| Comparative Analysis of Surgical Results between Isolated Camptodactyly and Syndromic Camptodactyly |
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Jae Kwang Kim, Moon Sang Chung, Sung Tack Kwon, Sang Ki Lee, Jin Young Kim, Goo Hyun Baek |
| 고립형 굴지증과 증후군형 굴지증의 수술적 치료 결과 분석 및 비교 |
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김재광, 정문상, 권성택, 이상기, 김진영, 백구현 |
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| Abstract |
Purpose
To analyze the surgical results between isolated camptodactyly and syndromic camptodactyly Materials and Methods: One hundred twenty one fingers in 45 patients were involved in this study. The average age at operation was 7 years 5 months, and the mean follow-up period was 4 years 1month. Seventeen patients (36%) had other associated congenital anomalies. We classified cases according to the surgical procedure used and the presence of other congenital anomalies. The surgical treatment was evaluated by the residual degree of extension lag, and the distance of involved finger tip to palm during forceful fisting Results: The surgical result of flexor digitorium superficialis(FDS) tendon transfer group was worse than that of the standardized group at the final follow-up. The surgical result of the syndromic type was worse than that of the isolated group at final follow-up and the surgical result of the syndromic type deteriorated with the passage of time. If the syndromic type was excluded from the standardized group, 44 of 53 cases (83%) had an excellent or good result. Conclusion: Camptodactyly with severe deformity which warrant surgical treatment generally had FDS tendon pathology. Results obtained by FDS tendon transfer to reinforce the extension mechanism of the PIP joint were poor. The syndromic type was found to differ from the isolated type in terms of clinical appearances and surgical results. |
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