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One-Stage Extension Shortening Osteotomy for Syndromic Camptodactyly
Syndromic camptodactyly often affects multiple fingers, and severe deformities are common compared to idiopathic camptodactyly. This study aimed to evaluate the use of a one-stage extension shortening osteotomy of the proximal phalanx for patients with syndromic camptodactyly without tendon surgery....
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7699896/ https://www.ncbi.nlm.nih.gov/pubmed/33233749 http://dx.doi.org/10.3390/jcm9113731 |
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author | Park, Byoung Kyu Kim, Hyun Woo Park, Hoon Park, Min Jung Hong, Kee-Bum Park, Kun Bo |
author_facet | Park, Byoung Kyu Kim, Hyun Woo Park, Hoon Park, Min Jung Hong, Kee-Bum Park, Kun Bo |
author_sort | Park, Byoung Kyu |
collection | PubMed |
description | Syndromic camptodactyly often affects multiple fingers, and severe deformities are common compared to idiopathic camptodactyly. This study aimed to evaluate the use of a one-stage extension shortening osteotomy of the proximal phalanx for patients with syndromic camptodactyly without tendon surgery. Forty-nine cases of syndromic camptodactyly were included. Forty fingers (81.6%) were associated with arthrogryposis multiplex congenita, and nine (18.4%) with other syndromes. Six fingers presented with a moderate form (30° to 60°) of camptodactyly, whereas 43 fingers manifested the severe form (>60°). The mean age at the time of surgery was 8.5 years, and the patients were followed for a mean of 3.9 years. The mean length of the shortening of the proximal phalanx was 4.9 mm, which averaged 17.8% of the proximal phalanx’s original preoperative length. The mean operative time was 25.8 min, and the PIP joint was fixed using Kirschner wires with an average flexion position of 7.6°. The mean flexion contracture improved from 76° preoperatively to 41° postoperatively. The mean preoperative active arc of motion was 23°, which improved to 49° postoperatively. A one-stage extension shortening osteotomy is a straightforward and effective technique for the improvement of finger function through the indirect lengthening of volar structures without the flexor tendon lengthening. The osteotomy could simultaneously correct bony abnormalities. This simple procedure is especially suitable for surgery on multiple fingers in patients with syndromic camptodactyly. |
format | Online Article Text |
id | pubmed-7699896 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-76998962020-11-29 One-Stage Extension Shortening Osteotomy for Syndromic Camptodactyly Park, Byoung Kyu Kim, Hyun Woo Park, Hoon Park, Min Jung Hong, Kee-Bum Park, Kun Bo J Clin Med Article Syndromic camptodactyly often affects multiple fingers, and severe deformities are common compared to idiopathic camptodactyly. This study aimed to evaluate the use of a one-stage extension shortening osteotomy of the proximal phalanx for patients with syndromic camptodactyly without tendon surgery. Forty-nine cases of syndromic camptodactyly were included. Forty fingers (81.6%) were associated with arthrogryposis multiplex congenita, and nine (18.4%) with other syndromes. Six fingers presented with a moderate form (30° to 60°) of camptodactyly, whereas 43 fingers manifested the severe form (>60°). The mean age at the time of surgery was 8.5 years, and the patients were followed for a mean of 3.9 years. The mean length of the shortening of the proximal phalanx was 4.9 mm, which averaged 17.8% of the proximal phalanx’s original preoperative length. The mean operative time was 25.8 min, and the PIP joint was fixed using Kirschner wires with an average flexion position of 7.6°. The mean flexion contracture improved from 76° preoperatively to 41° postoperatively. The mean preoperative active arc of motion was 23°, which improved to 49° postoperatively. A one-stage extension shortening osteotomy is a straightforward and effective technique for the improvement of finger function through the indirect lengthening of volar structures without the flexor tendon lengthening. The osteotomy could simultaneously correct bony abnormalities. This simple procedure is especially suitable for surgery on multiple fingers in patients with syndromic camptodactyly. MDPI 2020-11-20 /pmc/articles/PMC7699896/ /pubmed/33233749 http://dx.doi.org/10.3390/jcm9113731 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Park, Byoung Kyu Kim, Hyun Woo Park, Hoon Park, Min Jung Hong, Kee-Bum Park, Kun Bo One-Stage Extension Shortening Osteotomy for Syndromic Camptodactyly |
title | One-Stage Extension Shortening Osteotomy for Syndromic Camptodactyly |
title_full | One-Stage Extension Shortening Osteotomy for Syndromic Camptodactyly |
title_fullStr | One-Stage Extension Shortening Osteotomy for Syndromic Camptodactyly |
title_full_unstemmed | One-Stage Extension Shortening Osteotomy for Syndromic Camptodactyly |
title_short | One-Stage Extension Shortening Osteotomy for Syndromic Camptodactyly |
title_sort | one-stage extension shortening osteotomy for syndromic camptodactyly |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7699896/ https://www.ncbi.nlm.nih.gov/pubmed/33233749 http://dx.doi.org/10.3390/jcm9113731 |
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