Please use this identifier to cite or link to this item: http://hdl.handle.net/10553/76406
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dc.contributor.authorFoucher, Guyen_US
dc.contributor.authorLoréa, Patricken_US
dc.contributor.authorKhouri, Roger K.en_US
dc.contributor.authorMedina, Joseen_US
dc.contributor.authorPivato, Giorgioen_US
dc.date.accessioned2020-12-06T10:39:39Z-
dc.date.available2020-12-06T10:39:39Z-
dc.date.issued2006en_US
dc.identifier.issn0032-1052en_US
dc.identifier.otherWoS-
dc.identifier.urihttp://hdl.handle.net/10553/76406-
dc.description.abstractBackground: Camptodactyly is a frequent congenital hand disorder, but its cause and treatment remain a matter of controversy. Although it is difficult to establish the primary cause of camptodactyly, careful clinical examination allows the assessment of all the structures involved (e.g., skin, subcutaneous fascia, flexor tendons, extensor tendon, intrinsic muscles, and joints). The purpose of the study was to assess the validity of an algorithm based on the clinical examination in planning the operation.Methods: An algorithm based on clinical examination and the authors' 27-year experience was designed to determine and customize the surgery for each case according to the function of the anatomical structures involved. The authors compared the results of surgical treatment in two groups of patients with camptodactyly of the fifth finger operated on before (group 1, 33 patients) or after use of the algorithm (group 2, 35 patients). All patients had more than 1 year of follow-up (range, 21 to 47 months).Results: There were significantly fewer failures in group 2 (14 percent versus 45.5 percent, p < 0.01). The improvement, after an extensive liberation in stiff early cases (type Ia), gave better results than previous attempts but did not reach significance (84 percent versus 66 percent). Similarly, for types Ib (early and correctable) and IIb (late and correctable) camptodactyly, the surgical results were improved, with 91 percent and 90 percent improvement, respectively, in group 2 versus 50 percent and 44 percent in group 1 (not significant).Conclusion: A selective surgical indication, based on careful clinical examination, improves the results of camptodactyly treatment by correcting the involved anatomical components.en_US
dc.languageengen_US
dc.relation.ispartofPlastic and Reconstructive Surgeryen_US
dc.sourcePlastic and Reconstructive Surgery [ISSN 0032-1052], v. 117 (6), p. 1897-1905, (Mayo 2006)en_US
dc.subject321315 Traumatologíaen_US
dc.subject321304 Cirugía de huesosen_US
dc.subject320104 Patología clínicaen_US
dc.subject.otherFingersen_US
dc.subject.otherDeformityen_US
dc.subject.otherMusclesen_US
dc.titleCamptodactyly as a spectrum of congenital deficiencies: A treatment algorithm based on clinical examinationen_US
dc.typeinfo:eu-repo/semantics/Articleen_US
dc.typeArticleen_US
dc.identifier.doi10.1097/01.prs.0000218977.46520.55en_US
dc.identifier.isi000237797700030-
dc.identifier.eissn1529-4242-
dc.description.lastpage1905en_US
dc.identifier.issue6-
dc.description.firstpage1897en_US
dc.relation.volume117en_US
dc.investigacionCiencias de la Saluden_US
dc.type2Artículoen_US
dc.contributor.daisngid30549502-
dc.contributor.daisngid2620509-
dc.contributor.daisngid299201-
dc.contributor.daisngid1952547-
dc.contributor.daisngid4319396-
dc.description.numberofpages9en_US
dc.utils.revisionen_US
dc.contributor.wosstandardWOS:Foucher, G-
dc.contributor.wosstandardWOS:Lorea, P-
dc.contributor.wosstandardWOS:Khouri, RK-
dc.contributor.wosstandardWOS:Medina, J-
dc.contributor.wosstandardWOS:Pivato, G-
dc.date.coverdateMayo 2006en_US
dc.identifier.ulpgcen_US
dc.description.jcr1,864
dc.description.jcrqQ2
dc.description.scieSCIE
item.grantfulltextnone-
item.fulltextSin texto completo-
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