tailieunhanh - Đánh giá kết quả sớm phẫu thuật cái hóa ngón trỏ ở bệnh nhi thiểu sản ngón cái bẩm sinh

Thiểu sản ngón cái bẩm sinh làm suy giảm đáng kể chức năng bàn tay, phẫu thuật cái hóa ngón trỏ là kỹ thuật đã được áp dụng phổ biến trên thế giới để phục hồi chức năng và thẩm mỹ cho bàn tay. Bài viết trình bày đánh giá kết quả sớm phẫu thuật cái hóa ngón trỏ ở bệnh nhi thiểu sản ngón cái bẩm sinh. | Journal of Pediatric Research and Practice Vol. 6 No. 3 4 2022 92-99 Research Paper Early Outcome of Index Pollicization for Treating Congenital Thumb Hypoplasia in Children Hoang Hai Duc Ta Tran Tung Vietnam National Children s Hospital 18 879 La Thanh Dong Da Hanoi Vietnam Received 10 April 2022 Revised 11 May 2022 Accepted 15 May 2022 Abstract Introduction Congenital thumb hypoplasia significantly impairs hand function. Index pollicization has been widely applied in the world to restore function and aesthetics of the hand. In 2018 the Orthopedic Department of the Vietnam National Children s Hospital started implementing Index pollicization to treat congenital thumb hypoplasia. Methods The study was carried out on 8 patients with 9 hypoplastic thumbs who underwent index pollicization operation using the Buck - Gramcko s technique from May 2018 to November 2021 at the National Children s Hospital. The patients were examined to assess the range of motion sensation and function of the pollicized digit. The study also evaluated the patient s parents satisfaction with the new pollicized thumb appearance and function. Results The pollicizied digit had lower range of motions than the normal thumb and the sensation was normal in all patients postoperatively. The hand function was improved markedly when handling large objects. 50 of the patient s parents were satisfied with the appearance and function of the new pollicized thumb. Conclusions Index finger pollicization was initially effective in the treatment of severe hypoplasia or aplasia thumb the function and appearance of the hand are significantly improved after surgery. Keywords Index pollicization thumb hypoplasia. Corresponding author. E-mail address hghaiduc@ https 92 . Duc et al. Journal of Pediatric Research and Practice Vol. 6 No. 3 4 2022 92-99 93 Đánh giá kết quả sớm phẫu thuật cái hóa ngón trỏ ở bệnh nhi thiểu sản ngón cái bẩm sinh Hoàng Hải Đức Tạ Trần Tùng Bệnh