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[目的]探讨小儿WasselⅣ型复拇术后畸形的矫正方法。[方法]自2002年2月~2008年12月,应用McBride手术原理结合综合矫治的方法,治疗Ⅳ型复拇术后遗畸形32例36指。[结果]32例36指,术后进行1~5年(平均28个月)随访,按TAM评定法优良率为100%,拇指外形及功能均取得满意效果。[结论]应用以McBride手术原理为主要方法矫治该型畸形,手术设计合理、操作简单,可取得较好疗效。
[Objective] To investigate the correction method of children Wassel Ⅳ type complexion postoperative deformity. [Methods] From February 2002 to December 2008, 32 patients (36 fingers) of type Ⅳ complex posterior polyps were treated with McBride operation combined with comprehensive treatment. [Results] Twenty-three patients (36 fingers) were followed up for 1 to 5 years (average 28 months). The excellent and good rate was 100% according to TAM assessment. The thumb shape and function achieved satisfactory results. [Conclusion] McBride operation principle is the main method to correct this kind of deformity. The operation design is reasonable and the operation is simple, and the better curative effect can be obtained.