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

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dc.contributor.author Lahiji, FA
dc.contributor.author Asgari, F
dc.contributor.author Mirzaee, F
dc.contributor.author Zafarani, Z
dc.contributor.author Aslani, H
dc.date.accessioned 2019-10-07T10:05:09Z
dc.date.available 2019-10-07T10:05:09Z
dc.date.issued 2019
dc.identifier.other DOI: 10.1016/j.ijscr.2019.07.076
dc.identifier.uri http://dspace.uswr.ac.ir/xmlui/handle/123456789/541
dc.description.abstract INTRODUCTION: Radial club hand (RCH) is a rare congenital deformity leading in several functional and psychological problems. However, our knowledge about the long-term functional outcomes of treating RCH is limited. In current study, we investigated the outcomes of centralization and pollicization using second or third metacarpal bone in RCH patients. METHODS: There were 15 hands (13 patients) with RCH underwent centralization and pollicization using second or third metacarpal bone or tendon transfer. The patients aged 1.2 ± 1 years at the time of the surgery. On early postoperative x-rays, the forearm-hand angle was measured. The patients were followed for 6.2 ± 2.3 years. At the final visit, disabilities of arm, shoulder and hand (DASH) score was completed. Furthermore, forearm-hand angle and range of motion of both wrists in sagittal and coronal planes were measured. RESULTS: The mean of forearm-hand angle increased significantly. In 11 wrists, forearm-hand angle increased only 10 degrees of less. The range of operated wrist was improved in sagittal and coronal planes. The relative range of wrist motion in patients with unilateral deformity in sagittal and coronal planes was 83 ± 11 percent and 61 ± 12 percent. Three patients developed skin necrosis. CONCLUSION: Early centralization and pollicization using second or third metacarpal bone can significantly restore the range of motion and function in patients with RCH. en_US
dc.language.iso en en_US
dc.publisher Elsevier Ltd en_US
dc.relation.ispartofseries ;285-290
dc.subject Centralization en_US
dc.subject Metacarpal bone en_US
dc.subject Pollicization en_US
dc.subject Radial club hand en_US
dc.title Clinical and functional results of radial club hand with centralization and pollicization using the second metacarpus: A clinical case series en_US
dc.type Article en_US
dc.publisher.index isi en_US
dc.publisher.index scopus en_US
dc.publisher.index pubmed en_US


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