组织工程与重建外科杂志2026,Vol.22Issue(2):109-118,10.DOI:10.3969/j.issn.1673-0364.2026.02.001
先天性多指畸形康复专家共识(2026版)
Expert consensus on the rehabilitation of congenital polydactyly
摘要
Abstract
Objective To establish a comprehensive perioperative rehabilitation system for congenital polydactyly based on evidence-based medicine and multidisciplinary expert consensus,aiming to improve the standardization and precision of rehabilitation interventions.Methods A systematic literature search was conducted in accordance with PRISMA guidelines.The quality of evidence was evaluated using the GRADE approach,and three rounds of expert consultation were performed using a modified Delphi method to formulate recommendations.Results A total of relevant studies were included,and eight recommendations were developed,covering key aspects such as classification and diagnosis of polydactyly,preoperative preparation,postoperative rehabilitation,orthotic intervention,prevention of secondary deformities,and long-term follow-up.Conclusion This consensus establishes a function-oriented,precise perioperative rehabilitation pathway,which contributes to improving structural and functional reconstruction of the hand,enhancing patients'quality of life,and providing a standardized reference for clinical practice.关键词
先天性多指畸形/精准康复/专家共识Key words
Congenital polydactyly/Precision rehabilitation/Expert consensus分类
医药卫生引用本文复制引用
中国康复医学会康复辅具应用专业委员会,中国医师协会美容与整形医师分会手整形专业委员会,王斌,俞沁圆..先天性多指畸形康复专家共识(2026版)[J].组织工程与重建外科杂志,2026,22(2):109-118,10.基金项目
国家重点研发计划(2022YFC2703700,2022YFC270 3704) (2022YFC2703700,2022YFC270 3704)
国家自然科学基金(82471886) (82471886)
上海市整形与修复重建临床医学研究中心上海市科委项目(22MC1940300) (22MC1940300)
上海交通大学医学院附属第九人民医院先天性肢体畸形生物样本库建设项目(YBKB202108) (YBKB202108)
罕见病注册登记项目(JYHJB202205) (JYHJB202205)
上海市残疾人联合会科技攻关项目(2024KJ1006) (2024KJ1006)
上海市养志康复医院(上海市阳光康复中心)面上项目(YJKYMS202007) (上海市阳光康复中心)
上海市养志康复医院(上海市阳光康复中心)阳光临床研究培育项目(YNPP-2024CRZH009) (上海市阳光康复中心)
上海申康医院发展中心诊疗技术推广及优化管理项目(SHDC12023102). (SHDC12023102)