Single-stage separation of 4-finger with contiguous gull wing flaps and preserving the dorsal metacarpal vein in Poland syndrome
10.3760/cma.j.cn114453-20190127-00027
- VernacularTitle:保留掌背静脉的连续双翼皮瓣在Poland综合征患儿并指手术中的应用
- Author:
Xiaofang SHEN
1
;
Fei YIN
;
Weifeng LIN
;
Yongjun RUI
;
Xiaofei TIAN
Author Information
1. 苏州大学附属无锡九院小儿骨科 214000
- Keywords:
Syndactyly;
Surgical flap;
Hand deformity, congenital;
Poland syndrome
- From:
Chinese Journal of Plastic Surgery
2021;37(2):183-186
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the safety and clinical effect of single-stage separation of 4-finger with contiguous gull wing flaps and preserving the dorsal metacarpal vein in Poland syndrome.Methods:From June 2013 to January 2018, 17 children with Poland syndrome were treated by contiguous gull wing flaps. Postoperative follow-up was conducted to observe the incidence of skin flap necrosis and finger vascular crisis. Morphology of the fingers web was evaluated by modified Withey score and Swanson hand function score. Paired t-test was used for intra group comparison. Results:The operation was successfully completed and there were no early complications such as vascular crisis and skin necrosis. All patients were followed up for 12-41 months, with an average of 23.1 months. All patients had a reconstruction depth of digital webbed at nearly 1/3 of the proximal phalanx. Both the appearance and function were satisfactory without conspicuous scar. The depth, width and slope of the webbed are normal without conspicuous scar. Withey score was 0-1, with an average score of 0.17. There was significant differences of Swanson hand function score between preoperative(16.3±1.4)% and postoperative(3.6±1.3)%( t=16.469, P<0.01). Conclusions:It is safe to treat the syndactyly deformity of Poland syndrome with single-stage separation of 4-finger with contiguous gull wing flaps and preserving the dorsal metacarpal vein. The clinical efficacy is reliable.
