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目的探讨先天性复拇术后畸形的分类和治疗方法。方法对49例( 5 4侧)复拇术后畸形患儿,参照Kawabata[1] 方法,按畸形发生水平分为三组指间关节组、掌指关节组和“Z”形畸形组,对其中41例采取不同的矫形手术,并对疗效进行评分。结果术后随访到2 6例( 2 8侧) ,15例失访;随访时间14个月～3年。术后三组畸形均明显改善,疗效评分优15侧,良13侧。结论先天性复拇畸形如手术时机、手术方案选择不当或合并拇指肌腱先天性异常等是复拇术后出现畸形的主要原因,再次矫形手术能有效的纠正畸形。
Objective To investigate the classification and treatment of deformity after congenital surgery. Methods According to Kawabata [1], 49 cases (54 sides) of children with complex deformity were divided into three groups: interphalangeal joint group, metacarpophalangeal joint group and Z-shaped deformity group according to the level of deformity 41 of them took different orthopedic procedures and scored the curative effect. Results Twenty-six patients (28 sides) were followed up and 15 cases were lost to follow-up. The follow-up time ranged from 14 months to 3 years. Three groups of postoperative deformities were significantly improved, excellent score 15 side, good 13 side. Conclusions Congenital duplication of the normal deformity such as the timing of surgery, improper surgical options or congenital anastomosis of the thumb tendon is the main reason for the recurrence of deformity. Reoperation orthopedic surgery can effectively correct the deformity.