Please use this identifier to cite or link to this item: http://hdl.handle.net/10553/76761
Title: Radial shift of the ulnar fingers: a new technique for special cases of longitudinal central deficiency
Authors: Foucher, Guy
Loréa, Patrick
Hovius, Steven
Pivato, Giorgio
Medina, José 
UNESCO Clasification: 321315 Traumatología
Keywords: Congenital malformation
Central longitudinal deficiency
Osteotomy
Translocation
Cleft Hand
Issue Date: 2006
Journal: Journal of Hand Surgery: European Volume 
Abstract: Treatment of central longitudinal deficiencies is well defined, with different techniques established for the classical clefts. However, none of these techniques is easily applied to the treatment of very deep clefts accompanied by a significant divergence of the metacarpal bones. In such cases, the results of current techniques are disappointing. We propose a new technique of "Translocation in the Radial direction of the Ulnar Finger(s)" (TRUF) by intra-carpal osteotomy. The results are illustrated in three clinical cases. The TRUF operation allowed closing of the cleft, alignment of the metacarpal bones and preservation of carpometacarpal mobility. When necessary, a metacarpal synostosis may be treated at the same procedure.
URI: http://hdl.handle.net/10553/76761
ISSN: 0266-7681
DOI: 10.1016/j.jhsb.2005.12.003
Source: Journal of Hand Surgery: British and European Volume [ISSN 0266-7681], v. 31 (2), p. 156-161, (Abril 2006)
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