Causes of secondary deformity after surgery to correct Wassel type IV-D thumb duplication

The Journal of Hand Surgery, European Volume
Bo He, Guo-Xin Nan

Abstract

This study was undertaken to document the causes of secondary deformities after surgery for correction of Wassel type IV-D thumb duplication. We carefully dissected and observed the flexor pollicis longus, and bone and joint anatomy in eight patients with secondary deformities after surgical correction. We transferred the flexor pollicis longus and thenar muscle attachments, reconstructed the A2 pulley, released and tightened the joint capsule, and performed osteotomies to correct skeletal malalignment. Kirschner wire fixation was used for 4-5 weeks, followed by brace fixation for 3 months. Patients were followed up for 13-34 months (mean 20 months). According to the Tada scores, the outcomes were good in six patients, and fair and poor in one patient each. The main causes of the secondary deformities were failure to reconstruct the A2 pulley, to transfer the flexor pollicis longus and thenar muscles, and incomplete resection of the radial metacarpal head. Brace fixation after Kirschner wire removal is crucial in preventing secondary deformities. IV.

References

Jun 1, 1994·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·A Naasan, R E Page
Feb 1, 1996·Clinical Orthopaedics and Related Research·L HungP Leung
May 27, 2004·Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der Peripheren Nerven und Gefässe : Organ der Vereinigung der Deut·W P CooneyJ H Dobyns
May 22, 2007·Journal of Pediatric Orthopedics·Yin-Chun TienJian-Chih Chen
Nov 13, 2007·The Journal of Hand Surgery, European Volume·M A Tonkin, N W Bulstrode
Jul 3, 2010·Orthopaedics & Traumatology, Surgery & Research : OTSR·A AbidJ Sales de Gauzy
Dec 7, 2013·The Journal of Hand Surgery, European Volume·A U C PatelR D Lawson
Apr 22, 2014·Acta orthopaedica et traumatologica turcica·Murat KayalarKemal Ozaksar
Sep 1, 2015·The Journal of Hand Surgery, European Volume·R DijkmanC van Nieuwenhoven
Oct 31, 2015·The Journal of Hand Surgery, European Volume·T O EngelhardtH Piza-Katzer

❮ Previous
Next ❯

Citations

Feb 16, 2017·The Journal of Hand Surgery, European Volume·B HeG Nan
Feb 18, 2016·The Journal of Hand Surgery, European Volume·Michael A Tonkin
Jul 14, 2020·Journal of Pediatric Orthopedics·Paula A PinoScott H Kozin
Jul 25, 2018·Acta ortopedica brasileira·Hugo Alberto NakamotoRolf Gemperli
Nov 26, 2020·Plastic and Reconstructive Surgery·Seok Woo HongGoo Hyun Baek
Feb 9, 2021·The Journal of Hand Surgery, European Volume·Susumu SaitoNaoki Morimoto

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.