Camptodactyly的治疗体会

Initial Report of Management in Camptodactyly

Camptodactyly是先天性一指或多指原曲畸形，临床较少见．我们自1979年以来共收治18例46指，其中手术治疗14例代指．主要采用皮肤松解+“Z”成形术、植皮术、或局部皮瓣转移；掌指关节掌侧关节囊松解延长术；指屈浅肌腱切断术；腕部指屈浅、深肌腱延长米；蚓状肌止点下移重新固定等方法．随访12例34指，随访时间1年～13年．其中优：2例5指；良：5例18指；无改善3例6指；差：2例5指.在治疗中我们初步体会，术前手指被动屈伸基本正常，无或有皮肤关节轻度挛缩者，术后效果较好．如水前畸形重，伴有皮肤、关节挛缩者，手术应慎重。

Camptodactyly which may be defined as congenital flexion contracture of finger is uncommon. All other fingers can be affected except for thumb and most frequcntly affecting only the little finger.Foyty-two deformity fingers of 14 cases were given surgical managements which included release of contracture of skin and 'Z'plasty, or skin graft, palmar plate release, lengthening of surperficialis and profundus flexor-tendon,reinsening of lumbrical anomalous insertion, flexor tendon transfer for reinfocing extensor. The results showed that good was 5 fingers of 2 cases, fair was 18 fingers of 5 cases, unchange was 6 fingers of 3 cases and bad was 5 fingers of 2 cases. It sugnested that the finger with slight contracture of soft joint will be get better result by surgical management, but the finger with severe contracture of stiffjoint will get uncertain result by surgical management.