Clinical and functional results of radial club hand with centralization and pollicization using the second metacarpus: A clinical case series

Lahiji, F Abd Elahzadeh; Asgari, Farhang; Mirzaee, Fateme; Zafarani, Zafarani; Aslani, Hamidreza

doi:10.1016/j.ijscr.2019.07.076

Cited by 2 publications

(2 citation statements)

References 21 publications

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“…The patients achieved a postoperative DASH score of 13.8 ± 7.5. Lahiji et al [ 34 ] wrote a case series report of patients with a radial club hand who underwent pollicization and achieved a mean DASH score of 34.2 ± 9.7. The described arthrodesis cohort had a mean Quick-DASH score of 11.4, which is a much better result compared to other studies.…”

Section: Discussionmentioning

confidence: 99%

An Alternative Treatment Option for Blauth III B Thumb Hypoplasia—Thumb Stabilization with Iliac Crest Bone Graft and Intermetacarpal Arthrodesis

Oeckenpöhler,

Langer,

Wichmann

et al. 2023

JCM

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Thumb hypoplasia modified Blauth III B is usually treated by pollicization or, less commonly, by toe transfer. Both procedures always result in the resection of a body part, but with good cosmesis and acceptable function. We describe an intermetacarpal I/II arthrodesis with autologous bone graft augmentation to lengthen and stabilize the loose thumb. Clinical data were collected from nine patients, median age at surgery 3 years 8 months, with more than 7 years of follow-up. The results showed a grip strength on the Jamar dynamometer of approximately 61% of the unoperated hand. The Quick-DASH score was 11. The reconstructed thumb was 0.8 cm thinner and 1.9 cm shorter. Overall satisfaction on the VAS, with an average of 1.5 out of 10, is excellent with a partially usable thumb on a hand with five rays. The described procedure is a reliable treatment option with satisfactory results. In addition, none of the patients lost pincer grip between the second and third digit, but their thumb gained new function. Especially in environments where physical integrity has a high value, thumb construction instead of replacement could be considered.

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Section: Discussionmentioning

confidence: 99%

An Alternative Treatment Option for Blauth III B Thumb Hypoplasia—Thumb Stabilization with Iliac Crest Bone Graft and Intermetacarpal Arthrodesis

Oeckenpöhler,

Langer,

Wichmann

et al. 2023

JCM

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“…Lahiji et al [ 27 ] presented 15 hands (13 patients) that underwent centralization with pollicization in a two-step approach, with soft tissue stretching and serial splinting before surgery. The mean HFA immediately after surgery was 13.8 ± 5°(range: 10°–23°) and increased on the final follow-up to 22.2 ± 13.5° (10°–60°).…”

Section: Discussionmentioning

confidence: 99%

Radial Club Hand Treated by Paley Ulnarization Generation 3: Is This the New Centralization?

Deszczyński

Albrewczyński²,

Shannon³

et al. 2021

Children

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(1) Background: Patients treated with the two previous generations of ulnarization developed a bump related to the ulnar head becoming prominent on the radial side of the hand. To finally remedy this problem, a third generation of ulnarization was developed to keep the ulnar head contained. While still ulnar to the wrist center, the center of the wrist remains ulnar to the ulnar head, with the ulnar head articulating directly with the trapezoid and when present the trapezium. (2) Methods: Between 2019 and 2021, 22 radial club hands in 17 patients were surgically corrected with this modified version of ulnarization. (3) Results: In all 17 patients, the mean HFA (hand–forearm-angle) correction was 68.5° (range 12.2°–88.7°). The mean ulna growth was 1.3 cm per year (range 0.2–2 cm). There were no recurrent radial deviation deformities more than 15° of the HFA. (4) Conclusions: This new version of ulnarization may solve the problem of the ulna growing past the carpus creating a prominent ulnar bump. The results presented are preliminary but promising. Longer-term follow-up is needed to fully evaluate this procedure.

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Clinical and functional results of radial club hand with centralization and pollicization using the second metacarpus: A clinical case series

Cited by 2 publications

References 21 publications

An Alternative Treatment Option for Blauth III B Thumb Hypoplasia—Thumb Stabilization with Iliac Crest Bone Graft and Intermetacarpal Arthrodesis

An Alternative Treatment Option for Blauth III B Thumb Hypoplasia—Thumb Stabilization with Iliac Crest Bone Graft and Intermetacarpal Arthrodesis

Radial Club Hand Treated by Paley Ulnarization Generation 3: Is This the New Centralization?

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