Please use this identifier to cite or link to this item:
10.3390/medicina55100610
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DC Field | Value | Language |
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dc.contributor.author | Ozols, Dzintars | - |
dc.contributor.author | Butnere, Marisa Maija | - |
dc.contributor.author | Pētersons, Aigars | - |
dc.date.accessioned | 2021-04-22T09:55:01Z | - |
dc.date.available | 2021-04-22T09:55:01Z | - |
dc.date.issued | 2019 | - |
dc.identifier.citation | Ozols , D , Butnere , M M & Pētersons , A 2019 , ' Methods for congenital thumb hypoplasia reconstruction. A review of the outcomes for ten years of surgical treatment ' , Medicina (Lithuania) , vol. 55 , no. 10 , 610 . https://doi.org/10.3390/medicina55100610 | - |
dc.identifier.issn | 1010-660X | - |
dc.identifier.uri | https://dspace.rsu.lv/jspui/handle/123456789/3897 | - |
dc.description | Publisher Copyright: © 2019 by the authors. Licensee MDPI, Basel, Switzerland. | - |
dc.description.abstract | Background and objectives: Congenital thumb hypoplasia is a rare deformity of upper extremity. The incidence for thumb hypoplasia grade II-V is 1:10,000 newborns per year in Latvia. A technique for extensor indicis proprius (EIP) tendon transfer with subperiosteal fixation was developed and used for thumb hypoplasia grades II and IIIa. Pollicization or second-toe-to-hand transplantation with metatarsophalangeal (MTP) joint arthrodesis was used for the reconstruction of hypoplasia grade IIIb-V. The aim of this retrospective cohort study is to evaluate the outcomes for reconstruction techniques used in one surgical center during a ten-year period by one surgeon to evaluate functional and aesthetical outcomes for new techniques. Materials and Methods: In total, 21 patients were operated on during 2007-2017, and 18 of these patients were involved in this study. Long-term follow-up was completed to evaluate the functions and aesthetics of the hands. Results: disabilities of the arm, shoulder and hand (DASH) was 9.35 (8-10.7) for the second-toe-to-hand with MTP joint arthrodesis transplantation method for pollicization method 19.8 (6-26.7), and for the EIP tendon transposition, 14.54 (0.9-56.3). Conclusions: The postoperative functional parameters of congenital hand hypoplasia patients, regardless of the surgical method, are worse than the functional results of healthy patients. The use of the second-toe-to-hand with MTP joint arthrodesis transplantation method provides patients with congenital hand IIIb-V hypoplasia a stable and functional first finger formation. The functional results are comparable to the clinical results of the pollicization method while ensuring the creation of a five-digit hand. | en |
dc.format.extent | 17 | - |
dc.format.extent | 2991884 | - |
dc.language.iso | eng | - |
dc.relation.ispartof | Medicina (Lithuania) | - |
dc.rights | info:eu-repo/semantics/openAccess | - |
dc.subject | Congenital hand deformities | - |
dc.subject | Pollicization | - |
dc.subject | Tendon transfer | - |
dc.subject | Thumb hypoplasia | - |
dc.subject | Toe-to-hand transplantation | - |
dc.subject | 3.2 Clinical medicine | - |
dc.subject | 1.1. Scientific article indexed in Web of Science and/or Scopus database | - |
dc.subject | General Medicine | - |
dc.title | Methods for congenital thumb hypoplasia reconstruction. A review of the outcomes for ten years of surgical treatment | en |
dc.type | /dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article | - |
dc.identifier.doi | 10.3390/medicina55100610 | - |
dc.contributor.institution | Department of Paediatric Surgery | - |
dc.identifier.url | http://www.scopus.com/inward/record.url?scp=85072562652&partnerID=8YFLogxK | - |
dc.description.status | Peer reviewed | - |
Appears in Collections: | Research outputs from Pure / Zinātniskās darbības rezultāti no ZDIS Pure |
Files in This Item:
File | Size | Format | |
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Methods_for_Congenital_Thumb_Hypoplasia.pdf | 2.92 MB | Adobe PDF | View/Open |
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