Metacarpophalangeal ligamentoplasty in typical cleft hand.

Details

Serval ID
serval:BIB_FB4A8AF2F4A5
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Metacarpophalangeal ligamentoplasty in typical cleft hand.
Journal
Techniques In Hand and Upper Extremity Surgery
Author(s)
Christen T., Dautel G.
ISSN
1531-6572 (Electronic)
ISSN-L
1089-3393
Publication state
Published
Issued date
2013
Peer-reviewed
Oui
Volume
17
Number
2
Pages
120-122
Language
english
Notes
Publication types: Journal Article ; ReviewPublication Status: ppublish
Abstract
The surgical handling of central cleft hands may involve various procedures to restore acceptable function. Stabilization of the merged cleft is usually achieved through reconstruction of the intermetacarpal ligament. However, no attention has been paid to the agenesis of the metacarpophalangeal collateral ligaments adjacent to the cleft, which is responsible for an excessive laxity of the joint in the frontal plane. We propose an autologous ligamentoplasty aimed at stabilizing the metacarpophalangeal joint while taking into account the specificities of the immature skeleton. A tendon graft is harvested and passed in a figure-of-eight manner around the base of the proximal phalanx and the corresponding metacarpal neck. No transosseous tunnels or bone anchors are used, as these might result in growth plate injury. As the graft does not have any fixed bony attachment, it is free to glide throughout growth, therefore avoiding the occurrence of progressive overtightening.
Keywords
Child, Collateral Ligaments/surgery, Hand Deformities, Congenital/surgery, Humans, Metacarpophalangeal Joint/surgery, Tendon Transfer
Pubmed
Create date
18/10/2016 15:59
Last modification date
20/08/2019 17:26
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