Email this article Comparative analysis of the effectiveness of the incision designs by Bayne and Evans in the correction of congenital radial clubhand in children
- Authors: Govorov A.V.1, Avdeychik N.V.2, Safonov A.V.1
-
Affiliations:
- The Turner Scientific and Research Institute for Children’s Orthopedics
- The Turner Scientific and Research Institute for Children's Orthopedics.
- Issue: Vol 5, No 2 (2017)
- Pages: 36-41
- Section: Articles
- URL: https://bakhtiniada.ru/turner/article/view/6754
- DOI: https://doi.org/10.17816/PTORS5236-41
- ID: 6754
Cite item
Abstract
Introduction. In 1733, Petit first described the deformation of the forearm, congenital radial clubhand. A large number of modifications in the surgical treatment of this deformation have been developed. In the available literature, there is no comparative analysis of the applied designs of the sections.
Aim. The goal is a comparative analysis of the effectiveness of the use of dorsal rotation flap by Evans, and incision designs by Bayne, in the correction of congenital radial clubhand in children.
Material and methods. Between 2013 and 2016, block randomization of 40 children with congenital radial clubhand was used and grouped by procedures. Surgical correction was performed using two different incision designs (the first group by Bayne and the second by Evans). The analysis of the early postoperative complications was performed. The evaluation in the late postoperative period of soft tissue condition of the forearm using a pinch test, Vancouver scale, and a visual analog scale was carried out.
Results. Based upon gender, patients were divided with male predominance in both groups with 7 girls and 13 boys in the first group, and 8 girls and 12 boys in the second group. In the immediate postoperative period, marginal necrosis was observed in the first group (35%). In the late postoperative period, the study showed an advantage of using dorsal rotation flap by Evans versus the incision designs by Bayne.
Conclusion. Using incision designs by Evans with the formation of a dorsal rotation flap provided a more aesthetic and functional result.
Full Text
##article.viewOnOriginalSite##About the authors
Anton V. Govorov
The Turner Scientific and Research Institute for Children’s Orthopedics
Author for correspondence.
Email: agovorov@yandex.ru
MD, PhD, research associate of the department of reconstructive microsurgeryand hand surgery.
Russian Federation, Saint PetersburgNatalia V. Avdeychik
The Turner Scientific and Research Institute for Children's Orthopedics.
Email: natali_avdeichik@mail.ru
MD, orthopedic surgeon of the department of reconstructive microsurgery and hand surgery
Russian Federation, Saint PetersburgAndrey V. Safonov
The Turner Scientific and Research Institute for Children’s Orthopedics
Email: safo125@gmail.com
MD, PhD, chief of the department of reconstructive microsurgery and hand surgery
Russian Federation, Saint PetersburgReferences
- Авдейчик Н.В., Говоров А.В., Голяна С.И., и др. Врожденная лучевая косорукость у детей в структуре генетических синдромов // Ортопедия, травматология и восстановительная хирургия детского возраста. – 2015. – Т. 3. – Вып. 4. – С. 29–36. [Avdeichik NV, Govorov AV, Golyana SI, et al. Occurrence of radial club hand in children with different syndromes. Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2015;3(4):29-36. (In Russ.)]. doi: 10.17816/PTORS3429-36.
- Buck-Gramcko D. Radialization as a new treatment for radial club hand. J Hand Surg Am. 1985;10(6):964-968. doi: 10.1016/s0363-5023(85)80013-7.
- Vanheest A, Grierson Y. Dorsal rotation flap for centralization in radial longitudinal deficiency. J Hand Surg Am. 2007;32(6):871-875. doi: 10.1016/j.jhsa.2007.02.026.
- Blauth W. On the morphology and therapy of the radial club-hand. Arch Orthop Unfallchir. 1969;65(2):97-123.
- Lamb DW. Radial club hand. J Bone Joint Surg. 1977;59(1): 1-13. doi: 10.2106/00004623-197759010-00001.
- Watson HK, Beebe RD, Cruz NI. A centralization procedure for radial clubhand. J Hand Surg Am. 1984;9(4):541-547. doi: 10.1016/s0363-5023(84)80107-0.
- Bayne LG, Klug MS. Long-term review of the surgical treatment of radial deficiencies. J Hand Surg Am. 1987;12(2):169-179. doi: 10.1016/s0363-5023(87)80267-8.
- Esser JFS. Gestielte lokale Nasenplastik mit zweizipfligen Lappen: Deckung des sekunderen Defectes vom ersten Zipfel durch den Zweiten. Dtsch Z Chir. 1918;143(3-6):385-390. doi: 10.1007/bf02793149.
- Evans DM, Gateley DR, Lewis JS. The use of a bilobed flap in the correction of radial club hand. J Hand Surg Br. 1995;20(3):333-337. doi: 10.1016/s0266-7681(05)80089-0.
- Vanheest A. Wrist centralization using the dorsal rotation flap in radial longitudinal deficiency. Tech Hand Up Extrem Surg. 2010;14(2):94-99. doi: 10.1097/BTH.0b013e3181da05aa.
- Vuillermin C, Wall L, Mills J, et al. Soft tissue release and bilobed flap for severe radial longitudinal deficiency. J Hand Surg Am. 2015;40(5):894-899. doi: 10.1016/j.jhsa.2015.01.004.
Supplementary files
