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J Hand Microsurg 2010; 02(01): 33-37
DOI: 10.1007/s12593-010-0006-7
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Strategic two-stage approach to radial club hand

Masao Fujiwara
1   Department of Plastic and Reconstructive Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan   Email: masaofuj@mth.biglobe.ne.jp
,
Yoko Nakamura
2   Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan
,
Hidekazu Nishimatsu
3   Department of Orthopaedic Surgery, Tenri Hospital, Nara, Japan
,
Hidekazu Fukamizu
1   Department of Plastic and Reconstructive Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan   Email: masaofuj@mth.biglobe.ne.jp
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Further Information

Publication History

23 September 2009

06 November 2009

Publication Date:
05 September 2016 (online)

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Abstract

In patients with radial club hand (RCH), there is absence of the radius and severe hypoplasia of the thumb, so both wrist stabilization and thumb reconstruction are essential. When wrist stabilization is performed, recurrence of angulation is a problem. When thumb reconstruction is done, preservation of at least one major dorsal vein is important to prevent necrosis of the reconstructed thumb. We executed a strategic approach to RCH, which aimed to prevent both recurrence of angulation and necrosis of the reconstructed thumb.

Keywords

Radial club hand - Centralization - Pollicization - Skin incision - Thumb reconstruction
 

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