指短缩畸形,掌指骨延长法相对占优势。它包括一次性骨延长、骨痂延长、缓慢牵伸延长3种,每种方法均有优势和局限。但在截骨部位、延长长度及速度以及术后并发症等方面尚存争议。结论相对于一次性骨延长和骨痂延长术,缓慢牵伸延长术创伤小、并发症少,但远期疗效尚不明确,还需要长期临床随访观察。
Objective To review the methods of metacarpal and phalange lengthening and to point out the problems at present as well as to predict the trend of development in the field.Methods Domestic and abroad literature concerning the methods of metacarpal and phalange lengthening in recent years was reviewed extensively and thoroughly analyzed.Results At present,there are many methods to treat the short finger disability,but the methods of metacarpal and phalange lengthening have an advantage,which include closed osteotomy lengthening,callus-lengthening,and modified Ilizarov method.Each surgical method has its advantages and limitations.However,the part of osteotomy,the length and speed,and the postoperative complications etc.have been disputed.Conclusion The modified Ilizarov method has the advantages of simple operation,minimal invasion,and less complications,but the long-term results of each treatment method are unknown and need more further studies.
出处
《中国修复重建外科杂志》
CAS
CSCD
北大核心
2011年第5期624-627,共4页
Chinese Journal of Reparative and Reconstructive Surgery
关键词
短指畸形
掌指骨延长
肢体延长
外固定延长器
骨缺损
Short finger disability Metacarpal and phalange lengthening Limb lengthening Synchronous lengthening device Bone defect
