FIELD: medicine.
SUBSTANCE: invention relates to medicine, namely to traumatology and orthopedics, and can be used for the treatment of congenital hypoplasia of the thumb of the IV degree in children. There is a vestige of the first metacarpal bone and trapezoid bone. A longitudinal osteotomy of the second metacarpal bone is performed, the radial fragment of the second metacarpal bone is rotated 180 degrees, its removal and movement on the interosseous muscle to the radial side, connection with the vestige of the first metacarpal bone of the hypoplastic finger are carried out. A non-blood-supplied proximal or middle phalanx of the second or fourth donor toe is inserted into the diastasis between the distal end of the rotated and withdrawn fragment of the second metacarpal bone and the rudimentary first finger. The formed first finger is fixed with a Kirshner needle.
EFFECT: method provides the possibility of a two-way grip of the hand, improving its appearance and the possibility of finger growth by maintaining the correct anatomical proportions of the finger.
1 cl, 7 dwg, 1 ex
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Authors
Dates
2021-10-19—Published
2020-12-01—Filed