先天性风吹手畸形的治疗

目的探讨先天性风吹手畸形(windblown hand)的治疗。方法对18例患者采用分次手术的方法:一期改善拇指功能;二期纠正手指尺偏畸形;三期解决手掌、手指屈曲。结果术后随访6～72个月,3例患者失访。15例中有11例拇指外展、对掌、对指功能恢复,效果满意;9例手指尺偏畸形得到纠正,5例再次手术,经系统康复训练后4例畸形纠正,1例部分纠正。结论先天性风吹手畸形的治疗应分次手术,每次解决1个主要问题,配合系统的康复才能获得满意的效果。

Treatment of the windblow band deformity

OBJECTIVE: To discuss the treatment of the windblow hand deformity. METHODS: We treat 18 patients with operations step by step. First phase: to improve the thumb function; Second phase: shift the flexor digitorum superficialis of the middle and little finger to improve the ulnar drift of the digits; Third phase : to solve the flection deformity of the palm and digits. RESULTS: We follow the patients for 6 - 72 months, only lost 3.11 of 15 patients have the thumb function recovered. 9 patients had their ulnar drift of the digits corrected, 2 patients partly corrected, 4 have relapse. 5 among the 15 patients were offered seconed operation, to have the ulnar athrosis bursa contracted, using abduction splint, after rehabilitation 4 patients have the deformity corrected, 1 has partly corrected. CONCLUSIONS: Operation step by step is better for the complex windblow hand deformity, solve one major problem each time,and systemic rehabilitation therapy is needed for satisfied curative effect.