ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2015, Vol. 7 ›› Issue (6): 595-597.doi: 10.3969/j.issn.1674-3865.2015.06.022

• 临床研究 • 上一篇    下一篇

小儿先天性复拇指畸形170例WASSEL分型及手术治疗

金成友，奚望   

  1. 117000 辽宁 本溪,本溪钢铁总医院骨科(金成友)； 200433 上海,第二军医大学学员旅六队(奚望)
  • 出版日期:2015-12-25 发布日期:2018-11-19
  • 作者简介:金成友(1977-),男,医学硕士,主治医师。研究方向：手足显微外科诊治。

WASSEL classification of and surgical treatment for congenital duplicated thumb deformities in 170 children

JIN Chengyou,XI Wang   

  1. Department of Orthopedics, Shanghai Iron and Steel General Hospital, Benxi 117000, China.
  • Online:2015-12-25 Published:2018-11-19

PDF (PC)

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摘要：
目的: 总结复拇指畸形的临床WASSEL分型,明确手术治疗方法的优点。
方法: 对2014-01/2015-01本溪钢铁总医院骨科收治的170例复拇指畸形病例进行回顾性分析。通过皮肤切口的设计、骨骼支架的建立、关节的修复、拇外展功能的重建等方法,对小儿先天性复拇指畸形进行手术治疗。
结果: 手术后得分4~5分100例,3分65例,2分以下5例。170例术后拇指的外形及功能均取得满意的效果。随访6~36个月,除去2例侧弯畸形、3例关节运动受限、6例患指较健侧肥大外,全部经康复锻炼后,基本上满足日常生活需要。
结论: 先天性多拇指畸形的治疗,根据WASSEL分型选择适当手术时机,可取得较好的疗效。

关键词: 复拇指畸形, WASSEL分型, 手术, 继发畸形, 儿童

Abstract:
Objective：To sum up the clinical WASSEL classification of complex thumb, and to clarify the advantages of surgical treatment.
Methods：A retrospective analysis was made in 170 cases of complex thumb deformity. Through the skin incision design, skeleton establishment, joint repair and functional reconstruction of thumb abduction, congenital thumb deformities were treated surgically.
Results：The score of 45 after operation were in 100 cases,3 points in 65 cases and under 2 points in 5 cases. The shape and function of the thumb were satisfactory in 170 cases. After a followup of 636 months, except 2 cases of scoliosis, 3 cases of joint movement limitation and 6 cases with fingers bigger than the healthy one, all basically met the needs of daily life after rehabilitation training.
Conclusion：In the treatment of congenital thumb deformities, choosing appropriate surgery time according to WASSEL classification can achieve good effect.

Key words: Duplicated thumb deformities, WASSEL classification, Surgery, Secondary deformity, Child